Abstract:
OBJECTIVE:A lack of agreement between clinician and patient priorities can impact the clinician-patient relationship, treatment concordance, and potential health outcomes. Studies have suggested that patients with osteoarthritis (OA) may prioritize comorbidities over their OA, but as yet no explicit systematic exploration of OA patients' priorities in relation to comorbidities exists. This study aims to explore how patients prioritize their OA among their conditions, which factors underlie this prioritization, and whether and why these priorities change over time. METHODS:A secondary analysis of qualitative data was conducted utilizing 4 existing data sets collated from the 3 research centers involved. Purposive sampling provided a sample of 30 participants who all had OA and comorbidities. The research team collectively coded and analyzed the data thematically. RESULTS:Three groups of patients emerged from the analysis. The 2 smaller groups had stable priorities (where OA was or was not prioritized) and illustrated the importance of factors, such as personal social context and the specific nature of the comorbid conditions. The third and largest group reported priorities that shifted over time. Shifting appeared to be influenced by the participants' perceptions of control and/or interactions with clinical professionals, and could have important consequences for self-management behavior. CONCLUSION:The various factors underlying patients' priorities among their conditions, and the fluctuating nature of these priorities, highlight the importance of regular assessments during clinician-patient consultations to allow better communication and treatment planning, and ultimately optimize patient outcomes.
journal_name
Arthritis Care Res (Hoboken)journal_title
Arthritis care & researchauthors
Cheraghi-Sohi S,Bower P,Kennedy A,Morden A,Rogers A,Richardson J,Sanders T,Stevenson F,Ong BNdoi
10.1002/acr.21897subject
Has Abstractpub_date
2013-06-01 00:00:00pages
920-7issue
6eissn
2151-464Xissn
2151-4658journal_volume
65pub_type
杂志文章,多中心研究abstract:OBJECTIVE:Cachexia is a disorder characterized by involuntary weight loss in addition to loss of homeostatic control of both energy and protein balance. Despite an abundance of data from other inflammatory diseases, cachexia in SLE remains a largely undescribed syndrome. METHODS:2406 patients in a prospective SLE coho...
journal_title:Arthritis care & research
pub_type: 杂志文章
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journal_title:Arthritis care & research
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更新日期:2020-05-06 00:00:00
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abstract:OBJECTIVE:The University of California in San Diego Shortness of Breath Questionnaire (UCSD SOBQ) has been used to assess dyspnea-related activity limitation in patients with airway and parenchymal lung disease. We sought to assess the construct validity and responsiveness of the UCSD SOBQ in systemic sclerosis (SSc; s...
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更新日期:2013-03-01 00:00:00
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更新日期:2015-04-01 00:00:00
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更新日期:2017-08-01 00:00:00
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更新日期:2018-05-01 00:00:00
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更新日期:2020-11-10 00:00:00
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journal_title:Arthritis care & research
pub_type: 杂志文章,随机对照试验
doi:10.1002/acr.21699
更新日期:2012-10-01 00:00:00
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更新日期:2020-01-21 00:00:00
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更新日期:2015-05-01 00:00:00
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更新日期:2012-11-01 00:00:00
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更新日期:2017-08-01 00:00:00
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更新日期:2014-12-01 00:00:00
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更新日期:2018-10-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2013-09-01 00:00:00
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更新日期:2018-02-01 00:00:00