Page 147 - THE EVOLUTION OF EARLY ARTHRITIS AND CARDIOVASCULAR RISK Samina A. Turk

CONCLUSIONS
In conclusion, more than one-third of the patients disagreed with their physician on being in remission. This might have consequences for patient satisfaction, the relationship between patient and physician and treatment compliance of the patient. Patients who disagreed with their physician on being in remission showed less improvement on questions about sleep, pain and emotional well-being of the RAID. However, not only patients and physicians showed discordance, there were also many differences between clinical response and remission definitions. This makes it necessary to increase patient involvement in their own health care decisions, improving shared decision making.
LIST OF ABBREVIATIONS
ACPA: anti-citrullinated protein
ACR: American College of Rheumatology
CRP: C-reactive protein
DAS: disease activity score
DMARDs: disease modifying antirheumatic drugs ESR: Erythrocyte sedimentation rate
EULAR: European League Against Rheumatism HAQ: Health Assessment Questionnaire
IQR: interquartile range
RA: rheumatoid arthritis
SD: standard deviation
PRO: patient-reported outcome
RAID: Rheumatoid Arthritis Impact of Disease RF: rheumatoid factor
TJC: tender joint count
SJC: swollen joint count
VAS: visual analogue scale
7
PAIN, SLEEP AND EMOTIONAL WELL-BEING
145