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Impact of Patient and Physician Disconnect on Satisfaction with Treatment for Atopic Dermatitis in Japan

INTRODUCTION: Atopic dermatitis (AD) is an inflammatory disease causing severe skin itching. Data on patient–physician disconnect on treatment satisfaction in patients with AD in Japan are limited. We investigated patient–physician disconnect on treatment satisfaction in AD and if it influences trea...

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Autores principales: Wang, Chaochen, Aranishi, Toshihiko, Reed, Catherine, Anderson, Peter, Austin, Jenny, Davis, Victoria A., Quinones, Emily, Piercy, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Healthcare 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9884735/
https://www.ncbi.nlm.nih.gov/pubmed/36515820
http://dx.doi.org/10.1007/s13555-022-00866-z
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author Wang, Chaochen
Aranishi, Toshihiko
Reed, Catherine
Anderson, Peter
Austin, Jenny
Davis, Victoria A.
Quinones, Emily
Piercy, James
author_facet Wang, Chaochen
Aranishi, Toshihiko
Reed, Catherine
Anderson, Peter
Austin, Jenny
Davis, Victoria A.
Quinones, Emily
Piercy, James
author_sort Wang, Chaochen
collection PubMed
description INTRODUCTION: Atopic dermatitis (AD) is an inflammatory disease causing severe skin itching. Data on patient–physician disconnect on treatment satisfaction in patients with AD in Japan are limited. We investigated patient–physician disconnect on treatment satisfaction in AD and if it influences treatment patterns, clinical characteristics, and patient-reported outcomes (PROs). METHODS: Data were drawn from the Adelphi AD Disease Specific Programme (DSP), a real-world, point-in-time survey of physicians and patients with AD conducted in Japan from April to July 2019. Patients and physicians were grouped according to level of treatment satisfaction (“extremely satisfied” to “extremely dissatisfied”); with any level of dissatisfaction recorded as “less than satisfied.” Data were collected on treatment patterns, clinical characteristics, and PROs including the Dermatology Life Quality Index (DLQI), Patient-Oriented Eczema Measure (POEM), EQ-5D-3L questionnaire, and Work Productivity and Activity Impairment (WPAI) questionnaire. RESULTS: Data were provided by 184 patients with AD and 56 physicians; 72.8% of patient–physician pairs reported a fair (kappa coefficient: 0.40) level of agreement on treatment satisfaction, 51.6% of patient–physician pairs were both satisfied, and 21.2% were both less than satisfied. Satisfied physicians prescribed a mean 1.2 fewer treatments than dissatisfied physicians (p < 0.05). Cases where both physician and patient were less than satisfied or where patients were less satisfied than their physicians reported the worst PROs, DLQI (both less than satisfied: mean 10.7 versus patient less satisfied than physician: 10.6 versus overall: 7.9), POEM (19.5 versus 17.3 versus 17.0), EQ-5D-3L (0.82 versus 0.81 versus 0.87) (all, p < 0.05). Work impairment was highest when both patient and physician were less than satisfied (p < 0.05). Physicians cited treatment efficacy and patients cited efficacy and usability as main reasons for dissatisfaction. CONCLUSION: Overall, 12.0% of patients were less satisfied with their AD treatment than the physician, demonstrating some of the worst PROs, suggesting unmet need that could be improved by better patient–physician communication.
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spelling pubmed-98847352023-01-31 Impact of Patient and Physician Disconnect on Satisfaction with Treatment for Atopic Dermatitis in Japan Wang, Chaochen Aranishi, Toshihiko Reed, Catherine Anderson, Peter Austin, Jenny Davis, Victoria A. Quinones, Emily Piercy, James Dermatol Ther (Heidelb) Original Research INTRODUCTION: Atopic dermatitis (AD) is an inflammatory disease causing severe skin itching. Data on patient–physician disconnect on treatment satisfaction in patients with AD in Japan are limited. We investigated patient–physician disconnect on treatment satisfaction in AD and if it influences treatment patterns, clinical characteristics, and patient-reported outcomes (PROs). METHODS: Data were drawn from the Adelphi AD Disease Specific Programme (DSP), a real-world, point-in-time survey of physicians and patients with AD conducted in Japan from April to July 2019. Patients and physicians were grouped according to level of treatment satisfaction (“extremely satisfied” to “extremely dissatisfied”); with any level of dissatisfaction recorded as “less than satisfied.” Data were collected on treatment patterns, clinical characteristics, and PROs including the Dermatology Life Quality Index (DLQI), Patient-Oriented Eczema Measure (POEM), EQ-5D-3L questionnaire, and Work Productivity and Activity Impairment (WPAI) questionnaire. RESULTS: Data were provided by 184 patients with AD and 56 physicians; 72.8% of patient–physician pairs reported a fair (kappa coefficient: 0.40) level of agreement on treatment satisfaction, 51.6% of patient–physician pairs were both satisfied, and 21.2% were both less than satisfied. Satisfied physicians prescribed a mean 1.2 fewer treatments than dissatisfied physicians (p < 0.05). Cases where both physician and patient were less than satisfied or where patients were less satisfied than their physicians reported the worst PROs, DLQI (both less than satisfied: mean 10.7 versus patient less satisfied than physician: 10.6 versus overall: 7.9), POEM (19.5 versus 17.3 versus 17.0), EQ-5D-3L (0.82 versus 0.81 versus 0.87) (all, p < 0.05). Work impairment was highest when both patient and physician were less than satisfied (p < 0.05). Physicians cited treatment efficacy and patients cited efficacy and usability as main reasons for dissatisfaction. CONCLUSION: Overall, 12.0% of patients were less satisfied with their AD treatment than the physician, demonstrating some of the worst PROs, suggesting unmet need that could be improved by better patient–physician communication. Springer Healthcare 2022-12-14 /pmc/articles/PMC9884735/ /pubmed/36515820 http://dx.doi.org/10.1007/s13555-022-00866-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/Open AccessThis article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Wang, Chaochen
Aranishi, Toshihiko
Reed, Catherine
Anderson, Peter
Austin, Jenny
Davis, Victoria A.
Quinones, Emily
Piercy, James
Impact of Patient and Physician Disconnect on Satisfaction with Treatment for Atopic Dermatitis in Japan
title Impact of Patient and Physician Disconnect on Satisfaction with Treatment for Atopic Dermatitis in Japan
title_full Impact of Patient and Physician Disconnect on Satisfaction with Treatment for Atopic Dermatitis in Japan
title_fullStr Impact of Patient and Physician Disconnect on Satisfaction with Treatment for Atopic Dermatitis in Japan
title_full_unstemmed Impact of Patient and Physician Disconnect on Satisfaction with Treatment for Atopic Dermatitis in Japan
title_short Impact of Patient and Physician Disconnect on Satisfaction with Treatment for Atopic Dermatitis in Japan
title_sort impact of patient and physician disconnect on satisfaction with treatment for atopic dermatitis in japan
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9884735/
https://www.ncbi.nlm.nih.gov/pubmed/36515820
http://dx.doi.org/10.1007/s13555-022-00866-z
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