患者对亚托皮炎全身治疗的偏好:安全性和有效性最重要
Marthe-Lisa Schaarschmidt1, Daniel Kromer2, Phoebe Wellmann3
1Department of Dermatology, Venereology and Allergology, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany.
The Journal of dermatological treatment
|February 1, 2024
概括
患有亚托皮肤炎的患者优先考虑治疗安全性和症状控制,偏好受个人因素的影响. 在治疗中共享决策对于有效的亚托皮炎管理至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 药物经济学 药物经济学
- 患者报告的结果
背景情况:
- 生物药物和Janus 激酶 (JAK) 抑制剂已经改变了阿托皮性皮炎 (AD) 治疗.
- 了解患者的偏好是优化AD系统治疗选择的关键.
研究的目的:
- 调查患者对已批准的系统性亚托皮性皮炎治疗方法的特征的偏好.
- 为了确定影响这些偏好的因素在德国患有AD的患者.
主要方法:
- 使用了在线离散选择实验.
- 患者评估了结果属性 (皮肤清除,缓解,副作用) 和过程属性 (给药,实验室测试).
主要成果:
- 副作用 (31.2%),皮肤清除 (24.2%) 和改善 (16.0%) 是最重要的属性.
- 应用方法 (14.4%),缓解的时间 (7.4%) 和实验室测试 (6.8%) 都不那么重要.
- 患者的性别,年龄,并发症,当前治疗和生活质量显著影响了偏好.
结论:
- 安全性和症状控制对于阿托皮性皮肤炎患者来说至关重要.
- 个体患者的特点需要个性化治疗咨询.
- 将患者的偏好纳入共享决策是AD管理的基础.
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