Treatment satisfaction, preferences and perception gaps between patients and physicians in the ulcerative colitis CARES study: A real world-based study

Abstract : Background: Ulcerative colitis (UC) is a life time disease and issues with therapy may impact on patient satisfaction and treatment preferences. Aims: To assess disease and treatment perception gaps from patients' and physicians' perspectives in UC patients. Methods: Adult patients with moderate-to-severe UC (Mayo score >= 6) naive to biologic therapy were enrolled in a European, observational, cross-sectional, retrospective study. Treatment satisfaction was assessed by the TSQM questionnaire and treatment preferences and patient's knowledge with pre-defined questions. Physicians' and patients' perceptions were compared through the level of agreement. Results: 256 patients from 11 European countries were included. 48.0% of patients were dissatisfied with their current treatment. Effectiveness, long lasting action, rapid start of action, and fewer side effects were the attributes more frequently considered important or very important by patients (96.9%, 89.1%, 83.8%, and 81.8%, respectively). 26.2% patients rated their overall disease knowledge as very knowledgeable. The agreement between patients' and physicians on disease severity was good (kappa = 0.62). Conclusion: Half patients with moderate-to-severe UC managed with conventional therapy, are dissatisfied with their treatments. Effectiveness, long lasting action and rapidity of action were the most frequently rated items in treatment preferences. There are major gaps between physicians and patients when evaluating disease burden.
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Digestive and Liver Disease, WB Saunders, 2016, 48 (6), pp.601 - 607. 〈10.1016/j.dld.2016.01.013〉
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https://hal.univ-lorraine.fr/hal-01666624
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Soumis le : lundi 18 décembre 2017 - 15:44:08
Dernière modification le : lundi 23 avril 2018 - 15:53:32

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Laurent Peyrin-Biroulet, Gert Van Assche, Andreas Sturm, Javier P. Gisbert, Daniel R. Gaya, et al.. Treatment satisfaction, preferences and perception gaps between patients and physicians in the ulcerative colitis CARES study: A real world-based study. Digestive and Liver Disease, WB Saunders, 2016, 48 (6), pp.601 - 607. 〈10.1016/j.dld.2016.01.013〉. 〈hal-01666624〉

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