Med Decis Making - Subjective numeracy and preference to stay with the status quo.

Tópicos

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Resumo

CKGROUND: Preference for the status quo, or clinical inertia, is a barrier to implementing treat-to-target protocols in patients with chronic diseases such as rheumatoid arthritis (RA). The objectives of this study were to examine the influence of subjective numeracy on RA-patient preference for the status quo and to determine whether age modifies this relationship.METHODS: RA patients participated in a single face-to-face interview. Numeracy was measured using the Subjective Numeracy Scale. Treatment preference was measured using Adaptive Conjoint Analysis.RESULTS: Of 205 eligible subjects, 156 agreed to participate. Higher subjective numeracy was associated with lower preference for the status quo in a regression model including race, employment, and use of biologics (adjusted odds ratio [95% confidence interval] = 0.71 [0.52-0.95], P = 0.02). Higher subjective numeracy was protective against status quo preferences among subjects younger than 65 years (adjusted odds ratio [95% confidence interval] = 0.64 (0.43-0.94), P = 0.02) but not among older subjects.CONCLUSIONS: Subjective numeracy is independently associated with younger, but not older, RA patients' preferences for the status quo. Our results add to the literature demonstrating age and numeracy differences in treatment preferences and medical decision-making processes.

Resumo Limpo

ckground prefer status quo clinic inertia barrier implement treattotarget protocol patient chronic diseas rheumatoid arthriti ra object studi examin influenc subject numeraci rapati prefer status quo determin whether age modifi relationshipmethod ra patient particip singl facetofac interview numeraci measur use subject numeraci scale treatment prefer measur use adapt conjoint analysisresult elig subject agre particip higher subject numeraci associ lower prefer status quo regress model includ race employ use biolog adjust odd ratio confid interv p higher subject numeraci protect status quo prefer among subject younger year adjust odd ratio confid interv p among older subjectsconclus subject numeraci independ associ younger older ra patient prefer status quo result add literatur demonstr age numeraci differ treatment prefer medic decisionmak process

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