Burden of illness in patients with chronic hypoparathyroidism not adequately controlled with conventional therapy
| العنوان: | Burden of illness in patients with chronic hypoparathyroidism not adequately controlled with conventional therapy |
|---|---|
| المؤلفون: | Brigitte Decallonne, Damien Gruson, Pieter Evenepoel, N A T Hamdy, L van Vlokhoven-Verhaegh |
| المساهمون: | UCL - SSS/IREC/EDIN - Pôle d'endocrinologie, diabète et nutrition, UCL - (SLuc) Service de biochimie médicale |
| المصدر: | Journal of Endocrinological Investigation, 44, 1437-1446. SPRINGER Journal of Endocrinological Investigation Journal of endocrinological investigation, Vol. 44, no.7, p. 1437-1446 (2021) |
| بيانات النشر: | SPRINGER, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, 0301 basic medicine, Pediatrics, medicine.medical_specialty, Hypoparathyroidism, Endocrinology, Diabetes and Metabolism, Inadequate control, 030209 endocrinology & metabolism, Comorbidity, Overweight, Comorbidities, 03 medical and health sciences, 0302 clinical medicine, Endocrinology, Belgium, Cost of Illness, Quality of life, Physicians, Surveys and Questionnaires, Diabetes mellitus, medicine, Humans, In patient, Conventional therapy, Aged, Netherlands, business.industry, Disease Management, Middle Aged, Prognosis, medicine.disease, Clinical manifestations, Cross-Sectional Studies, 030104 developmental biology, Physician survey, Quality of Life, Etiology, Female, Original Article, medicine.symptom, business, Chronic hypoparathyroidism, Follow-Up Studies |
| الوصف: | Purpose To determine the burden of illness in patients with not adequately controlled chronic hypoparathyroidism receiving conventional therapy in Belgium and the Netherlands. Methods Data were generated from a cross-sectional, two-part online survey where endocrinologists from both countries and nephrologists from Belgium were invited by phone to participate. Part 1 included collecting data on general management of patients with hypoparathyroidism. In Part 2, physicians were requested to provide data on one or two current cases of patients with chronic hypoparathyroidism not adequately controlled on conventional therapy. Data collected included aetiology of hypoparathyroidism, clinical manifestations, comorbidities, results of laboratory and other investigations used for diagnosis and screening for complications, therapy received, and physician’s perception of impaired quality of life (QoL). Results Thirty-six endocrinologists and 29 nephrologists from Belgium and 28 endocrinologists from the Netherlands participated in the survey. Data included clinical symptoms, biochemical parameters, and QoL for 97 current patients with not adequately controlled chronic hypoparathyroidism on conventional therapy. Median duration of not adequately controlled hypoparathyroidism was 2.2 years, range 0.17–20.0. Most patients had neuromuscular (85%) and/or neurological (67%) symptoms, 71% had abnormal biochemical parameters, 10% were overweight, and physicians perceived that 71% had impaired QoL. Most frequently reported comorbidities included hypertension (25%), renal comorbidity (20%), diabetes mellitus (12%), and dyslipidaemia (11%). Conclusion Patients with chronic hypoparathyroidism not adequately controlled on conventional therapy experience a substantial burden of illness, mainly due to persistence of symptoms and presence of multiple comorbidities. |
| وصف الملف: | application/pdf; Print-Electronic |
| اللغة: | English |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c1fab0e8e46e9a6b446d5ac6f2106024Test https://hdl.handle.net/1887/3185256Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....c1fab0e8e46e9a6b446d5ac6f2106024 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |