Table 3.
Physician and patient satisfaction with treatments prescribeda
| Total (n = 713) |
Mild OAb (n = 214) |
Moderate/severe OAb (n = 491) |
P | |
|---|---|---|---|---|
| Physicians’ responses | (n = 709) | (n = 213) | (n = 488) | |
| Satisfied | 466 (65.7) | 183 (85.9) | 278 (57.0) | <0.001 |
| Dissatisfied | 243 (34.3) | 30 (14.1) | 210 (43.0) | |
| Believe this is the best that can be achieved for this patient | 191 (78.6) | 22 (73.3) | 167 (79.5) | |
| Believe better control can be achieved for this patient | 52 (21.4) | 8 (26.7) | 43 (20.5) | |
| Causes of dissatisfaction | (n = 243) | (n = 30) | (n = 210) | |
| Inadequate response | 135 (55.6) | 16 (53.3) | 116 (55.2) | NS |
| Side effects | 27 (11.1) | 3 (10.0) | 24 (11.4) | NS |
| Poor tolerance | 19 (7.8) | 2 (6.7) | 16 (7.6) | NS |
| Other | 58 (23.5) | 8 (26.7) | 49 (23.3) | NS |
| Not stated | 22 (9.1) | 1 (3.3) | 21 (10) | NS |
| Patients’ responses | (n = 692) | (n = 208) | (n = 478) | |
| Satisfied | 433 (62.6) | 158 (76.0) | 273 (57.1) | <0.001 |
| Dissatisfied | 259 (37.4) | 50 (24.0) | 205 (42.9) | |
| Believe this is best that can be achieved for my arthritis | 157 (64.1) | 31 (66.0) | 125 (64.1) | <0.001 |
| Believe better control can be achieved for my arthritis | 88 (35.9) | 16 (34.0) | 70 (35.9) | |
| Physicians’ and patients’ responsesc | (n = 688) | (n = 207) | (n = 475) | |
| In agreement | 478 (69.1) | 158 (76.3) | 315 (66.3) | <0.001 |
| Both satisfied | 337 (70.5) | 143 (69.1) | 192 (40.4) | |
| Both dissatisfied | 141 (29.5) | 15 (7.3) | 123 (25.9) | |
| Not in agreement | 210 (30.3) | 49 (23.7) | 160 (33.7) | |
| Physician satisfied, patient dissatisfied | 117 (55.7) | 34 (16.4) | 82 (17.3) | |
| Physician dissatisfied, patient satisfied | 93 (44.3) | 15 (7.3) | 78 (16.4) |
Notes: P-value comparing mild versus moderate/severe (Chi-squared test);
a
values are number (%) of patients (eight patients were missing data on OA severity);
b
physicians graded severity of OA as mild, moderate, or severe (severity grade responses missing for eight patients);
c
Cohen’s κ coefficient = 0.34 (95% confidence interval 0.26–0.41).
Abbreviations: OA, osteoarthritis; NS, not statistically significant.