Lupus & antiphospholipid syndrome

Treat to target and shared decision-making in systemic lupus erythematosus from the patients' perspective: results from an international patient survey

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

T2T was perceived as beneficial with improvement of QoL as the most important treatment goal and the possibility of additional doctors' visits and initiation of new immunosuppressive agents as potential drawbacks.

Study context

Population
Patients with systemic lupus erythematosus (SLE) from Dutch, Austrian, German and Bulgarian patient organisations
Participants
863 patients
Outcome
Patients' attitude towards T2T and their involvement in treatment decisions
Methodological detailsonline survey, 13-question survey, international
  • Online survey
  • 13-question survey
  • International

Main finding

As reported in the abstract

Attitude towards T2T, shared decision-making and satisfaction
Reported being in remission
48.4%
Uncertain about remission status
13%
Somewhat fully involved in treatment decisions
62.1%
Felt uninvolved in treatment decisions
20.7%
Somewhat fully satisfied with health status
56.2%
Unsatisfied with health status
29.3%
Satisfied with treatment
65.5%
Not satisfied with treatment
14.8%
Leading treatment goal: Quality of life (QoL) normalisation
37.4%
Leading treatment goal: organ damage prevention
24.6%
Leading treatment goal: absence of disease activity
22.6%

Observational data: associations, not effects.

Original publication

Treat to target and shared decision-making in systemic lupus erythematosus from the patients' perspective: results from an international patient survey. Clin Exp Rheumatol. Published 12 January 2024. doi:10.55563/clinexprheumatol/jp828o

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