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Patient-Reported Outcomes and Provider Perceptions of Systemic Mastocytosis: Results From the PRISM Study
Massimo Triggiani1, Jessica Hobart2, Iván Alvarez-Twose3
1Division of Allergy and Clinical Immunology, University of Salerno, Salerno, Italy.
Systemic mastocytosis (SM) significantly impacts patients' quality of life and work ability, with high symptom burden reported by both patients and healthcare providers. This European survey highlights the challenges in managing SM and improving patient outcomes.
Area of Science:
- Hematology
- Oncology
- Public Health
Background:
- Systemic mastocytosis (SM) is a rare clonal mast cell disease, primarily driven by the KIT D816V mutation.
- SM is characterized by unpredictable and debilitating symptoms impacting patients' daily lives.
Purpose of the Study:
- To evaluate the perceptions and burden of systemic mastocytosis (SM) in Europe.
- To gather insights from both patients and healthcare providers (HCPs) on SM diagnosis, symptom burden, quality of life (QoL), and work impact.
Main Methods:
- The Perceptions Realities and Insights on Systemic Mastocytosis (PRISM) survey involved 540 patient respondents and 618 HCP respondents across seven European countries.
- Two independent surveys were conducted: a 119-item patient survey and a 103-item HCP survey.
Main Results:
- Patients reported a high symptom burden, reduced physical and mental health, and significant impact on work ability (58.9%).
- Despite multiple medications, patients experienced substantial QoL reduction.
- HCPs also perceived a significant negative impact of SM on patients' QoL, with improving QoL and survival as primary treatment goals.
Conclusions:
- The PRISM survey is the largest international and first European study to assess SM burden from patient and HCP perspectives.
- Both patients and HCPs perceive a high symptom burden, reduced quality of life, and impaired work ability associated with SM.
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