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一项评估神经内分泌肿瘤或肢端肥大症患者对两种兰瑞肽注射器偏好的国际性模拟使用研究(PRESTO 3)。

An international simulated-use study to assess nurses' preferences between two lanreotide syringes for patients with neuroendocrine tumours or acromegaly (PRESTO 3).

机构信息

Endocrinology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

Department of Internal Medicine and Medical Specialties, University of Genova, Genoa, Italy.

出版信息

J Endocrinol Invest. 2024 Feb;47(2):421-432. doi: 10.1007/s40618-023-02158-5. Epub 2023 Aug 8.

Abstract

PURPOSE

PRESTO 3 evaluated nurses' preference for the Somatuline® Autogel® syringe versus the Lanreotide Pharmathen syringe after injection-pad testing.

METHODS

This international simulated-use study included oncology/endocrinology nurses with ≥ 1 years' experience in managing neuroendocrine tumours (NETs) and/or acromegaly. Each nurse tested both syringes twice in a randomised order before completing an electronic survey. The primary objective was to assess overall preference (%, 95% confidence interval [CI]) for the Somatuline Autogel syringe versus the Lanreotide Pharmathen syringe. Secondary objectives included rating syringe performance and ranking the importance of syringe attributes.

RESULTS

Ninety-four nurses were enrolled: mean age, 41.0 (SD, 11.5) years. The percentage of nurses stating a preference ("strong" or "slight") for the Somatuline Autogel syringe (86.2% [95% CI 77.5-92.4%]) was significantly higher than 50% (p < 0.0001). Performance rating was significantly higher for the Somatuline Autogel syringe versus Lanreotide Pharmathen syringe for 10 of the 11 attributes tested (p < 0.05). The syringe attributes considered most important when injecting patients in routine clinical practice were "easy to use from preparation to injection" (30.9%) and "comfortable to handle during use from preparation to injection" (16.0%). The attribute most commonly rated as least important was "fast administration from preparation to injection" (26.6%).

CONCLUSION

Nurses strongly preferred the user experience of the Somatuline Autogel syringe over the Lanreotide Pharmathen syringe. "Ease of use" and "comfortable to handle" were the most important syringe attributes, and performance rating was significantly higher with Somatuline Autogel versus Lanreotide Pharmathen syringe for all but one attribute.

摘要

目的

PRESTO 3 评估了护士在注射垫测试后对索玛杜林® Autogel®注射器与兰瑞肽 Pharmathen 注射器的偏好。

方法

这项国际模拟使用研究纳入了具有管理神经内分泌肿瘤(NET)和/或肢端肥大症经验≥1 年的肿瘤/内分泌科护士。每位护士以随机顺序两次测试两种注射器,然后完成电子调查。主要目的是评估对索玛杜林 Autogel 注射器与兰瑞肽 Pharmathen 注射器的总体偏好(%,95%置信区间[CI])。次要目标包括评估注射器性能和对注射器属性的重要性进行排名。

结果

共纳入 94 名护士:平均年龄为 41.0(SD,11.5)岁。表示对索玛杜林 Autogel 注射器(86.2%[95%CI 77.5-92.4%])有偏好(“强烈”或“轻微”)的护士比例显著高于 50%(p<0.0001)。与兰瑞肽 Pharmathen 注射器相比,在测试的 11 个属性中,有 10 个属性的索玛杜林 Autogel 注射器的性能评分显著更高(p<0.05)。在常规临床实践中为患者注射时,认为最重要的注射器属性是“从准备到注射使用方便”(30.9%)和“从准备到注射使用时手感舒适”(16.0%)。最不重要的属性是“从准备到注射的给药速度快”(26.6%)。

结论

护士强烈偏好使用索玛杜林 Autogel 注射器,而不是兰瑞肽 Pharmathen 注射器。“使用方便”和“手感舒适”是最重要的注射器属性,对于除一个属性外的所有属性,索玛杜林 Autogel 注射器的性能评分均显著高于兰瑞肽 Pharmathen 注射器。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440c/10859340/dcec39b252dc/40618_2023_2158_Fig1_HTML.jpg

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