Patient perspectives on DMARD safety concerns in rheumatology trials: Results from inflammatory arthritis patient focus groups and OMERACT attendees discussion

Kathleen M. Andersen, Ayano Kelly, Anne Lyddiatt, Clifton O. Bingham, Vivian P. Bykerk, Adena Batterman, Joan Westreich, Michelle K. Jones, Marita Cross, Peter M. Brooks, Lyn March, Beverley Shea, Peter Tugwell, Lee S. Simon, Robin Christensen, Susan J. Bartlett*

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    11 Citations (Scopus)

    Abstract

    Objective. The Outcome Measures in Rheumatology (OMERACT) Safety Working Group is identifying core safety domains that matter most to patients with rheumatic disease. Methods. International focus groups were held with 39 patients with inflammatory arthritis to identify disease-modifying antirheumatic drug (DMARD) experiences and concerns. Themes were identified by pragmatic thematic coding and discussed in small groups by meeting attendees. Results. Patients view DMARD side effects as a continuum and consider the cumulative effect on day-to-day function. Disease and drug experiences, personal factors, and life circumstances influence tolerance of side effects and treatment persistence. Conclusion. Patients weigh overall adverse effects and benefits over time in relation to experiences and life circumstances.

    Original languageEnglish
    Pages (from-to)1168-1172
    Number of pages5
    JournalJournal of Rheumatology
    Volume46
    Issue number9
    DOIs
    Publication statusPublished - 1 Sept 2019

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