Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Leeds Institute of Medical Research at St James's, University of Leeds, Leeds, UK.
Expert Rev Gastroenterol Hepatol. 2021 Sep;15(9):1091-1096. doi: 10.1080/17474124.2021.1898944. Epub 2021 Mar 10.
: With increasing treatment choices for inflammatory bowel disease (IBD), patients' preferences should be considered to limit non-adherence. We explored patients' preferences for route, form and frequency of medication administration, and factors influencing these choices.: Patients rated acceptability of different forms of medication on 10-point Likert scales and preferences for highest acceptable frequency.: Of 298 patients significantly more found tablets (91%) to be highly acceptable compared to granules (64%), infusions (33%) and subcutaneous injections (34%; p < 0.0001). The acceptable frequency for tablets was considered as daily by 63.5% and several times daily by 32.3%. Participants preferred nurse delivered over self-administered injections (median score 8 vs 5, p < 0.0001) and hospital-based infusions over infusions at home (median score 7 vs 5, p = 0.001). Patients with previous or current anti-TNF exposure were more accepting of self-administered injections (50.5% vs 23.3% anti-TNF naive; p < 0.001), more accepting of home based infusions (43.7% vs 28.0%; p = 0.001) and more accepting of hospital-based infusions (57.2% vs 37.8%; p = 0.02).: Most patients with IBD prefer tablets. Those patients who already experienced biological agents, had a high level of acceptance for subcutaneous and intravenous forms of medication.
:随着炎症性肠病(IBD)治疗选择的增加,应考虑患者的偏好以限制不依从。我们探讨了患者对药物给药途径、形式和频率的偏好,以及影响这些选择的因素。:患者对不同药物形式的可接受性进行 10 分李克特量表评分,并对最高可接受频率的药物进行偏好评估。:在 298 名患者中,明显更多的患者(91%)认为片剂比颗粒剂(64%)、输注剂(33%)和皮下注射剂(34%)更易接受(p < 0.0001)。63.5%的患者认为片剂的可接受频率为每天,32.3%的患者认为可接受的频率为每天多次。参与者更喜欢护士给药而不是自行注射(中位数评分 8 对 5,p < 0.0001),更喜欢医院内输注而不是在家输注(中位数评分 7 对 5,p = 0.001)。有既往或当前抗 TNF 暴露的患者对自我管理注射的接受程度更高(50.5%对 TNF 初治患者的 23.3%;p < 0.001),对家庭基础输注的接受程度更高(43.7%对 28.0%;p = 0.001),对医院内输注的接受程度更高(57.2%对 37.8%;p = 0.02)。:大多数 IBD 患者更喜欢片剂。那些已经使用过生物制剂的患者,对皮下和静脉形式的药物具有更高的接受度。