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COMPLIA: A 12-MONTH PROSPECTIVE, MULTICENTRE, NON-INTERVENTIONAL STUDY TO EVALUATE TREATMENT ADHERENCE AND TREATMENT SATISFACTION IN A GROWTH HORMONE DEFICIENT PAEDIATRIC POPULATION TREATED WITH NUTROPINAQ A SOMATROPIN ANALOGUE.COMPLIA:一项为期12个月的前瞻性、多中心、非干预性研究,旨在评估在使用生长激素类似物Nutropinaq治疗的生长激素缺乏儿科人群中的治疗依从性和治疗满意度。
Acta Endocrinol (Buchar). 2020 Apr-Jun;16(2):192-198. doi: 10.4183/aeb.2020.192.
2
Effectiveness and Overall Safety of NutropinAq for Growth Hormone Deficiency and Other Paediatric Growth Hormone Disorders: Completion of the International Cooperative Growth Study, NutropinAq European Registry (iNCGS).《NutropinAq 治疗生长激素缺乏症和其他儿科生长激素紊乱的有效性和总体安全性:国际合作生长研究 NutropinAq 欧洲注册登记研究(iNCGS)完成》。
Front Endocrinol (Lausanne). 2021 May 25;12:676083. doi: 10.3389/fendo.2021.676083. eCollection 2021.
3
Adherence to growth hormone therapy guidelines in a real-world French cohort of adult patients with growth hormone deficiency.真实世界中法国成年生长激素缺乏症患者队列中对生长激素治疗指南的依从性。
Ann Endocrinol (Paris). 2021 Feb;82(1):59-68. doi: 10.1016/j.ando.2020.11.007. Epub 2020 Dec 5.
4
Association of Daily Growth Hormone Injection Adherence and Height Among Children With Growth Hormone Deficiency.生长激素缺乏症儿童的日常生长激素注射依从性与身高的关系。
Endocr Pract. 2022 Jun;28(6):565-571. doi: 10.1016/j.eprac.2022.02.013. Epub 2022 Mar 6.
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Development and Psychometric Evaluation of the Life Interference Questionnaire for Growth Hormone Deficiency (LIQ-GHD) to Assess Growth Hormone Injection Burden in Children and Adults.生长激素缺乏症生活干扰问卷(LIQ-GHD)的制定和心理计量学评估,用于评估儿童和成人生长激素注射负担。
Patient. 2020 Jun;13(3):289-306. doi: 10.1007/s40271-019-00405-7.
6
Persistence with daily growth hormone among children and adolescents with growth hormone deficiency in the UK.英国儿童和青少年生长激素缺乏症患者坚持每日生长激素治疗。
Front Endocrinol (Lausanne). 2022 Nov 3;13:1014743. doi: 10.3389/fendo.2022.1014743. eCollection 2022.
7
Night sleep EEG and daytime sleep propensity in adult hypopituitary patients with growth hormone deficiency before and after six months of growth hormone replacement.生长激素替代治疗六个月前后成年生长激素缺乏型垂体功能减退患者的夜间睡眠脑电图及日间睡眠倾向
Psychoneuroendocrinology. 2005 Jan;30(1):29-37. doi: 10.1016/j.psyneuen.2004.05.004.
8
Adherence to treatment in children with growth hormone deficiency, small for gestational age and Turner syndrome in Mexico: results of the Easypod™ connect observational study (ECOS).墨西哥生长激素缺乏症、小于胎龄儿和特纳综合征患儿的治疗依从性:Easypod™ connect 观察性研究(ECOS)的结果。
J Endocrinol Invest. 2020 Oct;43(10):1447-1452. doi: 10.1007/s40618-020-01218-4. Epub 2020 Apr 1.
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The growth hormone cascade: progress and long-term results of growth hormone treatment in growth hormone deficiency.生长激素级联反应:生长激素缺乏症患者生长激素治疗的进展与长期结果
Horm Res. 1998;49 Suppl 2:41-57. doi: 10.1159/000053087.
10
Somatropin therapy in italian adults with growth hormone deficiency.生长激素缺乏症意大利成人的生长激素治疗。
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Treatment Adherence to Injectable Treatments in Pediatric Growth Hormone Deficiency Compared With Injectable Treatments in Other Chronic Pediatric Conditions: A Systematic Literature Review.与其他慢性儿科疾病的注射治疗相比,儿科生长激素缺乏症的注射治疗的依从性:系统文献回顾。
Front Endocrinol (Lausanne). 2022 Mar 1;13:795224. doi: 10.3389/fendo.2022.795224. eCollection 2022.

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Achieving Optimal Short- and Long-term Responses to Paediatric Growth Hormone Therapy.实现儿科生长激素治疗的最佳短期和长期反应。
J Clin Res Pediatr Endocrinol. 2019 Nov 22;11(4):329-340. doi: 10.4274/jcrpe.galenos.2019.2019.0088. Epub 2019 Jul 9.
2
Adult growth hormone deficiency in CEE region: Heterogeneity of the patient pathway.中东欧地区成人生长激素缺乏症:患者诊疗路径的异质性
Growth Horm IGF Res. 2019 Jun-Aug;46-47:44-49. doi: 10.1016/j.ghir.2019.06.001. Epub 2019 Jun 7.
3
Categorizing factors of adherence to parenteral treatment in growth hormone deficiencies and hemophilia: What should be the targets for future research?生长激素缺乏症和血友病患者接受肠外治疗依从性的影响因素分类:未来研究的目标应该是什么?
Patient Prefer Adherence. 2018 Oct 8;12:2039-2063. doi: 10.2147/PPA.S177624. eCollection 2018.
4
The current state of long-acting growth hormone preparations for growth hormone therapy.目前长效生长激素制剂在生长激素治疗中的应用现状。
Curr Opin Endocrinol Diabetes Obes. 2018 Aug;25(4):267-273. doi: 10.1097/MED.0000000000000416.
5
The growth hormone-insulin-like growth factor-I axis in the diagnosis and treatment of growth disorders.生长激素 - 胰岛素样生长因子 -I轴在生长障碍诊断与治疗中的作用
Endocr Connect. 2018 Jun;7(6):R212-R222. doi: 10.1530/EC-18-0099. Epub 2018 May 3.
6
Adherence in children with growth hormone deficiency treated with r-hGH and the easypod™ device.使用重组人生长激素(r-hGH)和easypod™装置治疗的生长激素缺乏症儿童的依从性。
J Endocrinol Invest. 2016 Dec;39(12):1419-1424. doi: 10.1007/s40618-016-0510-0. Epub 2016 Jul 12.
7
Translating clinical guidelines into practice: the effective and appropriate use of human growth hormone.将临床指南应用于实践:人生长激素的有效及合理使用
Am J Manag Care. 2013 Nov;19(15 Suppl):s281-9.
8
Adherence to growth hormone therapy: results of a multicenter study.生长激素治疗的依从性:一项多中心研究的结果。
Endocr Pract. 2014 Jan;20(1):46-51. doi: 10.4158/EP13194.OR.
9
Assessment of user-friendliness of the Norditropin FlexPro for pediatric patients treated with recombinant human growth hormone: results of an open-label user survey.评估诺德生长素FlexPro对接受重组人生长激素治疗的儿科患者的用户友好性:一项开放标签用户调查的结果。
J Pediatr Endocrinol Metab. 2013;26(11-12):1105-10. doi: 10.1515/jpem-2013-0071.
10
Ease of use and acceptability of a new pen device for the administration of growth hormone therapy in pediatric patients: an open-label, uncontrolled usability test.一种新的注射笔设备在儿科患者生长激素治疗中的使用便捷性和可接受性:一项开放性、非对照性使用测试。
Clin Ther. 2009 Dec;31(12):2906-14. doi: 10.1016/j.clinthera.2009.12.014.

COMPLIA:一项为期12个月的前瞻性、多中心、非干预性研究,旨在评估在使用生长激素类似物Nutropinaq治疗的生长激素缺乏儿科人群中的治疗依从性和治疗满意度。

COMPLIA: A 12-MONTH PROSPECTIVE, MULTICENTRE, NON-INTERVENTIONAL STUDY TO EVALUATE TREATMENT ADHERENCE AND TREATMENT SATISFACTION IN A GROWTH HORMONE DEFICIENT PAEDIATRIC POPULATION TREATED WITH NUTROPINAQ A SOMATROPIN ANALOGUE.

作者信息

Dumitrescu C P, Procopiuc C, Dumitriu N, Micle I, Anton M, Moisuc A

机构信息

"C.I. Parhon" National Institute of Endocrinology - Pediatric Endocrinology, Bucharest, Romania.

"Maria Sklodowska Curie" Children's Clinical Emergency Hospital, Bucharest, Romania.

出版信息

Acta Endocrinol (Buchar). 2020 Apr-Jun;16(2):192-198. doi: 10.4183/aeb.2020.192.

DOI:10.4183/aeb.2020.192
PMID:33029236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7535879/
Abstract

BACKGROUND/AIMS: Growth hormone deficiency (GHD) in children and adolescents is managed with growth hormone (GH) therapy and aims to achieve optimal height development. However, treatment adherence can be poor, reducing the likelihood of a successful outcome. Adherence varies between geographic regions. This observational study assessed satisfaction and adherence to NutropinAq (somatropin, recombinant human GH) treatment in Romanian children with GHD.

METHODS

Patients ≥3 years of age with GHD for which GH replacement therapy with NutropinAq had been initiated were recruited from 13 centres in Romania (protocol number: A-38-58035-016). The primary variable was patient/caregiver-reported treatment adherence (assessed at 3, 6 and 12 months on a 5-item Likert scale), secondary variables included treatment satisfaction assessed by the treating physician and patient/caregiver on a 5-point scale.

RESULTS

Most patients did not miss any treatment injections in any 3-month period between assessments (≥79.8% of patients were 100% compliant). The incidence of missed injections was higher among patients <7 years of age than older children, but no differences between genders was observed. At study end, 94.3% of patients/caregivers and 94.3% of physicians reported complete satisfaction with treatment.

CONCLUSIONS

Overall treatment adherence to NutropinAq was high in the Romanian GHD paediatric population, and a high level of treatment satisfaction was reported by patients/caregivers. This suggests reliable treatment outcomes can be anticipated in this population.

摘要

背景/目的:儿童和青少年生长激素缺乏症(GHD)采用生长激素(GH)治疗,旨在实现最佳身高发育。然而,治疗依从性可能较差,降低了成功治疗的可能性。不同地理区域的依从性有所差异。这项观察性研究评估了罗马尼亚GHD儿童对诺和生(生长激素,重组人生长激素)治疗的满意度和依从性。

方法

从罗马尼亚的13个中心招募年龄≥3岁、已开始使用诺和生进行GH替代治疗的GHD患者(方案编号:A - 38 - 58035 - 016)。主要变量是患者/照料者报告的治疗依从性(在3、6和12个月时采用5项李克特量表进行评估),次要变量包括治疗医生和患者/照料者采用5分制评估的治疗满意度。

结果

在各次评估之间的任何3个月期间,大多数患者没有错过任何一次治疗注射(≥79.8%的患者100%依从)。7岁以下患者错过注射的发生率高于年龄较大的儿童,但未观察到性别差异。在研究结束时,94.3%的患者/照料者和94.3%的医生报告对治疗完全满意。

结论

罗马尼亚GHD儿科人群对诺和生的总体治疗依从性较高,患者/照料者报告的治疗满意度也较高。这表明在该人群中可以预期可靠的治疗效果。