Date: Sunday, November 5, 2017
Session Type: ACR Poster Session A
Session Time: 9:00AM-11:00AM
Background/Purpose: To assess levels of rheumatologist and patient satisfaction with RA treatment across Latin America and any disconnects that may exist between the two in real world clinical practice.
Methods: Data from the 2015 RA Disease Specific Programme (DSP), a cross-sectional, multi-national survey of patients and rheumatologists conducted in Argentina, Mexico, Colombia and Venezuela were analyzed. Rheumatologists (n=141) completed forms containing patient demographics, patient disease severity and treatment satisfaction. Patients self-reported their level of treatment satisfaction and disease severity.
Results: A total of 555 RA patients from across Latin America were included in this analysis. Current mean age across Latin America was 51.9 years and 82.3% female. Proportions of rheumatologists and patients reporting satisfaction with treatment were statistically highly similar (79% and 83% respectively), however current disease severity reporting differed between rheumatologists and patients (mild 70% / moderate-severe 30% rheumatologists vs. 51% mild / 49% moderate-severe patients; p<0.001). When assessed for alignment, 21% of rheumatologists and patients disagreed on the level of satisfaction, driven mainly by rheumatologists over-stating dissatisfaction (13%) vs. their patient (8%) (p=0.031). For current disease severity, 36% of rheumatologists and patients disagreed, driven mainly by patients (28%) over-stating their severity vs. their rheumatologist (8%) (p<0.001). Of those patients for whom their rheumatologist was satisfied with treatment, 20% were classified as having moderate to severe RA by that same physician.
Conclusion: Despite many rheumatologists and their patients in Latin America reporting high levels of satisfaction with treatment, patients frequently remain moderate to severe and disconnected from their physician. There is a need to improve physician / patient engagement as a means to improving clinical control.
To cite this abstract in AMA style:Soriano ER, Maldonado-Cocco JA, Vega-Morales D, Rocio Gil D, Pereira I, Guerra G, Bautista-Molano W, Casasola J, Azevedo VF, Aldunate L, Lobosco S. Levels of Satisfaction with RA Treatment and Associated Alignment between Rheumatologists and Their Patients across Latin America [abstract]. Arthritis Rheumatol. 2017; 69 (suppl 10). https://acrabstracts.org/abstract/levels-of-satisfaction-with-ra-treatment-and-associated-alignment-between-rheumatologists-and-their-patients-across-latin-america/. Accessed September 25, 2021.
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