TY - JOUR T1 - Satisfaction, fulfillment of expectations and adherence to subcutaneous biological drugs in patients with rheumatoid arthritis: ARCO study JO - Reumatología Clínica (English Edition) T2 - AU - Calvo-Alén,Jaime AU - Vela,Paloma AU - Bustabad,Sagrario AU - Maceiras,Francisco AU - Carmona,Loreto AU - Cea-Calvo,Luis SN - 21735743 M3 - 10.1016/j.reumae.2018.02.013 DO - 10.1016/j.reumae.2018.02.013 UR - https://www.reumatologiaclinica.org/en-satisfaction-fulfillment-expectations-adherence-subcutaneous-articulo-S2173574320300125 AB - ObjectivesIn the ARCO study, adherence to subcutaneous biological agents by patients with rheumatoid arthritis improved with monthly administration. We assess whether adherence can be related to fulfilment of expectations and satisfaction with treatment. Patients and methodsAdherence was assessed by calculating the Medication Possession Ratio, and satisfaction and fulfilment of expectations using the EXPRESAR group questionnaire. ResultsIn 346 patients, those who were satisfied/very satisfied with efficacy and tolerability were ≥80% and 64.4%, with no differences between weekly, biweekly or monthly administration regimens. Regarding the fulfilment of expectations, 59.9% considered the effect of the treatment greater than expected and 52.6% reported lower/much lower than expected discomfort; the latter percentage was higher in patients with monthly administration (P = .049). The percentages for nonadherence were 15.6% (discomfort greater than expected), 18.5% (expected discomfort) and 11.1% (lower than expected or no discomfort) (P = .189). ConclusionsSatisfaction and fulfilment of expectations were high. Fulfilment of expectations of tolerability was better with monthly administration, which could contribute to better adherence. ER -