Journal of the European Academy of Dermatology and Venereology
Journal of the European Academy of Dermatology and Venereology
5 years ago

Analysis of Treatment Goal Alignment between Japanese Psoriasis Patients and their paired Treating Physicians

H. Torisu-Itakura, T. Hanada, S. Inoue, A C. Tang, Y. Okubo, M. Ohtsuki, D. Tsuruta
Background Appropriate goal-oriented treatment strategies are important for optimal treatment outcomes and may prevent under-treatment. As treatment goals vary by patient, a study to examine treatment goals is more meaningful when patients and their physicians are paired. There has not been any study that examines alignment between paired psoriasis patients and physicians in real-world clinical practice using skin clearance as a treatment goal indicator. Objectives To evaluate treatment goal alignment between psoriasis patients and their paired physicians, and to quantitatively identify factors associated with goal misalignment. Methods The study was a nationwide multicenter cross-sectional observational study. Subjects were physician-reported moderate to severe psoriasis patients with a history of systemic treatments, directly paired with their treating physicians. Subjects completed surveys independently. Treatment goals included seven categories and patient-physician pairs were grouped as “aligned” or “misaligned” when the answers were the same or different, respectively. Results A total of 425 pairs (mean response rate, 94.7%) of responses were collected from 54 sites (64.8% General Practitioners or clinics; 35.2% university or large hospitals). Treatment goal misalignment was found in 67.9% of the patient-physician pairs. The misalignment was mainly “patient predominant” (60.9%) indicating that patients had higher goals (“complete clearance”) than physicians. In the multivariate logistic regression analyses, patients’ treatment expectation for “complete clearance” (odds ratio [OR]: 1.927; 95% confidential interval [CI]: 1.232 to 3.016) and physician rating of “level of understanding on treatment options” being low (OR: 1.552, 95% CI; 1.082 to 2.227) were significant factors for treatment goal misalignment. Conclusions The majority of treatment goal misalignment was found between paired psoriasis patients and their treating physicians in Japan. The most important contributing factors to misalignment were patients’ treatment expectation for “complete clearance” and physicians’ rating of their patients’ “level of understanding on treatment options” being low. This article is protected by copyright. All rights reserved.

Publisher URL: http://onlinelibrary.wiley.com/resolve/doi

DOI: 10.1111/jdv.14630

You might also like
Discover & Discuss Important Research

Keeping up-to-date with research can feel impossible, with papers being published faster than you'll ever be able to read them. That's where Researcher comes in: we're simplifying discovery and making important discussions happen. With over 19,000 sources, including peer-reviewed journals, preprints, blogs, universities, podcasts and Live events across 10 research areas, you'll never miss what's important to you. It's like social media, but better. Oh, and we should mention - it's free.

  • Download from Google Play
  • Download from App Store
  • Download from AppInChina

Researcher displays publicly available abstracts and doesn’t host any full article content. If the content is open access, we will direct clicks from the abstracts to the publisher website and display the PDF copy on our platform. Clicks to view the full text will be directed to the publisher website, where only users with subscriptions or access through their institution are able to view the full article.