Patient and health professional views on risk-stratified monitoring of immune-suppressing treatment in adults with inflammatory diseases Article Swipe
Amy Fuller
,
Jennie E. Hancox
,
Hywel C Williams
,
Tim Card
,
Maarten W. Taal
,
Guruprasad P. Aithal
,
Christopher P. Fox
,
Christian Mallen
,
James R. Maxwell
,
Sarah Bingham
,
Kavita Vedhara
,
Abhishek Abhishek
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/rheumatology/keae175
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/rheumatology/keae175
Objective To explore the acceptability of an individualized risk-stratified approach to monitoring for target-organ toxicity in adult patients with immune-mediated inflammatory diseases established on immune-suppressing treatment(s). Methods Adults (≥18 years) taking immune-suppressing treatment(s) for at least six months, and healthcare professionals (HCPs) with experience of either prescribing and/or monitoring immune-suppressing drugs were invited to participate in a single, remote, one-to-one, semi-structured interview. Interviews were conducted by a trained qualitative researcher and explored their views and experiences of current monitoring and acceptability of a proposed risk-stratified monitoring plan. Interviews were transcribed verbatim and inductively analysed using thematic analysis in NVivo. Results Eighteen patients and 13 HCPs were interviewed. While participants found monitoring of immune-suppressing drugs with frequent blood-tests reassuring, the current frequency of these was considered burdensome by patients and HCPs alike, and to be a superfluous use of healthcare resources. Given abnormalities rarely arose during long-term treatment, most felt that monitoring blood-tests were not needed as often. Patients and HCPs found it acceptable to increase the interval between monitoring blood-tests from three-monthly to six-monthly or annually depending on the patients’ risk profiles. Conditions of accepting such a change included: allowing for clinician and patient autonomy in determining individuals’ frequency of monitoring blood-tests, the flexibility to change monitoring frequency if someone’s risk profile changed, and endorsement from specialist societies and healthcare providers such as the National Health Service. Conclusion A risk-stratified approach to monitoring was acceptable to patients and health care professionals. Guideline groups should consider these findings when recommending blood-test monitoring intervals.
Related Topics
Concepts
Medicine
Thematic analysis
Autonomy
Health care
Health professionals
Immune system
Flexibility (engineering)
Stratified sampling
Qualitative research
Intensive care medicine
Family medicine
Immunology
Pathology
Mathematics
Statistics
Political science
Social science
Law
Sociology
Economics
Economic growth
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/rheumatology/keae175
- https://academic.oup.com/rheumatology/advance-article-pdf/doi/10.1093/rheumatology/keae175/56970317/keae175.pdf
- OA Status
- hybrid
- Cited By
- 1
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4392865304
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4392865304Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/rheumatology/keae175Digital Object Identifier
- Title
-
Patient and health professional views on risk-stratified monitoring of immune-suppressing treatment in adults with inflammatory diseasesWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-03-14Full publication date if available
- Authors
-
Amy Fuller, Jennie E. Hancox, Hywel C Williams, Tim Card, Maarten W. Taal, Guruprasad P. Aithal, Christopher P. Fox, Christian Mallen, James R. Maxwell, Sarah Bingham, Kavita Vedhara, Abhishek AbhishekList of authors in order
- Landing page
-
https://doi.org/10.1093/rheumatology/keae175Publisher landing page
- PDF URL
-
https://academic.oup.com/rheumatology/advance-article-pdf/doi/10.1093/rheumatology/keae175/56970317/keae175.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/rheumatology/advance-article-pdf/doi/10.1093/rheumatology/keae175/56970317/keae175.pdfDirect OA link when available
- Concepts
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Medicine, Thematic analysis, Autonomy, Health care, Health professionals, Immune system, Flexibility (engineering), Stratified sampling, Qualitative research, Intensive care medicine, Family medicine, Immunology, Pathology, Mathematics, Statistics, Political science, Social science, Law, Sociology, Economics, Economic growthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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23Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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