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Incorporating patient preferences into osteoarthritis treatment

OBJECTIVES: This study aims to identify the relationship between treatment modalities and the patients’ preferences in osteoarthritis (OA) treatment and identify the related factors. PATIENTS AND METHODS: This multi-center, cross-sectional study included a total of 305 patients with OA (66 males, 23...

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Autores principales: Gökçe Kutsal, Yeşim, Eyigör, Sibel, Karahan, Sevilay, Günaydın, Rezzan, İrdesel, Jale, Sarıdoğan, Merih, Borman, Pınar, Sarı, Aylin, Ordu Gökkaya, Kutay, Binay Safer, Vildan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish League Against Rheumatism 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8957764/
https://www.ncbi.nlm.nih.gov/pubmed/35382376
http://dx.doi.org/10.46497/ArchRheumatol.2022.8291
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author Gökçe Kutsal, Yeşim
Eyigör, Sibel
Karahan, Sevilay
Günaydın, Rezzan
İrdesel, Jale
Sarıdoğan, Merih
Borman, Pınar
Sarı, Aylin
Ordu Gökkaya, Kutay
Binay Safer, Vildan
author_facet Gökçe Kutsal, Yeşim
Eyigör, Sibel
Karahan, Sevilay
Günaydın, Rezzan
İrdesel, Jale
Sarıdoğan, Merih
Borman, Pınar
Sarı, Aylin
Ordu Gökkaya, Kutay
Binay Safer, Vildan
author_sort Gökçe Kutsal, Yeşim
collection PubMed
description OBJECTIVES: This study aims to identify the relationship between treatment modalities and the patients’ preferences in osteoarthritis (OA) treatment and identify the related factors. PATIENTS AND METHODS: This multi-center, cross-sectional study included a total of 305 patients with OA (66 males, 239 females; mean age: 66.4±9.7 years; range, 38 to 90 years) between July 2019 and January 2020. Data including demographic and clinical characteristics of the patients were recorded using a structured questionnaire. RESULTS: The mostly common involvement sites were knee joints, lumbar, and cervical regions, respectively. Prior to the study, the treatment modalities which were prescribed to patients were oral drugs (79.7%), topical drugs (73.8%), home-based exercise program (62.6%), and physical therapy (outpatient) (61.3%). Of the recommended remedy, 89.2% were prescribed by physiatrists, 24.6% by orthopedists, 5.6% by family practitioners, 2.6% by neurosurgeons, and 1.6% by algologists. The most beneficial treatments (to whom) were inpatient physical therapy program (47%), oral drugs (41%), home-based exercise programs (24.9%) according to patients’ perspective. According to patient preferences, nearly half of the patients preferred outpatient physical therapy program (45.9%), oral drugs (33.1%), inpatient physical therapy (20%), and home-based exercises (18%). The most common reasons for their preferences were previous benefits from treatment (54.4%), long-term effects (38%), easy access to treatment (33.1%) and concerns about side effects (28.9%). The mostly common reasons for their preferences were previous benefits from the treatment (54.4%), long-term positive effects of physical therapy (38%), easy access to the treatment (33.1%) and concerns about side effects of drugs (28.9%). CONCLUSION: Besides medical regimen, the results of this study showed that the patients preferred outpatient and inpatient physical therapy modalities, and home-based exercises programs. In the light of these findings, initiation of a new prescription (e.g., drugs or physical therapy modalities) in OA patients, previous treatment modalities, and approaches are suggested to be carefully reviewed by the clinician to anticipate and improve the adherence behavior to the new treatment.
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spelling pubmed-89577642022-04-04 Incorporating patient preferences into osteoarthritis treatment Gökçe Kutsal, Yeşim Eyigör, Sibel Karahan, Sevilay Günaydın, Rezzan İrdesel, Jale Sarıdoğan, Merih Borman, Pınar Sarı, Aylin Ordu Gökkaya, Kutay Binay Safer, Vildan Arch Rheumatol Original Article OBJECTIVES: This study aims to identify the relationship between treatment modalities and the patients’ preferences in osteoarthritis (OA) treatment and identify the related factors. PATIENTS AND METHODS: This multi-center, cross-sectional study included a total of 305 patients with OA (66 males, 239 females; mean age: 66.4±9.7 years; range, 38 to 90 years) between July 2019 and January 2020. Data including demographic and clinical characteristics of the patients were recorded using a structured questionnaire. RESULTS: The mostly common involvement sites were knee joints, lumbar, and cervical regions, respectively. Prior to the study, the treatment modalities which were prescribed to patients were oral drugs (79.7%), topical drugs (73.8%), home-based exercise program (62.6%), and physical therapy (outpatient) (61.3%). Of the recommended remedy, 89.2% were prescribed by physiatrists, 24.6% by orthopedists, 5.6% by family practitioners, 2.6% by neurosurgeons, and 1.6% by algologists. The most beneficial treatments (to whom) were inpatient physical therapy program (47%), oral drugs (41%), home-based exercise programs (24.9%) according to patients’ perspective. According to patient preferences, nearly half of the patients preferred outpatient physical therapy program (45.9%), oral drugs (33.1%), inpatient physical therapy (20%), and home-based exercises (18%). The most common reasons for their preferences were previous benefits from treatment (54.4%), long-term effects (38%), easy access to treatment (33.1%) and concerns about side effects (28.9%). The mostly common reasons for their preferences were previous benefits from the treatment (54.4%), long-term positive effects of physical therapy (38%), easy access to the treatment (33.1%) and concerns about side effects of drugs (28.9%). CONCLUSION: Besides medical regimen, the results of this study showed that the patients preferred outpatient and inpatient physical therapy modalities, and home-based exercises programs. In the light of these findings, initiation of a new prescription (e.g., drugs or physical therapy modalities) in OA patients, previous treatment modalities, and approaches are suggested to be carefully reviewed by the clinician to anticipate and improve the adherence behavior to the new treatment. Turkish League Against Rheumatism 2021-10-16 /pmc/articles/PMC8957764/ /pubmed/35382376 http://dx.doi.org/10.46497/ArchRheumatol.2022.8291 Text en Copyright © 2021, Turkish League Against Rheumatism https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Article
Gökçe Kutsal, Yeşim
Eyigör, Sibel
Karahan, Sevilay
Günaydın, Rezzan
İrdesel, Jale
Sarıdoğan, Merih
Borman, Pınar
Sarı, Aylin
Ordu Gökkaya, Kutay
Binay Safer, Vildan
Incorporating patient preferences into osteoarthritis treatment
title Incorporating patient preferences into osteoarthritis treatment
title_full Incorporating patient preferences into osteoarthritis treatment
title_fullStr Incorporating patient preferences into osteoarthritis treatment
title_full_unstemmed Incorporating patient preferences into osteoarthritis treatment
title_short Incorporating patient preferences into osteoarthritis treatment
title_sort incorporating patient preferences into osteoarthritis treatment
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8957764/
https://www.ncbi.nlm.nih.gov/pubmed/35382376
http://dx.doi.org/10.46497/ArchRheumatol.2022.8291
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