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Treatment Satisfaction, Patient Preferences, and the Impact of Suboptimal Disease Control in a Large International Rheumatoid Arthritis Cohort: SENSE Study

Taylor, Peter C ; Ancuta, Codrina ; Nagy, Orsolya ; de la Vega, María C ; Gordeev, Andrey ; Janková, Radka ; Kalyoncu, Umut ; Lagunes-Galindo, Ivan ; Morović-Vergles, Jadranka ; de Souza, Mariana Peixoto G U E Silva ; Rojkovich, Bernadette ; Sidiropoulos, Prodromos ; Kawakami, Atsushi

Patient preference and adherence, 2021-01, Vol.15, p.359-373 [Periódico revisado por pares]

New Zealand: Dove Medical Press Limited

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  • Título:
    Treatment Satisfaction, Patient Preferences, and the Impact of Suboptimal Disease Control in a Large International Rheumatoid Arthritis Cohort: SENSE Study
  • Autor: Taylor, Peter C ; Ancuta, Codrina ; Nagy, Orsolya ; de la Vega, María C ; Gordeev, Andrey ; Janková, Radka ; Kalyoncu, Umut ; Lagunes-Galindo, Ivan ; Morović-Vergles, Jadranka ; de Souza, Mariana Peixoto G U E Silva ; Rojkovich, Bernadette ; Sidiropoulos, Prodromos ; Kawakami, Atsushi
  • Assuntos: adherence ; Chronic illnesses ; digital health literacy ; Disease control ; Drug therapy ; Health education ; Health literacy ; Original Research ; Pain ; Patient compliance ; Patient outcomes ; patient preference ; Patient satisfaction ; Preferences ; Questionnaires ; Rheumatoid arthritis ; Surveys ; treatment satisfaction
  • É parte de: Patient preference and adherence, 2021-01, Vol.15, p.359-373
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Patients' needs and perspectives are important determinants of treatment success in rheumatoid arthritis (RA). Assessing patients' perspectives can help identify unmet needs and enhance the understanding of treatment benefits. The SENSE study assessed the impact of inadequate response to disease-modifying antirheumatic drugs (DMARDs) on treatment satisfaction, disease outcomes, and patient perspectives related to RA disease management. SENSE was a noninterventional, cross-sectional study conducted in 18 countries across Europe, Asia, and South America. Adult patients with poorly controlled RA of moderate/high disease activity were eligible. Patient satisfaction was assessed by the Treatment Satisfaction Questionnaire for Medication (TSQM v1.4). Treatment adherence, healthcare resource utilization (HRU), quality of life (QoL), work ability, digital health literacy (DHL), patient preference information, and treatment strategy were also assessed. A total of 1624 patients were included in the study: most were female (84.2%) and middle-aged, and mean disease duration was 10.5 years. Mean TSQM global satisfaction subscore was 60.9, with only 13.5% of patients reporting good treatment satisfaction (TSQM global ≥80). The strongest predictor of good treatment satisfaction was treatment with advanced therapies. Most patients (87.4%) reported good treatment adherence. In general, patients had impaired QoL and work ability, high HRU, and 67.4% had poor DHL. Leading treatment expectations were "general improvement of arthritis" and "less joint pain". Most patients preferred oral RA medications (60.7%) and rapid (≤1 week) onset of action (71.1%). "Increased risk for malignancies" and "increased risk for cardiovascular disease" were the least acceptable side effects. Despite suboptimal control, advanced therapies were only used in a minority of patients, and DMARD switches were planned for only half of the patients. Suboptimal disease control negatively impacts treatment satisfaction, work ability, QoL, and HRU. Data collected on patient perspectives may inform shared decision-making and optimize treat-to-target strategies for improving patient outcomes in RA.
  • Editor: New Zealand: Dove Medical Press Limited
  • Idioma: Inglês
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