Duan Chengaxin, Ai Dandan, Xu Qian, Sui Binyan, Zhao Kun
China National Health Development Research Center; National Center for Drug and Technology Assessment, Beijing, China.
Vanke School of Public Health, Tsinghua University; Institute for Healthy China, Tsinghua University, Beijing, China.
Intractable Rare Dis Res. 2022 Nov;11(4):189-195. doi: 10.5582/irdr.2022.01094.
Spinal muscular atrophy (SMA) is a rare disease that has attracted considerable interest in China due to its severity and hefty treatment costs. Few studies have been conducted on Chinese patients. The objective of this study was to assess the quality of life of SMA patients in China and to investigate the real impact of new treatments. We used the Pediatric Quality of Life Inventory (PedsQL) to analyze the Health-related quality of life (HRQoL) of patients with SMA in China. Information on demographics, disease-specific characteristics, and treatment were collected using a child-reported or proxy-reported questionnaire. The mean scores of HRQoL for the Nusinersen treatment group and conventional treatment groups are 55.6 and 48.4, respectively. Patients with SMA type I have the lowest scores, while those with type III have the highest scores. A higher proportion of the medication group showed improvement in the condition in the past six months (56.9% 17.1%). Our results show that the clinical type, motor function and treatment strategy have a significant influence on HRQoL. The findings imply that Nusinersen benefits patients by slowing the progression of the disease and increasing their quality of life in the real world.
脊髓性肌萎缩症(SMA)是一种罕见疾病,因其严重性和高昂的治疗费用在中国引起了广泛关注。针对中国患者的研究较少。本研究的目的是评估中国SMA患者的生活质量,并调查新治疗方法的实际影响。我们使用儿童生活质量量表(PedsQL)来分析中国SMA患者的健康相关生活质量(HRQoL)。通过儿童自填或家长代填问卷收集人口统计学、疾病特异性特征和治疗相关信息。诺西那生治疗组和传统治疗组的HRQoL平均得分分别为55.6和48.4。I型SMA患者得分最低,而III型患者得分最高。在过去六个月中,用药组病情改善的比例更高(56.9%对17.1%)。我们的结果表明,临床类型、运动功能和治疗策略对HRQoL有显著影响。研究结果表明,在现实世界中,诺西那生通过减缓疾病进展和提高患者生活质量而使患者受益。