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Satisfaction of Patients and Physicians with Treatments for Rheumatoid Arthritis: A Population-Based Survey in China.

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机构: [1]Department of Rheumatology, Peking Union MedicalCollege Hospital, Peking Union Medical College andChinese Academy of Medical Sciences, KeyLaboratory of Rheumatology and ClinicalImmunology, Ministry of Education, Beijing, People’sRepublic of China [2]Department of Rheumatologyand Immunology, First Affiliated Hospital, ChinaMedical University, Shenyang, People’s Republic ofChina [3]Department of Rheumatology, The FirstAffiliated Hospital of Zhengzhou University,Zhengzhou, People’s Republic of China [4]Departmentof Rheumatology, Affiliated Hospital of InnerMongolia Medical College, Hohhot, Inner Mongolia,People’s Republic of China [5]Department ofRheumatology and Immunology, People’s Hospital ofXinjiang Uygur Autonomous Region, Urumqi,Xinjiang Uygur Autonomous Region, People’sRepublic of China [6]Department of Rheumatologyand Immunology, The First Affiliated Hospital, andCollege of Clinical Medicine of Henan University ofScience and Technology, Luoyang, Henan, People’sRepublic of China [7]Department of Rheumatology,Southwest Hospital, Third Military MedicalUniversity, Chongqing, People’s Republic of China [8]Department of Rheumatology and Immunology,West China Hospital, Sichuan University, Chengdu,People’s Republic of China [9]Department ofRheumatology and Immunology, First AffiliatedHospital of Kunming Medical University, Kunming,Yunnan, People’s Republic of China [10]Department ofRheumatology, The First Hospital of Jilin University,Changchun, Jilin, People’s Republic of China [11]Department of Clinical Immunology andRheumatology, Xijing Hospital Affiliated to the FourthMilitary Medical University, Shanxi, People’s Republicof China [12]Department of Rheumatology, TheSecond Affiliated Hospital of Nanchang University,Nanchang, Jiangxi, People’s Republic of China
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关键词: patient physician rheumatoid arthritis treatment satisfaction TSQM-II

摘要:
Rheumatoid arthritis (RA) is a systemic inflammatory disease characterized by chronic destructive synovitis and possible multisystem involvement. This study aimed to survey the treatment satisfaction of physicians and patients with RA, and to explore the potential factors. This cross-sectional study was conducted in 12 centers across China between March 2018 and April 2018. The Treatment Satisfaction Questionnaire for Medication version II was used to assess the treatment satisfaction of patients and physicians. Multivariable regression analysis was used to determine the factors independently associated with treatment satisfaction of patients. The patients' satisfaction (n=335) with biological disease-modifying antirheumatic drugs (bDMARDs) was higher than physicians' satisfaction (n=146) regarding the side effects (95.0±14.3 vs 84.6±15.7, P<0.001) and convenience (74.6±21.2 vs 69.1±16.5, P=0.002). Among physicians, global satisfaction with bDMARDs was higher than that with conventional synthetic DMARDs (csDMARDs). The multivariable regression analysis showed that age was positively associated with satisfaction of patients, while college or above education and self-assessment of disease severity were inversely associated with satisfaction. Treatment satisfaction was associated positively with the quality of communication with the physician and inversely with treatment costs. For bDMARDs, the treatment satisfaction of patients with RA is generally higher than that of physicians'. Physicians' satisfaction with bDMARDs is higher than with csDMARDs. Age, education, disease severity, communication with the physician, and treatment costs are independently associated with the treatment satisfaction among patients. Physician-patient communication should be improved in clinical practice. Treatment costs should be taken into account when physicians make decisions. © 2020 Jiang et al.

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出版当年[2020]版:
大类 | 4 区 医学
小类 | 3 区 医学:内科
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 医学:内科
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出版当年[2019]版:
Q2 MEDICINE, GENERAL & INTERNAL
最新[2023]版:
Q2 MEDICINE, GENERAL & INTERNAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Department of Rheumatology, Peking Union MedicalCollege Hospital, Peking Union Medical College andChinese Academy of Medical Sciences, KeyLaboratory of Rheumatology and ClinicalImmunology, Ministry of Education, Beijing, People’sRepublic of China
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通讯机构: [1]Department of Rheumatology, Peking Union MedicalCollege Hospital, Peking Union Medical College andChinese Academy of Medical Sciences, KeyLaboratory of Rheumatology and ClinicalImmunology, Ministry of Education, Beijing, People’sRepublic of China [*1]Department of Rheumatology, Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Wangfujing Ave,Beijing 100730, People’s Republic of China
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