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Patient-physician discrepancy in the perception of immune-mediated inflammatory diseases: rheumatoid arthritis, psoriatic arthritis and psoriasis. A qualitative systematic review of the literature
- Source :
- PLoS ONE, Vol 15, Iss 6, p e0234705 (2020), Repositori Universitat Jaume I, Universitat Jaume I, PLoS ONE
- Publication Year :
- 2020
- Publisher :
- Public Library of Science (PLoS), 2020.
-
Abstract
- Introduction Recommendations on chronic diseases management emphasise the need to consider patient perspectives and shared decision-making. Discrepancies between patients and physicians’ perspectives on treatment objectives, disease activity, preferences and treatment have been described for immune-mediate inflammatory diseases. These differences could result on patient dissatisfaction and negatively affect outcomes. Objective To describe the degree of patient-physician discrepancy in three chronic immune-mediated inflammatory diseases (rheumatoid arthritis [RA], psoriatic arthritis [PsA] and psoriasis [Ps]), identifying the main areas of discrepancy and possible predictor factors. Methods Qualitative systematic review of the available literature on patient and physician discrepancies in the management of RA, PsA and Ps. The search was performed in international (Medline/PubMed, Cochrane Library, ISI-WOK) and Spanish electronic databases (MEDES, IBECS), including papers published from April 1, 2008 to April 1, 2018, in English or Spanish, and conducted in European or North American populations. Study quality was assessed by the Oxford Centre for Evidence-Based Medicine criteria. Results A total of 21 studies were included (13 RA; 3 PsA; 4 Ps; 1 RA, Ps, and Axial Spondyloarthritis). A significant and heterogeneous degree of discrepancy between patients and physicians was found, regarding disease activity, treatment, clinical expectations, remission concept, and patient-physician relationship. In RA and PsA, studies were mainly focused on the evaluation of disease activity, which is perceived as higher from the patient’s than the physician’s perspective, with the discrepancy determined by factors such as patient’s perception of pain and fatigue. In Ps, studies were focused on treatment satisfaction and patient-physician relationship, showing a lower degree of discrepancy in the satisfaction regarding these aspects. Conclusions There is a significant degree of patient-physician discrepancy regarding the management of RA, PA, and Ps, what can have a major impact on shared decision-making. Future research may help to show whether interventions considering discrepancy improve shared decision-making.
- Subjects :
- Medical Doctors
Health Care Providers
Psychological intervention
Cochrane Library
Pathology and Laboratory Medicine
Arthritis, Rheumatoid
030207 dermatology & venereal diseases
0302 clinical medicine
Medicine and Health Sciences
Medical Personnel
Fatigue
Multidisciplinary
Research Assessment
Professions
Systematic review
Rheumatoid arthritis
Medicine
Research Article
medicine.medical_specialty
Systematic Reviews
Patients
Inflammatory Diseases
Science
Immunology
Psoriatic Arthritis
MEDLINE
Rheumatoid Arthritis
Research and Analysis Methods
Autoimmune Diseases
03 medical and health sciences
Psoriatic arthritis
Signs and Symptoms
Rheumatology
Diagnostic Medicine
Physicians
Internal medicine
Psoriasis
medicine
Humans
030203 arthritis & rheumatology
Physician-Patient Relations
business.industry
Arthritis
Arthritis, Psoriatic
Biology and Life Sciences
medicine.disease
Health Care
People and Places
Perception
Population Groupings
Clinical Immunology
Immune-mediated inflammatory diseases
Clinical Medicine
business
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 15
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....45dada2b686410457d8b55daea0088a8