Treatment satisfaction with rheumatoid arthritis in patients with different disease severity and financial burden: A subgroup analysis of a nationwide survey in China
Background Despite the recent advances in treatments for rheumatoid arthritis (RA), there are still unmet needs in disease outcomes. This study aimed to analyze the satisfaction with drug therapies for RA according to the levels of disease severity (patient-assessed) and proportions of treatment cost to household income. Methods This was a subgroup study of a cross-sectional study in patients with RA and their physicians. The patients were subdivided into different subgroups based on their self-assessed severity of RA and on the proportions of treatment cost to household income (<10%, 10-30%, 31-50%, and >50%). The Treatment Satisfaction Questionnaire for Medication version II was used to assess patients' treatment satisfaction. Results When considering all medications, effectiveness, convenience, and global satisfaction scores were lower in the severe and moderate RA subgroups than those in the mild and extremely mild RA subgroups (all P < 0.001). Effectiveness, side effects, and convenience scores were higher in the 50% subgroup (all P < 0.05). Global satisfaction score was higher in the <10% subgroup than that in the 31% to 50% subgroup (F = 13.183, P = 0.004). For biological disease-modifying anti-rheumatic drugs, effectiveness and convenience scores were lower in the severe RA subgroup than those in the extremely mild RA subgroup (both P < 0.05). Convenience score was higher in the 50% subgroups (F = 12.646, P = 0.005). Global satisfaction score was higher in the <10% subgroup than that in the 31% to 50% subgroup (F = 8.794, P = 0.032). Conclusion Higher disease severity and higher financial burden were associated with lower patient satisfaction.
基金:
Chinese National Key Research RD Program [2017YFC0907601, 2017YFC0907604]
第一作者机构:[1]Inner Mongolia Med Coll, Dept Rheumatol, Affiliated Hosp, Hohhot 010050, Inner Mongolia, Peoples R China
通讯作者:
通讯机构:[14]Peking Union Med Coll Hosp, Dept Rheumatol, 1 Shuaifuyuan,Wangfujing Ave, Beijing 100730, Peoples R China
推荐引用方式(GB/T 7714):
Li Hong-Bin,Wu Li-Jun,Jiang Nan,et al.Treatment satisfaction with rheumatoid arthritis in patients with different disease severity and financial burden: A subgroup analysis of a nationwide survey in China[J].CHINESE MEDICAL JOURNAL.2020,133(8):892-898.doi:10.1097/CM9.0000000000000749.
APA:
Li, Hong-Bin,Wu, Li-Jun,Jiang, Nan,Yang, Ping-Ting,Liu, Sheng-Yun...&Zeng, Xiao-Feng.(2020).Treatment satisfaction with rheumatoid arthritis in patients with different disease severity and financial burden: A subgroup analysis of a nationwide survey in China.CHINESE MEDICAL JOURNAL,133,(8)
MLA:
Li, Hong-Bin,et al."Treatment satisfaction with rheumatoid arthritis in patients with different disease severity and financial burden: A subgroup analysis of a nationwide survey in China".CHINESE MEDICAL JOURNAL 133..8(2020):892-898