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患者报告的分子确诊视网膜色素变性的社会影响。

Patient-Reported Social Impact of Molecularly Confirmed Retinitis Pigmentosa.

作者信息

Zehe-Lindau Nina, Lindau Birgit, Stöhr Heidi, Weber Bernhard H F, Spital Georg, Kellner Ulrich

机构信息

Rare Retinal Disease Center, AugenZentrum Siegburg, MVZ Augenärztliches Diagnostik- und Therapiezentrum Siegburg GmbH, Europaplatz 3, 53721 Siegburg, Germany.

RetinaScience, Postfach 301212, 53192 Bonn, Germany.

出版信息

J Clin Med. 2025 May 6;14(9):3229. doi: 10.3390/jcm14093229.

Abstract

: To evaluate the patient-reported impact of retinitis pigmentosa (RP) in a large patient cohort to identify relevant disease-related disadvantages as key aspects for the improvement of ophthalmic and social care. : Consecutive patients with molecularly confirmed RP older than 18 years of age were identified in two tertiary care centers in Germany. Patients were contacted to participate in an anonymized patient query regarding the impact of RP on their vocational training, professional career, and social, familial, and personal life, as well as their experience with ophthalmologic care. : Out of 241 contacted patients, 162 responded (67.2%; 52.5% female, 67.3% younger than 50 years of age). While the impact of RP on vocational training was limited, professional careers were frequently disrupted with early retirement rates of 39.8% (≥40 years of age) to 50% (≥50 years of age). Most respondents felt restricted in their participation in public life (66.3%). One-fifth complained about financial restrictions; however, one-third of this number did not obtain financial help. A negative impact on familial life (21.4%) was less frequently reported compared to personal impairments, especially anxiety (74.5%) and depression (24.2%). Most respondents considered their ophthalmic care as adequate; however, a delayed diagnosis (≥two years: 28.6%) and initial misdiagnosis (24.0%) were frequent. Insufficient psychological support was the major complaint about professional care. : RP affects the lives of patients in multiple aspects. Ophthalmic and social care providers should focus on the acceleration of the diagnostic process, as well as easy access to financial assistance and psychological support, as key areas for improvement. Improvements in these areas are expected to reduce challenges for patients. They should have an impact on rehabilitation, participation in public life, and quality of life.

摘要

评估大量视网膜色素变性(RP)患者报告的疾病影响,以确定相关的疾病相关不利因素,作为改善眼科和社会护理的关键方面。

在德国的两个三级护理中心确定了年龄超过18岁且经分子确诊的RP连续患者。联系患者参与一项匿名患者调查,询问RP对其职业培训、职业生涯、社会、家庭和个人生活的影响,以及他们的眼科护理经历。

在241名被联系的患者中,162名做出了回应(67.2%;女性占52.5%,年龄小于50岁的占67.3%)。虽然RP对职业培训的影响有限,但职业生涯经常受到干扰,提前退休率在39.8%(≥40岁)至50%(≥50岁)之间。大多数受访者感到参与公共生活受到限制(66.3%)。五分之一的人抱怨经济受限;然而,其中三分之一的人没有获得经济帮助。与个人损伤相比,对家庭生活的负面影响(21.4%)报告较少,尤其是焦虑(74.5%)和抑郁(24.2%)。大多数受访者认为他们的眼科护理是足够的;然而,诊断延迟(≥两年:28.6%)和初始误诊(24.0%)很常见。对专业护理的主要抱怨是心理支持不足。

RP在多个方面影响患者的生活。眼科和社会护理提供者应将重点放在加快诊断过程以及方便获得经济援助和心理支持上,作为关键的改进领域。这些领域的改善预计将减少患者面临的挑战。它们应该对康复、参与公共生活和生活质量产生影响。

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