Potential Role of Cost and Quality of Life in Treatment Decisions for Arthritis-Related Knee Pain in African American and Latina Women.

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Citation: Arthritis care & research. 72(5):692-698, 2020 05.PMID: 30980467Institution: MedStar Harbor HospitalForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *African Americans/px [Psychology] | *Arthralgia/ec [Economics] | *Arthralgia/th [Therapy] | *Clinical Decision-Making | *Health Care Costs | *Health Knowledge, Attitudes, Practice/eh [Ethnology] | *Hispanic Americans/px [Psychology] | *Osteoarthritis, Knee/ec [Economics] | *Osteoarthritis, Knee/th [Therapy] | *Physicians, Primary Care/px [Psychology] | *Quality of Life | Arthralgia/eh [Ethnology] | Arthralgia/px [Psychology] | Attitude of Health Personnel | Choice Behavior | Cost-Benefit Analysis | Culturally Competent Care/eh [Ethnology] | Decision Support Techniques | Employment | Female | Focus Groups | Humans | Middle Aged | Osteoarthritis, Knee/eh [Ethnology] | Osteoarthritis, Knee/px [Psychology] | Patient Selection | Primary Health Care | Race Factors | Recovery of Function | Treatment OutcomeYear: 2020ISSN:
  • 2151-464X
Name of journal: Arthritis care & researchAbstract: CONCLUSION: Latina and African American women could make more informed treatment decisions for their knee pain using a decision-making tool that provides them with significant information about how various treatment options may impact their quality of life, medical care costs, and workforce productivity. This article is protected by copyright. All rights reserved.Copyright This article is protected by copyright. All rights reserved.METHODS: We conducted four focus groups of Latina and African American women over the age of 45 who had knee pain. Also, we conducted two focus groups with primary care providers who treated Latina and African American women for knee pain. The participants were recruited from the community. They were asked their opinions about a decision tool that presented information on a range of treatment options and their impacts on quality of life, medical care costs and work productivity. They were asked whether providing this information would help them make better treatment decisions. We analyzed the focus group transcripts using ATLAS.ti.OBJECTIVE: This study ascertains whether Latina and African American women with arthritis-related knee pain and primary care providers who treat them believe their treatment decisions would benefit from having more information about the impact of treatment on their quality of life, medical care costs and work productivity.RESULTS: We found that minority women and primary care providers endorsed the use of a decision-making tool that provided information of the impact of treatment on quality of life, medical care costs and work productivity. Providers felt patients would benefit from having the additional information but were concerned about its complexity and some patients' ability to comprehend the information.All authors: Bucay-Harari L, Casillas G, Gaskin DJ, Gittens A, Jones LC, Karmarkar TD, Maurer A, Thorpe RJ Jr, Tolbert E, Wood JEOriginally published: Arthritis care & research. 2019 Apr 12Fiscal year: FY2019Digital Object Identifier: Date added to catalog: 2019-05-21
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Journal Article MedStar Authors Catalog Article 30980467 Available 30980467

CONCLUSION: Latina and African American women could make more informed treatment decisions for their knee pain using a decision-making tool that provides them with significant information about how various treatment options may impact their quality of life, medical care costs, and workforce productivity. This article is protected by copyright. All rights reserved.

Copyright This article is protected by copyright. All rights reserved.

METHODS: We conducted four focus groups of Latina and African American women over the age of 45 who had knee pain. Also, we conducted two focus groups with primary care providers who treated Latina and African American women for knee pain. The participants were recruited from the community. They were asked their opinions about a decision tool that presented information on a range of treatment options and their impacts on quality of life, medical care costs and work productivity. They were asked whether providing this information would help them make better treatment decisions. We analyzed the focus group transcripts using ATLAS.ti.

OBJECTIVE: This study ascertains whether Latina and African American women with arthritis-related knee pain and primary care providers who treat them believe their treatment decisions would benefit from having more information about the impact of treatment on their quality of life, medical care costs and work productivity.

RESULTS: We found that minority women and primary care providers endorsed the use of a decision-making tool that provided information of the impact of treatment on quality of life, medical care costs and work productivity. Providers felt patients would benefit from having the additional information but were concerned about its complexity and some patients' ability to comprehend the information.

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