Patients Rate Rheumatoid Arthritis Disease Activity Worse Than Physicians Do
Patients and Physicians Disagree on Disease Activity in Three Quarters of Cases
According to the authors, Paul Studenic and Daniel Aletaha, MD, both of the Department of Internal Medicine and the Medical University of Vienna in Austria, patients typically use the patient global assessment (PGA) to rate their disease activity, whereas physicians use the evaluator global assessment (EGA). What this means is that patients and physicians differed in their ratings of rheumatoid arthritis disease activity in 76% of the cases, which would have major ramifications in terms of increasing, decreasing, or otherwise changing treatment for rheumatoid arthritis. This disconnect between patients’ rating of their disease activity and physicians can have a serious effect on the relationship between doctor and patient, leading to problems with trust, respect, and adherence to treatment.
Inflammation and Pain Cause Patient-Physician Discord
The patients whose data was used in this study were assessed at an initial baseline visit, at which point methotrexate treatment was initiated, followed by a second assessment two to seven months later. In 61% of patients the PGA score was higher than EGA, and 15% had higher EGA than PGA. Around a quarter (24%) had similar PGA and EGA scores, indicating a concordance between physician and patient assessment of the activity of rheumatoid arthritis in these cases. Swollen joint count (SJC) was the only variable found to to have an inverse correlation with the theory proposed that more joint swelling indicated higher disease activity to physicians, In contrast, all other variables had a positive correlation, suggesting that patients’ pain perceptions were worse than physicians’.
Opinions Divide as RA Pain Worsens
After starting methotrexate treatment 41% of patients and 46% of their physicians considered disease activity to have improved, 37% of patients and 27% found no change in disease activity, and 21% of patients and 28% of physicians thought that the patients’ rheumatoid arthritis had worsened since baseline. Patients and physicians were more likely to agree that disease activity had improved whereas those felt to have worsened had less concordance between patient and physician opinion.
Patient-Doctor Relationship Vital in RA Management
This research suggests that physicians need to have a better awareness of moments in the patient-doctor relationship where the shared decision-making process could break down. In the case of rheumatoid arthritis this appears to be most likely when patients feel their pain has worsened but the physician evaluates joint swelling as having lowered or remained the same as baseline. Patients may feel that therapy needs to change or medications need to be increased, creating a challenge for physicians to appear both authoritative and sympathetic. Conversely, patients may feel that low pain in rheumatoid arthritis means that treatment is working and there is no need to change medications whereas the physician may evaluate joint swelling as having increased and need to carefully explain why it is likely beneficial to modify treatment.
Pain Management in RA
A key indication from this research is that more attention needs to be paid to pain management in rheumatoid arthritis treatment as it appears that physicians are too focused on inflammation and not enough on patients’ reports of pain. For patients with rheumatoid arthritis symptoms such as neck pain, joint pain, fatigue, and joint stiffness it is important to establish a trusting relationship with your physician so that suggestions for treatment changes are made with respect to the values of both parties. The findings of this latest study shows that patients rate rheumatoid arthritis disease activity worse than physicians on the basis of pain, meaning that some serious work needs doing to re-engender trust when treating RA.
Reference
Studenic, P., Radner, H., Smolen, J.S., Aletaha, D., (2012), Discrepancies between patients and physicians in the perception of rheumatoid arthritis disease activity, Arthritis Rheum. Published online July 18, 2012.
Buy Nandrolone Decanoate online
A big thank you for your blog.Really looking forward to read more. – hey dudes mens
Scrap metal auctions Ferrous material compliance standards Iron recovery services
Ferrous material financials, Iron and steel reclaiming and recycling, Scrap metal management solutions
Scrap metal storage services Ferrous metal recycling innovations Iron scrap recovery facilities
Ferrous material recycling network, Iron recycling and reclamation solutions, Scrap metal documentary requirements
Sumatra Slim Belly Tonic is an advanced weight loss supplement that addresses the underlying cause of unexplained weight gain. It focuses on the effects of blue light exposure and disruptions in non-rapid eye movement (NREM) sleep.
Zeneara is marketed as an expert-formulated health supplement that can improve hearing and alleviate tinnitus, among other hearing issues. The ear support formulation has four active ingredients to fight common hearing issues. It may also protect consumers against age-related hearing problems.
Metal recycling salvage Ferrous material recycling news updates Iron waste disposal
Ferrous material recycling management, Iron reclaiming depot, Metal recycling recovery yard
Some times its a pain in the ass to read what website owners wrote but this website is very user genial! .
Perfectly indited written content, Really enjoyed examining.
Metal waste refabrication Ferrous material sustainable operations Scrap iron recycling services
Ferrous material recycling water conservation, Iron scrap brokering, Metal scrap yard collection
Have you ever considered about including a little bit more than just your articles? I mean, what you say is fundamental and all. Nevertheless think of if you added some great graphics or video clips to give your posts more, “pop”! Your content is excellent but with images and video clips, this website could undeniably be one of the most beneficial in its niche. Superb blog!
Somebody necessarily help to make critically posts I’d state. That is the first time I frequented your website page and up to now? I amazed with the research you made to create this particular post amazing. Wonderful job!
Looking forward to reading more. Great blog. Great.
Wonderful blog! I found it while browsing on Yahoo News. Do you have any tips on how to get listed in Yahoo News? I’ve been trying for a while but I never seem to get there! Appreciate it
Yay google is my world beater aided me to find this outstanding website ! .
I appreciate you sharing this blog post.hanks Again.
Sugar Defender is a dietary supplement that makes claims that it can improve and maintain normal blood sugar levels.
FitSpresso™ is a nutritional supplement that uses probiotics to help you lose weight.
Boostaro is a natural dietary supplement for male health, enhancing circulation and overall bodily functions. Supports wellness with natural ingredients.
Sight Care is a natural formula that can support healthy eyesight by focusing the root of the problem. Sight Care can be useful to make better your vision.
Tonic Greens is an all-in-one dietary supplement that has been meticulously designed to improve overall health and mental wellness.
The latest news and reviews in the world of tech, automotive, gaming, science, and entertainment.
SFNews is San Francisco
You have remarked very interesting details! ps decent internet site.
Hi there, You have done an incredible job. I will definitely digg it and personally recommend to my friends. I’m sure they’ll be benefited from this website.
There are some interesting points in time on this article but I don’t know if I see all of them center to heart. There is some validity however I’ll take hold opinion until I look into it further. Good article , thanks and we wish more! Added to FeedBurner as effectively
SynoGut is a dietary supplement that claims to promote and maintain excellent gut and digestive health.
FlowForce Max is an innovative, natural and effective way to address your prostate problems, while addressing your energy, libido, and vitality.
Are you seeking for a way to feel better? Unlock the trusted source for health and wellness right here! All of your health issues and difficulties must be addressed using the key.
The latest news and reviews in the world of tech, automotive, gaming, science, and entertainment
The Voice of Alaska’s Capital Since 1912 juneau news
Progenifix is a revolutionary wellness and vitality supplement that is designed to promote overall health and vitality.
ZenCortex Research’s contains only the natural ingredients that are effective in supporting incredible hearing naturally.
Find the latest technology news and expert tech product reviews. Learn about the latest gadgets and consumer tech products for entertainment, gaming, lifestyle and more.
Whats Taking place i am new to this, I stumbled upon this I have discovered It absolutely helpful and it has helped me out loads. I hope to give a contribution & help other users like its aided me. Great job.
I like the valuable information you provide for your articles. I will bookmark your weblog and take a look at again here regularly. I’m slightly certain I will be told a lot of new stuff proper right here! Best of luck for the next!
Market Analyst specializes in must-know news highlights, in-depth analysis, and overviews of companies as well as industries. https://marketanalyst.us/
Green Lovers is dedicated to making news and topics across sustainability and innovation accessible to all. We help bring awareness to global issues and solutions, and hope to inspire you to make simple changes to your daily habits and lifestyle. https://greenlovers.us/
Howdy very cool blog!! Guy .. Beautiful .. Amazing .. I will bookmark your web site and take the feeds additionally…I am glad to search out a lot of helpful info here within the post, we’d like work out extra strategies in this regard, thanks for sharing.
Good day very cool site!! Man .. Beautiful .. Amazing .. I will bookmark your blog and take the feeds also?KI’m satisfied to find a lot of useful information here within the post, we’d like work out more strategies on this regard, thank you for sharing. . . . . .
What i do not realize is in fact how you’re now not actually much more smartly-preferred than you may be right now. You are very intelligent. You understand thus considerably with regards to this matter, produced me personally believe it from so many varied angles. Its like men and women don’t seem to be fascinated except it is something to do with Girl gaga! Your individual stuffs great. Always deal with it up!
Very interesting subject, thanks for posting.
Arctic blast is a powerful formula packed with natural ingredients and can treat pain effectively if you’re struggling with chronic pain. https://arcticblast-us.us/
Bazopril is an advanced blood pressure support formula intended to help regulate blood flow and blood vessel health. https://bazoprilbuynow.us/
MenoPhix is a menopause relief supplement featuring a blend of plant extracts to target the root cause of menopause symptoms. https://menophixbuynow.us/
NanoDefense Pro utilizes a potent blend of meticulously chosen components aimed at enhancing the wellness of both your nails and skin. https://nanodefensebuynow.us/
Progenifix is a revolutionary wellness and vitality supplement that is designed to promote overall health and vitality. https://progenifixbuynow.us/
PureLumin Essence is a meticulously-crafted natural formula designed to help women improve the appearance of age spots. https://pureluminessence-us.us/
Erectonol is a potent male health formula that has been garnering a lot of hype. This stamina and strength booster is developed with a combination of potent extracts. https://erectonolstore.us/
Nagano Lean Body Tonic is a groundbreaking powdered supplement crafted to support your weight loss journey effortlessly. https://naganotonicstore.us/
FitSpresso is a natural dietary supplement designed to help with weight loss and improve overall health. https://fitspresso-try.us/
KeraBiotics is a meticulously-crafted natural formula designed to help people dealing with nail fungus. https://kerabioticstry.us/
I conceive this website contains some rattling excellent info for everyone :D. “Laughter is the sun that drives winter from the human face.” by Victor Hugo.
Absolutely indited articles, regards for selective information. “The earth was made round so we would not see too far down the road.” by Karen Blixen.
Agriculture News provides in-depth journalism and insight into the news and trends impacting the agriculture space https://agriculturenews.us/