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评估糠酸氟替卡松/维兰特罗在哮喘或 COPD 患者中的影响和获益:基于患者体验的混合方法分析。

Evaluating the Impact and Benefits of Fluticasone Furoate/Vilanterol in Individuals with Asthma or COPD: A Mixed-Methods Analysis of Patient Experiences.

机构信息

Value Evidence and Outcomes, GSK, GSK House, Brentford, Middlesex, UK.

ICON, ICON Clinical Outcome Assessments, Abingdon, UK.

出版信息

Adv Ther. 2018 Sep;35(9):1378-1399. doi: 10.1007/s12325-018-0760-7. Epub 2018 Aug 13.

DOI:10.1007/s12325-018-0760-7
PMID:30105658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6133131/
Abstract

INTRODUCTION

This study evaluated patients' experiences with fluticasone furoate/vilanterol (FF/VI) combination therapy in UK patients with asthma or chronic obstructive pulmonary disease (COPD).

METHODS

Participants aged ≥ 18 years, with self-reported, physician-diagnosed asthma or COPD (≥ 1 year) who had been receiving FF/VI (≥ 3 months) were recruited from UK primary care. This two-phase, mixed-methods study consisted of a semi-structured, telephone-interview phase (qualitative) and a self-completed online/paper-survey phase (quantitative).

RESULTS

The telephone-interview phase included 50 individuals [asthma, n = 25; COPD, n = 25; mean age (SD) 56.7 years (13.3); 50% female]. Of these, 21 with asthma reported that their condition was stable/well controlled and 13 with COPD felt their condition was manageable. Most participants found FF/VI easy to use (asthma, 25; COPD, 23), easy to integrate into their daily routine (asthma, 25; COPD, 24), and able to control symptoms for ≥ 24 h (asthma, 14; COPD, 16). During the survey phase, 199 individuals were recruited [asthma, n = 100; COPD, n = 99; mean age (SD) 63.6 years (15.1); 59.3% female]. Most participants were satisfied/very satisfied with the efficacy of FF/VI in terms of all-day symptom relief (asthma, 84%; COPD, 75%) and found FF/VI easy/very easy to fit into their daily routine (asthma, 99%; COPD, 96%), easy/very easy to use (asthma, 97%; COPD, 92%), and convenient/very convenient to take as instructed (asthma, 95%; COPD, 93%). Significantly more individuals with asthma (87% versus 46%, P < 0.001) and numerically more individuals with COPD (84% versus 76%, P = 0.055) were satisfied/very satisfied with FF/VI compared with their most recent previous maintenance medication.

CONCLUSION

The majority of individuals in this study had confidence in FF/VI and were satisfied or very satisfied with various key attributes of the treatment.

TRIAL REGISTRATION

GSK study HO-15-15503/204888.

FUNDING

GSK.

摘要

简介

本研究评估了英国哮喘或慢性阻塞性肺疾病(COPD)患者使用氟替卡松糠酸酯/维兰特罗(FF/VI)联合治疗的患者体验。

方法

参与者年龄≥18 岁,自我报告有经医生诊断的哮喘或 COPD(≥1 年),并接受 FF/VI(≥3 个月)治疗,他们来自英国初级保健机构。这项两阶段、混合方法研究包括半结构式电话访谈阶段(定性)和自我完成的在线/纸质调查阶段(定量)。

结果

电话访谈阶段包括 50 名参与者[哮喘,n=25;COPD,n=25;平均年龄(标准差)56.7(13.3)岁;50%为女性]。其中,21 名哮喘患者报告他们的病情稳定/得到很好的控制,13 名 COPD 患者认为他们的病情可以控制。大多数参与者认为 FF/VI 易于使用(哮喘,25 名;COPD,23 名),易于融入他们的日常生活(哮喘,25 名;COPD,24 名),并能控制症状持续至少 24 小时(哮喘,14 名;COPD,16 名)。在调查阶段,招募了 199 名参与者[哮喘,n=100;COPD,n=99;平均年龄(标准差)63.6(15.1)岁;59.3%为女性]。大多数参与者对 FF/VI 的全天缓解症状的疗效表示满意/非常满意(哮喘,84%;COPD,75%),并认为 FF/VI 易于/非常易于融入他们的日常生活(哮喘,99%;COPD,96%),易于/非常易于使用(哮喘,97%;COPD,92%),并且按照指示服用非常方便/方便(哮喘,95%;COPD,93%)。与最近使用的维持药物相比,哮喘患者(87%比 46%,P<0.001)和 COPD 患者(84%比 76%,P=0.055)中更有明显比例的患者对 FF/VI 表示满意/非常满意。

结论

这项研究中的大多数参与者对 FF/VI 有信心,并对治疗的各种关键属性表示满意或非常满意。

试验注册

GSK 研究 HO-15-15503/204888。

资金来源

GSK。

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