In wealthier countries, patients perceive worse impact of the disease although they have lower objectively assessed disease activity: results from the cross-sectional COMORA study.
Polina PutrikJosef S SmolenMonika HifingerAndras P KeszeiIhsane HmamouchiMaxime DougadosLaure GossecAnnelies BoonenPublished in: Annals of the rheumatic diseases (2015)
In patients with RA, important differences in physician-reported and patient-reported outcomes across countries were seen, with overall a paradox of worse physician-reported outcomes but better patient-reported outcomes in low-income countries, while results indicate that these outcomes in multinational studies should be interpreted with caution. Research on explanatory factors of this paradox should include non-disease driven cultural factors influencing health.
Keyphrases
- patient reported outcomes
- disease activity
- rheumatoid arthritis
- systemic lupus erythematosus
- cross sectional
- primary care
- ankylosing spondylitis
- rheumatoid arthritis patients
- emergency department
- healthcare
- public health
- juvenile idiopathic arthritis
- ejection fraction
- mental health
- newly diagnosed
- social media
- insulin resistance
- weight loss
- human health
- prognostic factors
- idiopathic pulmonary fibrosis
- skeletal muscle