Evidence map›Paper›PMID 32884244›Full record

ArticlePatient preference and adherence2020

"Mastering a New Life Situation" - Patients' Preferences of Treatment Outcomes in Early Rheumatoid Arthritis - A Longitudinal Qualitative Study.

Ellen Landgren, Ann Bremander, Elisabet Lindqvist, Maria Nylander, Kristien Van der Elst, Ingrid Larsson

Abstract read
In one paragraph

Article in Patient preference and adherence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ellen LandgrenDepartment of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden.ORCID 0000-0001-5978-5242
Ann BremanderDepartment of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden.ORCID 0000-0002-8081-579X
Elisabet LindqvistDepartment of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden.ORCID 0000-0002-9937-6352
Maria NylanderSpenshult Research and Development Centre, Halmstad, Sweden.
Kristien Van der ElstDepartment of Rheumatology, University Hospitals Leuven, Leuven, Belgium.ORCID 0000-0003-3504-0005
Ingrid LarssonDepartment of Clinical Sciences, Section of Rheumatology, Lund University, Lund, Sweden.ORCID 0000-0002-4341-660X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore patients' preferred treatment outcomes during their first two years with rheumatoid arthritis (RA). PATIENTS AND

methodsA qualitative, longitudinal, multicenter study with interviews at two time points was performed in Sweden. Individual interviews were conducted at time point 1 with 31 patients with RA, defined as disease duration of ≤1 year and treatment for 3-7 months. Seven focus group interviews and five individual interviews were conducted at time point 2 with 22 patients 12-20 months after treatment initiation. The interviews were analyzed using the Qualitative Analysis Guide of Leuven. A core category with four related concepts emerged.

resultsThe core finding of patient-preferred treatment outcomes was "mastering a new life situation". Patients preferred to experience control of the disease by controlling the symptoms and by experiencing absence of disease. To experience autonomy by regaining former activity level, experiencing independence, and being empowered was another preferred outcome. Patients preferred to regain identity through being able to participate, experience well-being, and regain former self-image. To experience joy in everyday life through vitality and believing in the future was another preferred outcome. Patients' preferences developed over time from the acute phase of controlling the symptoms and wanting to return to the life they lived prior to diagnosis, to a more preventive way of self-management and empowerment to master the new life situation.

conclusionThe patients' preferred treatment outcomes during the first two years with RA were to master their new life situation and changed from a preference to return to a life lived prior disease onset, to a preference of living with quality of life, despite RA. This study increases the understanding of patients' preferred treatment outcomes in the early disease course and can be a foundation for tailoring interventions to be more person-centered and to improve long-term treatment outcomes.

Indexed as

focus groupsinterviewsmulticenterpatient perspectiverheumatic diseases

Identifiers

PMID32884244
PMCPMC7431595

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.