Patient Preferences and Osteoarthritis Care: What Do We Know About What Patients Want from Osteoarthritis Treatment?
Nicolson PJA., Holden MA.
Abstract Purpose of review Patient-centred care for people with osteoarthritis requires shared decision making. Understanding and considering patients’ preferences for osteoarthritis treatments is central to this. In this narrative review, we present an overview of existing research exploring patient preferences for osteoarthritis care, discuss clinical and research implications of existing knowledge and future research directions. Recent findings Stated preference studies have identified that patients place more importance on reducing or eliminating negative side effects rather than reducing pain, other clinical benefits or cost. Patients’ treatment preferences are influenced by characteristics such as age, symptom severity and beliefs about their osteoarthritis. Preferences appear to be largely stable over time and are not easily altered by single-point interventions. Summary Research exploring patient preferences for osteoarthritis treatments has increased in recent years. Treatment preferences appear to be primarily driven by patients’ wish to avoid adverse side effects and by symptom severity. Individualised, evidence-based information about potential treatments, delivered over the course of disease, is required.