Evidence map›Paper›PMID 33537932›Full record

ArticleJournal of patient-reported outcomes2021

A qualitative exploration of the patient experience of erosive and non-erosive hand osteoarthritis.

Charlotte Panter, Pamela Berry, Deven Chauhan, Sofia Fernandes, Sally Gatsi, Josephine Park, Jane R Wells, Rob Arbuckle

Open access · goldAbstract read
In one paragraph

Article in Journal of patient-reported outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

8 authors at 4 institutions in 3 countries.

Charlotte PanterAdelphi Values, Patient-Centered Outcomes, Bollington, Cheshire, UK.
Pamela BerryGSK, Collegeville, PA, USA.
Deven ChauhanValue Evidence and Outcomes, Stockley Park West, 1-3 Ironbridge Road, GSK, Uxbridge, Middlesex, UB11 1BT, UK. deven.k.chauhan@gsk.com.ORCID http://orcid.org/0000-0002-7237-3805
Sofia FernandesGSK, Stevenage, Hertfordshire, UK.
Sally GatsiGSK, Collegeville, PA, USA.
Josephine ParkGSK, Collegeville, PA, USA.
Jane R WellsAdelphi Values, Patient-Centered Outcomes, Bollington, Cheshire, UK.
Rob ArbuckleAdelphi Values, Patient-Centered Outcomes, Bollington, Cheshire, UK.
Adelphi Group (United Kingdom) · GBGlaxoSmithKline (United States) · USJanssen (Belgium) · BEMiddlesex University · GB

Funding

GlaxoSmithKline NA
6 · The paper itself

Abstract

backgroundMany patients with hand osteoarthritis (HOA) experience reduced health-related quality of life. This study sought to better understand the disease and treatment experience of individuals with HOA, explore any differences in experiences between erosive and non-erosive HOA sub-types, and evaluate content validity of the Michigan Hand Outcomes Questionnaire (MHQ) in HOA.

methodsThirty subjects from the United States (n = 15 erosive HOA; n = 15 non-erosive HOA) participated in semi-structured interviews: concept elicitation explored symptoms/impacts important to patients; cognitive interviews assessed understanding and relevance of the MHQ. A sub-sample participated in real-time data capture (RTDC) activities via a smartphone/tablet app over 7 days. Verbatim transcripts were coded using Atlas.ti software and thematically analyzed. Concept saturation and MHQ content validity were evaluated.

resultsMost participants reported experiencing pain, swelling and stiffness, symptoms that most commonly had a direct impact on physical functioning. Substantial impacts on activities of daily living, emotional functioning, sleep and work were also reported. RTDC findings corroborated concept elicitation findings. There were no notable differences between erosive and non-erosive HOA, except nodules were reported more frequently in erosive disease. Most participants used analgesic treatments, but effects were short-lived. Pain was the symptom most frequently reported as most bothersome and important to treat. Concept saturation was achieved. MHQ items and instructions were well understood and relevant to most participants; stiffness and swelling were reported as important symptoms not included in the MHQ.

conclusionsThis study characterizes key symptoms of HOA which are burdensome for patients and not well controlled by current therapies, highlighting an unmet treatment need. Although the study is limited by a small sample size that may not be representative of the broader erosive and non-erosive HOA population, concept saturation was achieved, and our findings suggest that disease experience is similar for patients with erosive and non-erosive HOA. Evaluation of stiffness and swelling items in conjunction with the MHQ may enhance relevance and improve measurement precision to assess important domains of HQRoL in an HOA population.

Indexed as

Concept elicitationHand osteoarthritisMichigan Hand Outcomes QuestionnairePatient-experiencePatient-reported outcomesQualitative interviewsReal-time data capture

Identifiers

PMID33537932
PMCPMC7859145
OpenAlexW3127295450

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.