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COVID-19 大流行对肢端肥大症患者疾病控制状况和生活质量的影响。

Impact of COVID-19 Pandemic on Disease Control Status and Quality of Life of Patients with Acromegaly.

机构信息

Department of Endocrinology, Diabetes and Metabolic Diseases, University Medical Center Ljubljana, 1000 Ljubljana, Slovenia.

Department of Internal Medicine, Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia.

出版信息

Medicina (Kaunas). 2022 Nov 23;58(12):1711. doi: 10.3390/medicina58121711.

Abstract

: Despite the best efforts of healthcare workers and the deployment of alternative healthcare delivery solutions through telemedicine, the pandemic has disrupted standard care for patients with chronic conditions. The long-lasting pandemic has also had a profound impact on the quality of life (QoL) of the majority of patients with chronic illnesses. The management of rare diseases has been particularly challenging. We aimed to evaluate the impacts that the long-lasting pandemic had on the disease control status and QoL in patients with acromegaly. : Our prospective study included 34 patients from a national referral centre. The baseline SAGIT and AcroQoL results were obtained in October 2020 during the lockdown period of the SARS-CoV2 pandemic. The follow-up results were assessed during the summer of 2022 in a period without any public health restrictions. All the patients were additionally evaluated for their attitude towards preventative public health measures against SARS-CoV2 spread and required mask wearing during the pandemic. : By comparing assessments in 2020 during the lockdown period and 2022 post-lockdown, we observed some improvement in SAGIT subscores T and I, most likely reflecting treatment changes in a small number of patients. The global SAGIT score remained stable. QoL measurement by AcroQoL did not demonstrate any changes. There was a negative correlation between SAGIT subscore S and the AcroQoL results. We also noted that the group of patients with the most negative attitude toward public health measurements for preventing SARS-CoV2 spread had higher AcroQoL results than others. : Our results showcase that the SARS-CoV2 pandemic, lasting over two years, did not impact the disease control status and QoL in patients with acromegaly. The cohort continued to be well controlled and without changes in QoL. We measured a relatively favourable attitude towards the public health measures to prevent the spread of SARS-CoV2; in particular, patients who had a lower QoL had more positive attitudes towards these measures.

摘要

尽管医护人员付出了最大努力,并通过远程医疗提供了替代医疗服务,但大流行还是打乱了慢性病患者的标准护理。这场旷日持久的大流行也对大多数慢性病患者的生活质量产生了深远的影响。罕见病的管理尤其具有挑战性。我们旨在评估这场旷日持久的大流行对肢端肥大症患者疾病控制状况和生活质量的影响。

我们的前瞻性研究包括来自一个国家转诊中心的 34 名患者。2020 年 10 月,即 SARS-CoV2 大流行封锁期间,获得了基线 SAGIT 和 AcroQoL 结果。2022 年夏季,在没有任何公共卫生限制的时期,对随访结果进行了评估。所有患者还评估了他们对 SARS-CoV2 传播预防公共卫生措施的态度以及在大流行期间戴口罩的要求。

通过比较 2020 年封锁期间和 2022 年封锁后评估结果,我们观察到 SAGIT 子评分 T 和 I 有一些改善,这可能反映出少数患者的治疗变化。全球 SAGIT 评分保持稳定。AcroQoL 的 QoL 测量没有显示出任何变化。SAGIT 子评分 S 与 AcroQoL 结果呈负相关。我们还注意到,对预防 SARS-CoV2 传播的公共卫生措施持最消极态度的患者组的 AcroQoL 结果高于其他患者。

我们的研究结果表明,持续两年多的 SARS-CoV2 大流行并未影响肢端肥大症患者的疾病控制状况和生活质量。该队列继续得到良好控制,生活质量没有变化。我们发现,人们对预防 SARS-CoV2 传播的公共卫生措施持相对有利的态度;特别是,生活质量较低的患者对这些措施的态度更为积极。

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