A qualitative study of patient perspectives related to glucocorticoid therapy in polymyalgia rheumatica and giant cell arteritis

Elizabeth Hoon,1 Carlee Ruediger,2,3 Tiffany K Gill,2 Rachel J Black,2,4 Catherine L Hill2–41School of Public Health, University of Adelaide, Adelaide, SA 5000, Australia; 2Adelaide Medical School, University of Adelaide, Adelaide, SA 5000, Australia; 3Rheumatology Unit, The Queen Elizabet...

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Autores principales:	Hoon E, Ruediger C, Gill TK, Black RJ, Hill CL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	patient experience polymyalgia rheumatica giant cell arteritis adverse effects Glucocorticoid therapy Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/b4ba535463f2464d98ef01e2e74f9b27
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spelling	oai:doaj.org-article:b4ba535463f2464d98ef01e2e74f9b272021-12-02T01:39:23ZA qualitative study of patient perspectives related to glucocorticoid therapy in polymyalgia rheumatica and giant cell arteritis1179-156Xhttps://doaj.org/article/b4ba535463f2464d98ef01e2e74f9b272019-08-01T00:00:00Zhttps://www.dovepress.com/a-qualitative-study-of-patient-perspectives-related-to-glucocorticoid--peer-reviewed-article-OARRRhttps://doaj.org/toc/1179-156XElizabeth Hoon,1 Carlee Ruediger,2,3 Tiffany K Gill,2 Rachel J Black,2,4 Catherine L Hill2–41School of Public Health, University of Adelaide, Adelaide, SA 5000, Australia; 2Adelaide Medical School, University of Adelaide, Adelaide, SA 5000, Australia; 3Rheumatology Unit, The Queen Elizabeth Hospital, Woodville, SA 5011, Australia; 4Rheumatology Unit, The Royal Adelaide Hospital, Adelaide, SA 5000, AustraliaCorrespondence: Catherine L HillAdelaide Medical School, University of Adelaide, Level 7, SAHMRI, North Tc, Adelaide, SA 5000, AustraliaEmail Catherine.Hill@sa.gov.auObjective: To determine patient experiences of glucocorticoid (GC) therapy in polymyalgia rheumatica (PMR) and giant cell arteritis (GCA).Methods: Patients with a diagnosis of PMR or GCA were invited to participate in this qualitative study that used focus groups to explore: symptoms onset, process of diagnosis, treatment, adverse effects (AEs), and ongoing condition/s management. Data were transcribed verbatim and a “framework” approach was used for analysis and interpretation.Results: Fourteen patients participated. Weight gain, changes in face and neck shape, and bruising were commonly reported and impacts of these AEs on quality of life were highlighted. Dealing with uncertainties associated with long-term experiences of the condition/s and cycles of GC treatment were raised as were workload demands for patients in managing both the condition and other people’s expectations and recommendations related to GC therapy.Conclusion: These findings demonstrate that the patient experience of GC use is poorly captured by usual physician monitoring for GC AEs. These findings suggest that development of a patient-reported outcome instrument for inflammatory conditions treated with GCs is required.Keywords: patient experience, polymyalgia rheumatica, giant cell arteritis, adverse effects, glucocorticoid therapyHoon ERuediger CGill TKBlack RJHill CLDove Medical Pressarticlepatient experiencepolymyalgia rheumaticagiant cell arteritisadverse effectsGlucocorticoid therapyDiseases of the musculoskeletal systemRC925-935ENOpen Access Rheumatology: Research and Reviews, Vol Volume 11, Pp 189-198 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient experience polymyalgia rheumatica giant cell arteritis adverse effects Glucocorticoid therapy Diseases of the musculoskeletal system RC925-935
spellingShingle	patient experience polymyalgia rheumatica giant cell arteritis adverse effects Glucocorticoid therapy Diseases of the musculoskeletal system RC925-935 Hoon E Ruediger C Gill TK Black RJ Hill CL A qualitative study of patient perspectives related to glucocorticoid therapy in polymyalgia rheumatica and giant cell arteritis
description	Elizabeth Hoon,1 Carlee Ruediger,2,3 Tiffany K Gill,2 Rachel J Black,2,4 Catherine L Hill2–41School of Public Health, University of Adelaide, Adelaide, SA 5000, Australia; 2Adelaide Medical School, University of Adelaide, Adelaide, SA 5000, Australia; 3Rheumatology Unit, The Queen Elizabeth Hospital, Woodville, SA 5011, Australia; 4Rheumatology Unit, The Royal Adelaide Hospital, Adelaide, SA 5000, AustraliaCorrespondence: Catherine L HillAdelaide Medical School, University of Adelaide, Level 7, SAHMRI, North Tc, Adelaide, SA 5000, AustraliaEmail Catherine.Hill@sa.gov.auObjective: To determine patient experiences of glucocorticoid (GC) therapy in polymyalgia rheumatica (PMR) and giant cell arteritis (GCA).Methods: Patients with a diagnosis of PMR or GCA were invited to participate in this qualitative study that used focus groups to explore: symptoms onset, process of diagnosis, treatment, adverse effects (AEs), and ongoing condition/s management. Data were transcribed verbatim and a “framework” approach was used for analysis and interpretation.Results: Fourteen patients participated. Weight gain, changes in face and neck shape, and bruising were commonly reported and impacts of these AEs on quality of life were highlighted. Dealing with uncertainties associated with long-term experiences of the condition/s and cycles of GC treatment were raised as were workload demands for patients in managing both the condition and other people’s expectations and recommendations related to GC therapy.Conclusion: These findings demonstrate that the patient experience of GC use is poorly captured by usual physician monitoring for GC AEs. These findings suggest that development of a patient-reported outcome instrument for inflammatory conditions treated with GCs is required.Keywords: patient experience, polymyalgia rheumatica, giant cell arteritis, adverse effects, glucocorticoid therapy
format	article
author	Hoon E Ruediger C Gill TK Black RJ Hill CL
author_facet	Hoon E Ruediger C Gill TK Black RJ Hill CL
author_sort	Hoon E
title	A qualitative study of patient perspectives related to glucocorticoid therapy in polymyalgia rheumatica and giant cell arteritis
title_short	A qualitative study of patient perspectives related to glucocorticoid therapy in polymyalgia rheumatica and giant cell arteritis
title_full	A qualitative study of patient perspectives related to glucocorticoid therapy in polymyalgia rheumatica and giant cell arteritis
title_fullStr	A qualitative study of patient perspectives related to glucocorticoid therapy in polymyalgia rheumatica and giant cell arteritis
title_full_unstemmed	A qualitative study of patient perspectives related to glucocorticoid therapy in polymyalgia rheumatica and giant cell arteritis
title_sort	qualitative study of patient perspectives related to glucocorticoid therapy in polymyalgia rheumatica and giant cell arteritis
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/b4ba535463f2464d98ef01e2e74f9b27
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A qualitative study of patient perspectives related to glucocorticoid therapy in polymyalgia rheumatica and giant cell arteritis

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