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在三联疗法中使用达格列净治疗52周的2型糖尿病患者的患者报告结局。

Patient-reported outcomes among patients with type 2 diabetes mellitus treated with dapagliflozin in a triple-therapy regimen for 52 weeks.

作者信息

Grandy S, Sternhufvud C, Ryden A, Sugg J, Rohwedder K

机构信息

AstraZeneca LP, Wilmington, DE, USA.

AstraZeneca R&D, Molndal, Sweden.

出版信息

Diabetes Obes Metab. 2016 Mar;18(3):306-9. doi: 10.1111/dom.12604. Epub 2016 Jan 5.

DOI:10.1111/dom.12604
PMID:26537439
Abstract

Patients with type 2 diabetes (T2DM) and inadequate glycaemic control on combination metformin (MET) and sulphonylurea (SU) were enrolled in a 24-week, double-blind, randomized, placebo-controlled study with a 28-week extension. The five-dimension EuroQol questionnaire (EQ-5D), SHIELD Weight Questionnaire-9 (WQ-9), Impact of Weight on Quality of Life-Lite (IWQOL-Lite) questionnaire and the Diabetes Treatment Satisfaction Questionnaire (DTSQ) were used to evaluate health status and health-related quality of life (HRQoL) at baseline and week 52. Patients with dapagliflozin 10 mg + MET + SU (n = 108) were compared with patients treated with placebo + MET + SU (n = 108), using a repeated-measures mixed model. EQ-5D visual analogue scale scores, IWQOL-Lite and DTSQ scores improved in the dapagliflozin and placebo groups from baseline to week 52; however, there was no significant difference between groups (p > 0.20). EQ-5D index scores remained the same from baseline to week 52 for dapagliflozin and placebo (p = 0.54). A numerically greater proportion of the dapagliflozin group reported improvement in all nine SHIELD WQ-9 items compared with placebo, and the difference was statistically significant for physical health (p = 0.017). Over 52 weeks of therapy, patients maintained their health status and HRQoL when dapagliflozin was added to the treatment.

摘要

将二甲双胍(MET)和磺脲类药物(SU)联合使用但血糖控制不佳的2型糖尿病(T2DM)患者被纳入一项为期24周的双盲、随机、安慰剂对照研究,并延长28周。使用五维度欧洲生活质量调查问卷(EQ-5D)、SHIELD体重调查问卷-9(WQ-9)、体重对生活质量的影响-简化版(IWQOL-Lite)问卷和糖尿病治疗满意度调查问卷(DTSQ)在基线和第52周评估健康状况和健康相关生活质量(HRQoL)。使用重复测量混合模型,将达格列净10mg+MET+SU治疗的患者(n = 108)与安慰剂+MET+SU治疗的患者(n = 108)进行比较。从基线到第52周,达格列净组和安慰剂组的EQ-5D视觉模拟量表评分、IWQOL-Lite和DTSQ评分均有所改善;然而,两组之间无显著差异(p>0.20)。达格列净组和安慰剂组从基线到第52周的EQ-5D指数评分保持不变(p = 0.54)。与安慰剂相比,达格列净组在SHIELD WQ-9的所有九个项目中报告改善的比例在数值上更高,且在身体健康方面差异具有统计学意义(p = 0.017)。在52周的治疗中,添加达格列净治疗时患者维持了他们的健康状况和HRQoL。

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