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2型炎症性呼吸道疾病成人患者中疾病影响及对生物制剂的认知:国际调查结果

Disease Impact and Perception of Biologics in Adults with Type 2 Inflammation Respiratory Disease: International Survey Results.

作者信息

Tal-Singer Ruth, Willard Kristen S, Luttmann Mark A, Sprankle Madison, Reynolds Jenna, Muerza Santos Irantzu, Jaffee Hannah, Vichiendilokkul Anna, Jacomelli Cristina, Novak Špela, Gascon Moreno Victor, Wise Robert A

机构信息

Global Allergy & Airways Patient Platform, Hendersonville, TN, USA.

Asthma Canada, Toronto, Ontario, Canada.

出版信息

Patient Prefer Adherence. 2025 Apr 28;19:1159-1170. doi: 10.2147/PPA.S517466. eCollection 2025.

Abstract

PURPOSE

There is a growing interest in developing approaches that reduce the impact of Type 2 inflammatory conditions, such as asthma and chronic rhinosinusitis with nasal polyps (CRSwNP), on well-being. The aim of this international survey was to understand the impact of asthma and CRSwNP on people living with these conditions and to seek insight into the perception of biologics, which are often used to treat them.

PATIENTS AND METHODS

A cross-sectional survey was conducted anonymously online from February to May 2024. International participants were recruited through social media and by Survey Monkey. Individuals aged ≥18 years diagnosed by a medical professional with asthma and/or CRSwNP who lived in the US, Canada, UK, Germany, Italy, France, or Spain were eligible to participate.

RESULTS

Of the 1566 survey participants (56.7% asthma, 24.8% CRSwNP, 18.5% both), 52.5% were female, and 65.3% were ages 25-54 years. Approximately two-thirds (64%) reported thinking once/day or at least once/week about managing their condition. Nearly half (44%) find it difficult to manage their disease. Of those currently using a biologic (14%), only 37% inject it themselves and feel confident doing so, and 42% felt it was a repeating reminder of their chronic condition. The top reason for stopping biologic treatment was that the injection/device was too difficult. The possibility of a lower frequency injection increased the likelihood participants would consider a biologic.

CONCLUSION

The study further raises awareness of the personal burden from asthma and CRSwNP and their associated treatments in different countries. Beyond the goal of achieving clinical disease control for these diseases, a holistic approach to care delivery should include culturally appropriate emotional health support to improve overall well-being. Access to biologics administered with less frequency may alleviate some of the burden of self-injection.

摘要

目的

人们越来越关注开发能够减轻2型炎症性疾病(如哮喘和伴有鼻息肉的慢性鼻-鼻窦炎(CRSwNP))对健康影响的方法。这项国际调查的目的是了解哮喘和CRSwNP对患有这些疾病的人群的影响,并深入了解常用于治疗这些疾病的生物制剂的认知情况。

患者与方法

2024年2月至5月在网上进行了一项匿名横断面调查。国际参与者通过社交媒体和Survey Monkey招募。年龄≥18岁、经医学专业人员诊断患有哮喘和/或CRSwNP且居住在美国、加拿大、英国、德国、意大利、法国或西班牙的个人有资格参与。

结果

在1566名调查参与者中(56.7%患有哮喘,24.8%患有CRSwNP,18.5%两者都有),52.5%为女性,65.3%年龄在25 - 54岁之间。约三分之二(64%)的人报告每天或至少每周一次思考病情管理。近一半(44%)的人发现难以管理自己的疾病。在目前使用生物制剂的人群中(14%),只有37%的人自己注射并对此感到自信,42%的人觉得这不断提醒他们患有慢性病。停止生物制剂治疗的首要原因是注射/器械太难。注射频率降低的可能性增加了参与者考虑使用生物制剂的可能性。

结论

该研究进一步提高了对不同国家哮喘和CRSwNP及其相关治疗带来的个人负担的认识。除了实现这些疾病临床疾病控制的目标外,全面的护理方法应包括符合文化背景的情绪健康支持,以改善整体健康状况。使用注射频率较低的生物制剂可能减轻一些自我注射的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbf/12047282/a345af78a929/PPA-19-1159-g0003.jpg

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