Evidence map›Paper›PMID 34758105›Full record

ArticleACR open rheumatology2022

Treatment Satisfaction and Decision-making from the Patient Perspective in Axial Spondyloarthritis: Real-World Data from a Descriptive Cross-sectional Survey Study from the ArthritisPower Registry.

William Benjamin Nowell, Kelly Gavigan, Theresa Hunter, William N Malatestinic, Rebecca J Bolce, Jeffrey R Lisse, Carol Himelein, Jeffrey R Curtis, Jessica A Walsh

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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

9 authors at 4 institutions in 1 country.

William Benjamin NowellGlobal Healthy Living Foundation, Upper Nyack, New York.ORCID https://orcid.org/0000-0002-4951-6476
Kelly GaviganGlobal Healthy Living Foundation, Upper Nyack, New York.ORCID https://orcid.org/0000-0003-2615-4940
Theresa HunterEli Lilly and Company, Indianapolis, Indiana.ORCID https://orcid.org/0000-0001-8412-9175
William N MalatestinicEli Lilly and Company, Indianapolis, Indiana.
Rebecca J BolceEli Lilly and Company, Indianapolis, Indiana.
Jeffrey R LisseEli Lilly and Company, Indianapolis, Indiana.
Carol HimeleinEli Lilly and Company, Indianapolis, Indiana.
Jeffrey R CurtisUniversity of Alabama at Birmingham, Birmingham, Alabama.ORCID https://orcid.org/0000-0002-8907-8976
Jessica A WalshUniversity of Utah, Salt Lake City, Utah.ORCID https://orcid.org/0000-0002-4563-0845
Eli Lilly (United States) · USGlobal Healthy Living Foundation · USUniversity of Alabama at Birmingham · USUniversity of Utah · US

Funding

Eli Lilly and Company 2018-7532Patient-Centered Outcomes Research Institute PPRN-1306-04811
6 · The paper itself

Abstract

objectiveAims were to 1) to characterize patient decision-making with treatment for axial spondyloarthritis (axSpA) and 2) to explore relationships among decision-making, treatment satisfaction, and biologic disease modifying antirheumatic drugs (bDMARDs).

methodsArthritisPower participants with physician-diagnosed axSpA were invited to complete an online survey about their treatment and their most recent physician visit. Analysis compared treatment decision by satisfaction and bDMARD status.

resultsAmong the 274 participants, 87.2% were female, and the mean age was 50 years. Of participants, 79.5% had researched treatment before their most recent physician visit, and 56.9% discussed treatment change at their most recent physician visit. Of treatment-change discussions, 69.2% of them were related to escalation, compared with deescalation (27.6%) and/or switching (39.1%). Among those participants who discussed a change, 73.7% agreed to it because they felt that their disease was not being controlled (54.9%) or felt that it could be better controlled on new treatment (20.3%). Top symptoms prompting change were back/buttock pain (63.3%), other joint pain (55.1%), and fatigue (54.1%). Among bDMARD-treated participants (n = 128), important factors for treatment decisions were prevention of long-term axSpA consequences (92.9%) and doctor's advice (87.5%). Among 43.4% of participants reporting treatment dissatisfaction, 37% did not discuss treatment change. Current bDMARD use was more common in satisfied (61.9%) than dissatisfied participants (26.9%).

conclusionIn this cross-sectional study of a predominantly female axSpA population, patients frequently researched treatment options and discussed escalation with their providers. Under two-thirds of participants who were dissatisfied with treatment discussed changes at their most recent visit. Current bDMARD use was associated with higher satisfaction, and bDMARD users considered prevention of long-term consequences and doctor's advice to be very important for decision-making.

Identifiers

PMID34758105
PMCPMC8754015
OpenAlexW3213422889

What OpenQuestion holds

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LicenceCC BY-NC
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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.