Cargando…

Patient-physician discrepancy in the perception of immune-mediated inflammatory diseases: rheumatoid arthritis, psoriatic arthritis and psoriasis. A qualitative systematic review of the literature

INTRODUCTION: Recommendations on chronic diseases management emphasise the need to consider patient perspectives and shared decision-making. Discrepancies between patients and physicians’ perspectives on treatment objectives, disease activity, preferences and treatment have been described for immune...

Descripción completa

Detalles Bibliográficos
Autores principales: Sacristán, José Antonio, Dilla, Tatiana, Díaz-Cerezo, Silvia, Gabás-Rivera, Clara, Aceituno, Susana, Lizán, Luis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299355/
https://www.ncbi.nlm.nih.gov/pubmed/32555708
http://dx.doi.org/10.1371/journal.pone.0234705
_version_ 1783547369625747456
author Sacristán, José Antonio
Dilla, Tatiana
Díaz-Cerezo, Silvia
Gabás-Rivera, Clara
Aceituno, Susana
Lizán, Luis
author_facet Sacristán, José Antonio
Dilla, Tatiana
Díaz-Cerezo, Silvia
Gabás-Rivera, Clara
Aceituno, Susana
Lizán, Luis
author_sort Sacristán, José Antonio
collection PubMed
description INTRODUCTION: Recommendations on chronic diseases management emphasise the need to consider patient perspectives and shared decision-making. Discrepancies between patients and physicians’ perspectives on treatment objectives, disease activity, preferences and treatment have been described for immune-mediate inflammatory diseases. These differences could result on patient dissatisfaction and negatively affect outcomes. OBJECTIVE: To describe the degree of patient-physician discrepancy in three chronic immune-mediated inflammatory diseases (rheumatoid arthritis [RA], psoriatic arthritis [PsA] and psoriasis [Ps]), identifying the main areas of discrepancy and possible predictor factors. METHODS: Qualitative systematic review of the available literature on patient and physician discrepancies in the management of RA, PsA and Ps. The search was performed in international (Medline/PubMed, Cochrane Library, ISI-WOK) and Spanish electronic databases (MEDES, IBECS), including papers published from April 1, 2008 to April 1, 2018, in English or Spanish, and conducted in European or North American populations. Study quality was assessed by the Oxford Centre for Evidence-Based Medicine criteria. RESULTS: A total of 21 studies were included (13 RA; 3 PsA; 4 Ps; 1 RA, Ps, and Axial Spondyloarthritis). A significant and heterogeneous degree of discrepancy between patients and physicians was found, regarding disease activity, treatment, clinical expectations, remission concept, and patient-physician relationship. In RA and PsA, studies were mainly focused on the evaluation of disease activity, which is perceived as higher from the patient’s than the physician’s perspective, with the discrepancy determined by factors such as patient’s perception of pain and fatigue. In Ps, studies were focused on treatment satisfaction and patient-physician relationship, showing a lower degree of discrepancy in the satisfaction regarding these aspects. CONCLUSIONS: There is a significant degree of patient-physician discrepancy regarding the management of RA, PA, and Ps, what can have a major impact on shared decision-making. Future research may help to show whether interventions considering discrepancy improve shared decision-making.
format Online
Article
Text
id pubmed-7299355
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-72993552020-06-19 Patient-physician discrepancy in the perception of immune-mediated inflammatory diseases: rheumatoid arthritis, psoriatic arthritis and psoriasis. A qualitative systematic review of the literature Sacristán, José Antonio Dilla, Tatiana Díaz-Cerezo, Silvia Gabás-Rivera, Clara Aceituno, Susana Lizán, Luis PLoS One Research Article INTRODUCTION: Recommendations on chronic diseases management emphasise the need to consider patient perspectives and shared decision-making. Discrepancies between patients and physicians’ perspectives on treatment objectives, disease activity, preferences and treatment have been described for immune-mediate inflammatory diseases. These differences could result on patient dissatisfaction and negatively affect outcomes. OBJECTIVE: To describe the degree of patient-physician discrepancy in three chronic immune-mediated inflammatory diseases (rheumatoid arthritis [RA], psoriatic arthritis [PsA] and psoriasis [Ps]), identifying the main areas of discrepancy and possible predictor factors. METHODS: Qualitative systematic review of the available literature on patient and physician discrepancies in the management of RA, PsA and Ps. The search was performed in international (Medline/PubMed, Cochrane Library, ISI-WOK) and Spanish electronic databases (MEDES, IBECS), including papers published from April 1, 2008 to April 1, 2018, in English or Spanish, and conducted in European or North American populations. Study quality was assessed by the Oxford Centre for Evidence-Based Medicine criteria. RESULTS: A total of 21 studies were included (13 RA; 3 PsA; 4 Ps; 1 RA, Ps, and Axial Spondyloarthritis). A significant and heterogeneous degree of discrepancy between patients and physicians was found, regarding disease activity, treatment, clinical expectations, remission concept, and patient-physician relationship. In RA and PsA, studies were mainly focused on the evaluation of disease activity, which is perceived as higher from the patient’s than the physician’s perspective, with the discrepancy determined by factors such as patient’s perception of pain and fatigue. In Ps, studies were focused on treatment satisfaction and patient-physician relationship, showing a lower degree of discrepancy in the satisfaction regarding these aspects. CONCLUSIONS: There is a significant degree of patient-physician discrepancy regarding the management of RA, PA, and Ps, what can have a major impact on shared decision-making. Future research may help to show whether interventions considering discrepancy improve shared decision-making. Public Library of Science 2020-06-17 /pmc/articles/PMC7299355/ /pubmed/32555708 http://dx.doi.org/10.1371/journal.pone.0234705 Text en © 2020 Sacristán et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Sacristán, José Antonio
Dilla, Tatiana
Díaz-Cerezo, Silvia
Gabás-Rivera, Clara
Aceituno, Susana
Lizán, Luis
Patient-physician discrepancy in the perception of immune-mediated inflammatory diseases: rheumatoid arthritis, psoriatic arthritis and psoriasis. A qualitative systematic review of the literature
title Patient-physician discrepancy in the perception of immune-mediated inflammatory diseases: rheumatoid arthritis, psoriatic arthritis and psoriasis. A qualitative systematic review of the literature
title_full Patient-physician discrepancy in the perception of immune-mediated inflammatory diseases: rheumatoid arthritis, psoriatic arthritis and psoriasis. A qualitative systematic review of the literature
title_fullStr Patient-physician discrepancy in the perception of immune-mediated inflammatory diseases: rheumatoid arthritis, psoriatic arthritis and psoriasis. A qualitative systematic review of the literature
title_full_unstemmed Patient-physician discrepancy in the perception of immune-mediated inflammatory diseases: rheumatoid arthritis, psoriatic arthritis and psoriasis. A qualitative systematic review of the literature
title_short Patient-physician discrepancy in the perception of immune-mediated inflammatory diseases: rheumatoid arthritis, psoriatic arthritis and psoriasis. A qualitative systematic review of the literature
title_sort patient-physician discrepancy in the perception of immune-mediated inflammatory diseases: rheumatoid arthritis, psoriatic arthritis and psoriasis. a qualitative systematic review of the literature
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7299355/
https://www.ncbi.nlm.nih.gov/pubmed/32555708
http://dx.doi.org/10.1371/journal.pone.0234705
work_keys_str_mv AT sacristanjoseantonio patientphysiciandiscrepancyintheperceptionofimmunemediatedinflammatorydiseasesrheumatoidarthritispsoriaticarthritisandpsoriasisaqualitativesystematicreviewoftheliterature
AT dillatatiana patientphysiciandiscrepancyintheperceptionofimmunemediatedinflammatorydiseasesrheumatoidarthritispsoriaticarthritisandpsoriasisaqualitativesystematicreviewoftheliterature
AT diazcerezosilvia patientphysiciandiscrepancyintheperceptionofimmunemediatedinflammatorydiseasesrheumatoidarthritispsoriaticarthritisandpsoriasisaqualitativesystematicreviewoftheliterature
AT gabasriveraclara patientphysiciandiscrepancyintheperceptionofimmunemediatedinflammatorydiseasesrheumatoidarthritispsoriaticarthritisandpsoriasisaqualitativesystematicreviewoftheliterature
AT aceitunosusana patientphysiciandiscrepancyintheperceptionofimmunemediatedinflammatorydiseasesrheumatoidarthritispsoriaticarthritisandpsoriasisaqualitativesystematicreviewoftheliterature
AT lizanluis patientphysiciandiscrepancyintheperceptionofimmunemediatedinflammatorydiseasesrheumatoidarthritispsoriaticarthritisandpsoriasisaqualitativesystematicreviewoftheliterature