Patient perceptions of co-morbidities in inflammatory arthritis

Koduri, Gouri, Gullick, Nicola J., Hayes, Fiona, Dubey, Shirish and Mukhtyar, Chetan (2021) Patient perceptions of co-morbidities in inflammatory arthritis. Rheumatology Advances in Practice, 5 (1). ISSN 2514-1775

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Abstract

Objective: Longer life expectancy has resulted in people living with an increasing number of co-morbidities. The average individual with inflammatory arthritis has two co-morbidities, which contribute to higher mortality, poorer functional outcomes and increased health-care utilization and cost. A number of studies have investigated the prevalence of co-morbidities, whereas this study was designed to look at patient perspectives. Methods: The study comprised two parts: A patient questionnaire and an interview. Individuals with physician-verified inflammatory arthritis along with one or more Charlson co-morbidities were invited to participate. In-depth data were obtained by interviews with 12 willing participants. Results: One hundred and forty-six individuals were recruited; 50 (35%) had one co-morbidity, 69 (48%) had two and 25 (17%) had more than four co-morbidities. Seventy-seven individuals (53%) reported that co-morbidities affected their health as much as their arthritis, and 82 (56%) reported dependence on others for activities of daily living. Lack of education was highlighted by 106 (73%) participants. Qualitative data provided further support for the challenges, with participants highlighting the lack of time to discuss complex or multiple problems, with no-one coordinating their care. This, in turn, led to polypharmacy and insufficient discussion around drug and disease interactions, complications and self-help measures. Conclusion: This study highlights the challenges for individuals with inflammatory arthritis who suffer with multiple co-morbidities. The challenges result from limited resources or support within the current health-care environments. Individuals highlighted the poor quality of life, which is multifactorial, and the need for better educational strategies and coordination of care to improve outcomes.

Item Type: Article
Uncontrolled Keywords: charlson co-morbidity,co-morbidities,education and outcomes,inflammatory arthritis,patient perception,polypharmacy,rheumatology ,/dk/atira/pure/subjectarea/asjc/2700/2745
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 10 Jun 2021 00:08
Last Modified: 13 Aug 2021 00:16
URI: https://ueaeprints.uea.ac.uk/id/eprint/80241
DOI: 10.1093/rap/rkaa076

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