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Patients' views on the causes of their polymyalgia rheumatica: a content analysis of data from the PMR Cohort Study

OBJECTIVE: To explore primary care polymyalgia rheumatica (PMR) patient beliefs about the causes of their PMR. DESIGN: Qualitative content analysis was conducted on patients' written responses to the question of what they thought had caused their PMR. All data were coded and emergent categories...

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Autores principales: Tshimologo, Maatla, Saunders, Benjamin, Muller, Sara, Mallen, Christian D, Hider, Samantha L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5278275/
https://www.ncbi.nlm.nih.gov/pubmed/28122836
http://dx.doi.org/10.1136/bmjopen-2016-014301
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author Tshimologo, Maatla
Saunders, Benjamin
Muller, Sara
Mallen, Christian D
Hider, Samantha L
author_facet Tshimologo, Maatla
Saunders, Benjamin
Muller, Sara
Mallen, Christian D
Hider, Samantha L
author_sort Tshimologo, Maatla
collection PubMed
description OBJECTIVE: To explore primary care polymyalgia rheumatica (PMR) patient beliefs about the causes of their PMR. DESIGN: Qualitative content analysis was conducted on patients' written responses to the question of what they thought had caused their PMR. All data were coded and emergent categories of causal beliefs identified. SETTING: Community patients receiving primary care at general practitioner (GP) practices across England. PARTICIPANTS: Participants were recruited from a primary care PMR inception cohort (n=654). Between June 2012 and June 2014 GPs referred 739 people with a new PMR diagnosis in the past 3 years into the study. Patients were mailed a baseline self-completion questionnaire, which included the question, ‘What do you think caused your PMR?’. Responses to this question form the data set for the present study. RESULTS: 296 (45%) patients gave a possible cause for their PMR, while 276 (42%) respondents wrote ‘no idea’. Common attributions include ageing (45, 18%), medication (18, 5%) and personal stress (53, 14%). 24 respondents (6%) thought their PMR was as a result of another medical condition. CONCLUSIONS: This is the first study to examine causation beliefs in PMR, identifying a number of possible causes such as ageing, stress and as a complication of other medical problems. Understanding these patient beliefs may impact on treatment adherence and patient outcome.
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spelling pubmed-52782752017-02-07 Patients' views on the causes of their polymyalgia rheumatica: a content analysis of data from the PMR Cohort Study Tshimologo, Maatla Saunders, Benjamin Muller, Sara Mallen, Christian D Hider, Samantha L BMJ Open Rheumatology OBJECTIVE: To explore primary care polymyalgia rheumatica (PMR) patient beliefs about the causes of their PMR. DESIGN: Qualitative content analysis was conducted on patients' written responses to the question of what they thought had caused their PMR. All data were coded and emergent categories of causal beliefs identified. SETTING: Community patients receiving primary care at general practitioner (GP) practices across England. PARTICIPANTS: Participants were recruited from a primary care PMR inception cohort (n=654). Between June 2012 and June 2014 GPs referred 739 people with a new PMR diagnosis in the past 3 years into the study. Patients were mailed a baseline self-completion questionnaire, which included the question, ‘What do you think caused your PMR?’. Responses to this question form the data set for the present study. RESULTS: 296 (45%) patients gave a possible cause for their PMR, while 276 (42%) respondents wrote ‘no idea’. Common attributions include ageing (45, 18%), medication (18, 5%) and personal stress (53, 14%). 24 respondents (6%) thought their PMR was as a result of another medical condition. CONCLUSIONS: This is the first study to examine causation beliefs in PMR, identifying a number of possible causes such as ageing, stress and as a complication of other medical problems. Understanding these patient beliefs may impact on treatment adherence and patient outcome. BMJ Publishing Group 2017-01-25 /pmc/articles/PMC5278275/ /pubmed/28122836 http://dx.doi.org/10.1136/bmjopen-2016-014301 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Rheumatology
Tshimologo, Maatla
Saunders, Benjamin
Muller, Sara
Mallen, Christian D
Hider, Samantha L
Patients' views on the causes of their polymyalgia rheumatica: a content analysis of data from the PMR Cohort Study
title Patients' views on the causes of their polymyalgia rheumatica: a content analysis of data from the PMR Cohort Study
title_full Patients' views on the causes of their polymyalgia rheumatica: a content analysis of data from the PMR Cohort Study
title_fullStr Patients' views on the causes of their polymyalgia rheumatica: a content analysis of data from the PMR Cohort Study
title_full_unstemmed Patients' views on the causes of their polymyalgia rheumatica: a content analysis of data from the PMR Cohort Study
title_short Patients' views on the causes of their polymyalgia rheumatica: a content analysis of data from the PMR Cohort Study
title_sort patients' views on the causes of their polymyalgia rheumatica: a content analysis of data from the pmr cohort study
topic Rheumatology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5278275/
https://www.ncbi.nlm.nih.gov/pubmed/28122836
http://dx.doi.org/10.1136/bmjopen-2016-014301
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