Assessment of Patient-Physician Interactions in Psoriatic Arthritis: National Results of the ASSIST Study.

IF 2.9 3区医学 Q2 RHEUMATOLOGY

Rheumatology and Therapy Pub Date : 2024-06-01 Epub Date: 2024-03-06 DOI:10.1007/s40744-024-00655-4

Fabio Massimo Perrotta, Rossana Scrivo, Salvatore D'Angelo, Silvia Scriffignano, Andrea Delle Sedie, Laura Coates, Ennio Lubrano

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Abstract

Introduction: An overarching principle for the management of psoriatic arthritis (PsA) is a shared decision-making process between physicians and patients. The aim of this study is to assess the patient-physician relationship in a group of patients with PsA, by using the Perceived Efficacy in Patient-Physician Interactions (PEPPI) and CollaboRATE instruments.

Methods: This is a cross-sectional multicenter study where consecutive patients with PsA were enrolled. For each patient, the main demographic, comorbid conditions, and clinical data were collected, including the assessment of disease activity, function, quality of life, and impact of disease. PEPPI and CollaboRATE questionnaires were used, respectively, to evaluate the patient's perception of the patient-physician relationship and the shared decision-making process.

Results: A total of 81 patients with PsA were enrolled at four centers in Italy. Overall, our patients showed a high level of confidence in obtaining needed health care, with relatively high median (IQR) values of PEPPI (20; 16-23), and a good shared decision-making process, with high median (IQR) values of CollaboRATE questionnaire (7; 6-9). PEPPI and CollaboRATE scores showed a statistically significant inverse correlation with different clinical variables such as disease duration, Leeds Enthesitis Index, PsA impact of Disease, Health Assessment Questionnaire, pain, patient's global assessment of disease activity and clinical disease activity for PsA. The presence of comorbidities did not appear to be associated with lower values of PEPPI and CollaboRATE.

Conclusions: In this study, few patients with PsA were at risk of suboptimal communication with their physician. This phenomenon appeared to be primarily related to higher disease activity and burden.

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银屑病关节炎患者与医生互动评估：全国 ASSIST 研究结果

导言：银屑病关节炎（PsA）治疗的首要原则是医生与患者共同决策。本研究的目的是通过使用 "患者与医生互动中的疗效感知"（PEPPI）和 "协作"（CollaboRATE）工具，评估一组 PsA 患者的医患关系：这是一项横断面多中心研究，研究对象为连续入组的 PsA 患者。研究收集了每位患者的主要人口统计学、合并症和临床数据，包括疾病活动性、功能、生活质量和疾病影响的评估。PEPPI和CollaboRATE问卷分别用于评估患者对医患关系和共同决策过程的看法：意大利四个中心共招募了81名PsA患者。总体而言，我们的患者对获得所需的医疗服务表现出高度的信心，PEPPI 的中位数（IQR）相对较高（20；16-23），共同决策过程良好，CollaboRATE 问卷的中位数（IQR）较高（7；6-9）。PEPPI和CollaboRATE评分与不同的临床变量（如病程、利兹关节炎指数、PsA对疾病的影响、健康评估问卷、疼痛、患者对疾病活动性的总体评估和PsA临床疾病活动性）存在统计学意义上的显著反相关性。合并症的存在似乎与较低的PEPPI和CollaboRATE值无关：在这项研究中，很少有PsA患者面临与医生沟通不畅的风险。这一现象似乎主要与较高的疾病活动度和负担有关。

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来源期刊

Rheumatology and Therapy RHEUMATOLOGY-

CiteScore

6.00

自引率

5.30%

发文量

审稿时长

6 weeks

期刊介绍： Aims and Scope Rheumatology and Therapy is an international, open access, peer reviewed, rapid publication journal dedicated to the publication of high-quality clinical (all phases), observational, real-world and health outcomes research around the discovery, development, and use of rheumatologic therapies. Studies relating to diagnosis, pharmacoeconomics, public health, quality of life, and patient care, management, and education are also welcomed. Areas of focus include, but are not limited to, rheumatoid arthritis, gout, gouty arthritis, psoriatic arthritis, osteoarthritis, juvenile idiopathic/rheumatoid arthritis, systemic lupus erythematosus, axial spondyloarthritis, Pompe’s disease, inflammatory joint conditions, musculoskeletal conditions, systemic sclerosis, and fibromyalgia. The journal is of interest to a broad audience of healthcare professionals and publishes original research, reviews, case reports, trial protocols, communications and letters. The journal is read by a global audience and receives submissions from all over the world. Rheumatology and Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an international and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of all scientifically and ethically sound research. Ethics and Disclosures The journal is a member of the Committee on Publication Ethics (COPE) and subscribes to its principles on how to deal with acts of misconduct thereby committing to investigate allegations of misconduct in order to ensure the integrity of research. Content in this journal is peer-reviewed (Single-blind). 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