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家族性乳糜微粒血症综合征的负担:IN-FOCUS研究的中期结果。

The burden of familial chylomicronemia syndrome: interim results from the IN-FOCUS study.

作者信息

Davidson Michael, Stevenson Michael, Hsieh Andrew, Ahmad Zahid, Crowson Caroline, Witztum Joseph L

机构信息

a Department of Medicine , University of Chicago , Chicago , IL , USA.

b Akcea Therapeutics , Cambridge , MA , USA.

出版信息

Expert Rev Cardiovasc Ther. 2017 May;15(5):415-423. doi: 10.1080/14779072.2017.1311786. Epub 2017 Apr 4.

Abstract

BACKGROUND

Familial Chylomicronemia Syndrome (FCS) is a rare genetic disorder that is caused by a decrease or an absence of lipoprotein lipase activity. FCS is characterized by marked accumulation of chylomicrons and extreme hypertriglyceridemia, which have major effects on both physical and mental health. To date, there have been no systematic efforts to characterize the impact of chylomicronemia on FCS patients' lives. In particular, the impact of FCS on the burden of illness (BoI) and quality of life (QoL) has not been fully described in the literature.

METHODS

IN-FOCUS was a comprehensive web-based research survey of patients with FCS focused on capturing the BoI and impact on QoL associated with FCS. Sixty patients from the US diagnosed with FCS participated. Patients described multiple symptoms spanning across physical, emotional and cognitive domains.

RESULTS

Patients on average cycled through 5 physicians of varying specialty before being diagnosed with FCS, reflecting a lengthy journey to diagnosis Nearly all respondents indicated that FCS had a major impact on BoI and QoL and significantly influenced their career choice and employment status, and caused significant work loss due to their disease.

CONCLUSION

FCS imparts a considerable burden across multiple domains with reported impairment on activities of daily living and QoL.

摘要

背景

家族性乳糜微粒血症综合征(FCS)是一种罕见的遗传性疾病,由脂蛋白脂肪酶活性降低或缺乏引起。FCS的特征是乳糜微粒显著积聚和极度高甘油三酯血症,这对身心健康都有重大影响。迄今为止,尚未有系统的研究来描述乳糜微粒血症对FCS患者生活的影响。特别是,FCS对疾病负担(BoI)和生活质量(QoL)的影响在文献中尚未得到充分描述。

方法

IN-FOCUS是一项基于网络的针对FCS患者的全面研究调查,重点关注与FCS相关的疾病负担和对生活质量的影响。来自美国的60名被诊断为FCS的患者参与了调查。患者描述了跨越身体、情感和认知领域的多种症状。

结果

患者在被诊断为FCS之前平均辗转于5名不同专科的医生之间,这反映出诊断过程漫长。几乎所有受访者都表示,FCS对疾病负担和生活质量有重大影响,并显著影响了他们的职业选择和就业状况,且因其疾病导致了大量的工作损失。

结论

FCS在多个领域造成了相当大的负担,据报告对日常生活活动和生活质量有损害。

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