Although 90 percent is a very encouraging figure, it should also be noted that what is being included in this percentage is “gradual” or better improvement at two years, and “gradual” may very well be unsatisfactory for many patients, especially those who expect to remain active.
One of the important aspects of this study was highlighting that many of the factors linked to poor function are modifiable. We have to be able to address these factors not only during the period in which we see the patient but also to encourage (and enable) them to keep addressing them in the long-term. This is important to avoid the treatment rollercoaster, in which the patient comes to treatment, improves, leaves treatment, deteriorates, and then returns to treatment.
By knowing which factors to focus on, it is easier to offer a more individualised approach which is more likely to lead to higher patient adherence and improved outcomes.