Preference for shared decision-making in Japanese patients with rheumatoid arthritis

摘要

Purpose : The goal of this study was to examine preference for collaborative decision-making in Japanese patients with rheumatoid arthritis (RA). Patients and methods : A national online survey identified five hundred Japanese patients with RA who met study eligibility criteria. Subjects were queried regarding their preference for shared decision-making (SDM), using a questionnaire developed by Baars et al. to evaluate preference for SDM among Dutch patients. Participants in this study were asked to identify a number of clinical and socioeconomic characteristics, medical history, and treatment details. Multivariable regression analyses were applied to determine factors that were related to patient preference for SDM. Results : The study showed that 52% of patients surveyed considered shared medical decision-making “Very important” on a 4-item Likert scale. Females and patients with RA in Japan who are treated with biologic agents are more likely to have a preference for SDM. On the other hand, patients with a comorbidity of depression are less likely to prefer SDM. Conclusion : A majority of Japanese patients with RA prefer a collaborative role in medical decision-making. Treatment with biologic agents is associated with a higher likelihood of preference for SDM.