A measure of treatment response: patient and physician satisfaction with traditional NSAIDs for osteoarthritis control

Stephanie D Taylor,1 Sharlette V Everett,1 Thomas N Taylor,2 Douglas J Watson,3 Gavin Taylor-Stokes4 1Global Health Outcomes, Merck Sharp and Dohme Corp, Whitehouse Station, NJ, USA; 2Pharmacy Practice, Wayne State University, Detroit, MI, USA; 3Epidemiology, Merck Sharp and Dohme Corp, Upper Gwyned...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Taylor SD, Everett SV, Taylor TN, Watson DJ, Taylor-Stokes G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/771cb3955df4422097ccb12c25ab84ab
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:771cb3955df4422097ccb12c25ab84ab
record_format	dspace
spelling	oai:doaj.org-article:771cb3955df4422097ccb12c25ab84ab2021-12-02T00:07:24ZA measure of treatment response: patient and physician satisfaction with traditional NSAIDs for osteoarthritis control1179-156Xhttps://doaj.org/article/771cb3955df4422097ccb12c25ab84ab2013-07-01T00:00:00Zhttp://www.dovepress.com/a-measure-of-treatment-response-patient-and-physician-satisfaction-wit-a13843https://doaj.org/toc/1179-156XStephanie D Taylor,1 Sharlette V Everett,1 Thomas N Taylor,2 Douglas J Watson,3 Gavin Taylor-Stokes4 1Global Health Outcomes, Merck Sharp and Dohme Corp, Whitehouse Station, NJ, USA; 2Pharmacy Practice, Wayne State University, Detroit, MI, USA; 3Epidemiology, Merck Sharp and Dohme Corp, Upper Gwynedd, PA, USA; 4Adelphi Real World, Macclesfield, UK Purpose: The clinical response to traditional nonsteroidal anti-inflammatory drugs (tNSAIDs) varies substantially. The objective of this study was to describe physicians’ and patients’ perceptions of response to tNSAIDs as measured by satisfaction with control of patients’ osteoarthritis (OA). Patients and methods: A cross-sectional survey was undertaken in 2009 in Germany, Spain, and the UK. Linked physician and patient questionnaires collected data on OA management, degree of pain and disability, and satisfaction with OA control. Results: The study included 363 treating physicians and 713 patients receiving tNSAIDs. Patient mean (standard deviation) age was 65.5 (11.0) years (range 36–94 years); 60% were women; 86% were white; and one-quarter were obese. Dissatisfaction with control of patients’ OA was expressed by physicians or their patients, or both, for 51% of patients, including 208 patients (31%) with mild OA and 478 patients (60%) with moderate or severe OA. Overall, 37% of patients reported dissatisfaction and 34% had a physician who reported dissatisfaction. Patient and physician assessments were the same in 70% of cases; Cohen’s κ coefficient was 0.34 (95% confidence interval 0.26–0.41), indicating fair agreement. Of those reporting dissatisfaction, most physicians (79%) and patients (64%) believed that the current control was the best that could be achieved. The most common reasons for which physicians reported dissatisfaction were inadequate response (56%), side effects (11.1%), and poor tolerance (7.8%). Conclusion: One-half of patients or their treating physicians were dissatisfied with the control of OA provided by tNSAID therapy; moreover, most believed it was the best control that could be achieved. Keywords: cross-sectional, dissatisfaction, pain, surveyTaylor SDEverett SVTaylor TNWatson DJTaylor-Stokes GDove Medical PressarticleDiseases of the musculoskeletal systemRC925-935ENOpen Access Rheumatology: Research and Reviews, Vol 2013, Iss default, Pp 69-76 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the musculoskeletal system RC925-935
spellingShingle	Diseases of the musculoskeletal system RC925-935 Taylor SD Everett SV Taylor TN Watson DJ Taylor-Stokes G A measure of treatment response: patient and physician satisfaction with traditional NSAIDs for osteoarthritis control
description	Stephanie D Taylor,1 Sharlette V Everett,1 Thomas N Taylor,2 Douglas J Watson,3 Gavin Taylor-Stokes4 1Global Health Outcomes, Merck Sharp and Dohme Corp, Whitehouse Station, NJ, USA; 2Pharmacy Practice, Wayne State University, Detroit, MI, USA; 3Epidemiology, Merck Sharp and Dohme Corp, Upper Gwynedd, PA, USA; 4Adelphi Real World, Macclesfield, UK Purpose: The clinical response to traditional nonsteroidal anti-inflammatory drugs (tNSAIDs) varies substantially. The objective of this study was to describe physicians’ and patients’ perceptions of response to tNSAIDs as measured by satisfaction with control of patients’ osteoarthritis (OA). Patients and methods: A cross-sectional survey was undertaken in 2009 in Germany, Spain, and the UK. Linked physician and patient questionnaires collected data on OA management, degree of pain and disability, and satisfaction with OA control. Results: The study included 363 treating physicians and 713 patients receiving tNSAIDs. Patient mean (standard deviation) age was 65.5 (11.0) years (range 36–94 years); 60% were women; 86% were white; and one-quarter were obese. Dissatisfaction with control of patients’ OA was expressed by physicians or their patients, or both, for 51% of patients, including 208 patients (31%) with mild OA and 478 patients (60%) with moderate or severe OA. Overall, 37% of patients reported dissatisfaction and 34% had a physician who reported dissatisfaction. Patient and physician assessments were the same in 70% of cases; Cohen’s κ coefficient was 0.34 (95% confidence interval 0.26–0.41), indicating fair agreement. Of those reporting dissatisfaction, most physicians (79%) and patients (64%) believed that the current control was the best that could be achieved. The most common reasons for which physicians reported dissatisfaction were inadequate response (56%), side effects (11.1%), and poor tolerance (7.8%). Conclusion: One-half of patients or their treating physicians were dissatisfied with the control of OA provided by tNSAID therapy; moreover, most believed it was the best control that could be achieved. Keywords: cross-sectional, dissatisfaction, pain, survey
format	article
author	Taylor SD Everett SV Taylor TN Watson DJ Taylor-Stokes G
author_facet	Taylor SD Everett SV Taylor TN Watson DJ Taylor-Stokes G
author_sort	Taylor SD
title	A measure of treatment response: patient and physician satisfaction with traditional NSAIDs for osteoarthritis control
title_short	A measure of treatment response: patient and physician satisfaction with traditional NSAIDs for osteoarthritis control
title_full	A measure of treatment response: patient and physician satisfaction with traditional NSAIDs for osteoarthritis control
title_fullStr	A measure of treatment response: patient and physician satisfaction with traditional NSAIDs for osteoarthritis control
title_full_unstemmed	A measure of treatment response: patient and physician satisfaction with traditional NSAIDs for osteoarthritis control
title_sort	measure of treatment response: patient and physician satisfaction with traditional nsaids for osteoarthritis control
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/771cb3955df4422097ccb12c25ab84ab
work_keys_str_mv	AT taylorsd ameasureoftreatmentresponsepatientandphysiciansatisfactionwithtraditionalnsaidsforosteoarthritiscontrol AT everettsv ameasureoftreatmentresponsepatientandphysiciansatisfactionwithtraditionalnsaidsforosteoarthritiscontrol AT taylortn ameasureoftreatmentresponsepatientandphysiciansatisfactionwithtraditionalnsaidsforosteoarthritiscontrol AT watsondj ameasureoftreatmentresponsepatientandphysiciansatisfactionwithtraditionalnsaidsforosteoarthritiscontrol AT taylorstokesg ameasureoftreatmentresponsepatientandphysiciansatisfactionwithtraditionalnsaidsforosteoarthritiscontrol AT taylorsd measureoftreatmentresponsepatientandphysiciansatisfactionwithtraditionalnsaidsforosteoarthritiscontrol AT everettsv measureoftreatmentresponsepatientandphysiciansatisfactionwithtraditionalnsaidsforosteoarthritiscontrol AT taylortn measureoftreatmentresponsepatientandphysiciansatisfactionwithtraditionalnsaidsforosteoarthritiscontrol AT watsondj measureoftreatmentresponsepatientandphysiciansatisfactionwithtraditionalnsaidsforosteoarthritiscontrol AT taylorstokesg measureoftreatmentresponsepatientandphysiciansatisfactionwithtraditionalnsaidsforosteoarthritiscontrol
_version_	1718403935869337600

A measure of treatment response: patient and physician satisfaction with traditional NSAIDs for osteoarthritis control

Ejemplares similares