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美国多发性骨髓瘤治疗线间的医生决策驱动因素和患者观点。

Drivers of physician decision-making and patient perspectives across lines of therapy in multiple myeloma in the USA.

机构信息

Adelphi Real World, Bollington, Macclesfield, SK10 5JB, UK.

GSK, Upper Providence, PA 19426, USA.

出版信息

Future Oncol. 2023 Jul;19(22):1549-1562. doi: 10.2217/fon-2023-0020. Epub 2023 Jun 7.

Abstract

To explore treatment selection for relapsed/refractory multiple myeloma (RRMM), which remains complex due to heterogeneity of available treatments and lack of defined standard of care. The Adelphi Real World MM Disease Specific Programme surveyed physicians in the USA and their patients with MM to collect real-world data on patterns and perceptions of MM treatment across lines of therapy (LOT). Triplets were the most common regimens across each LOT. Physicians reported efficacy-related factors, health insurance coverage, and clinical guidelines as key determinants of treatment choice regardless of LOT. Patients identified better quality of life as the most important treatment benefit. The DSP RW data highlight drivers of RRMM treatment choice from physicians' and patients' perspectives and need for a more holistic approach to guidelines and clinical trials that encompasses patient perspectives.

摘要

为了探索复发/难治性多发性骨髓瘤 (RRMM) 的治疗选择,由于可用治疗方法的异质性和缺乏明确的标准护理,这仍然很复杂。 Adelphi 真实世界 MM 疾病专项计划在美国调查了医生及其多发性骨髓瘤患者,以收集跨线治疗 (LOT) 的多发性骨髓瘤治疗模式和观念的真实世界数据。 三联疗法是每个 LOT 中最常见的方案。 医生报告说,疗效相关因素、健康保险覆盖范围和临床指南是治疗选择的关键决定因素,无论 LOT 如何。 患者认为改善生活质量是最重要的治疗益处。DSP RW 数据突出了医生和患者角度的 RRMM 治疗选择驱动因素,以及需要更全面的方法来制定涵盖患者观点的指南和临床试验。

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