Patient satisfaction and acceptability of an on-demand and on-prophylaxis device for factor VIII delivery in patients with hemophilia A.

adherence device factor VIII delivery hemophilia A patient satisfaction

Journal

Patient preference and adherence
ISSN: 1177-889X
Titre abrégé: Patient Prefer Adherence
Pays: New Zealand
ID NLM: 101475748

Informations de publication

Date de publication:
2019
Historique:
entrez: 19 2 2019
pubmed: 19 2 2019
medline: 19 2 2019
Statut: epublish

Résumé

FuseNGO is a relatively new device consisting of a prefilled dual-chamber syringe (DCS) that was recently introduced for the reconstitution of recombinant factor VIII. Herein, the DCS device was assessed using five questionnaires with the primary aim of evaluating patient perceptions and preferences. An observational, non-interventional, longitudinal study on 86 patients with a confirmed diagnosis of hemophilia A was carried out at 21 sites in Italy. Each patient underwent a baseline visit and final study visit within 3-6 months. Patients were administered five questionnaires: HemoPREF; Treatment Satisfaction Questionnaire for Medication (TSQM); VeritasPRO; Hemophilia Well-being Index (HWBI); Work Productivity and Activity Impairment Questionnaire (WPAI) + Classroom Impairment Questions (CIQ): Hemophilia Specific (HS). Compared to baseline, scores for HemoPREF were higher at follow-up; significant increases in the percentage of positive responses were seen for all questions regarding the ease of use ( Considering patient-reported outcomes, the DCS device was associated with easier preparation, storage, disposal of equipment, and overall use. Of particular note, preparation times were reduced by around 50%. The majority of patients were satisfied with the device and overall adherence scores were high. Considering these results, the device has the potential to increase adherence to therapy and, possibly, reduce healthcare costs.

Sections du résumé

BACKGROUND BACKGROUND
FuseNGO is a relatively new device consisting of a prefilled dual-chamber syringe (DCS) that was recently introduced for the reconstitution of recombinant factor VIII. Herein, the DCS device was assessed using five questionnaires with the primary aim of evaluating patient perceptions and preferences.
METHODS METHODS
An observational, non-interventional, longitudinal study on 86 patients with a confirmed diagnosis of hemophilia A was carried out at 21 sites in Italy. Each patient underwent a baseline visit and final study visit within 3-6 months. Patients were administered five questionnaires: HemoPREF; Treatment Satisfaction Questionnaire for Medication (TSQM); VeritasPRO; Hemophilia Well-being Index (HWBI); Work Productivity and Activity Impairment Questionnaire (WPAI) + Classroom Impairment Questions (CIQ): Hemophilia Specific (HS).
RESULTS RESULTS
Compared to baseline, scores for HemoPREF were higher at follow-up; significant increases in the percentage of positive responses were seen for all questions regarding the ease of use (
CONCLUSION CONCLUSIONS
Considering patient-reported outcomes, the DCS device was associated with easier preparation, storage, disposal of equipment, and overall use. Of particular note, preparation times were reduced by around 50%. The majority of patients were satisfied with the device and overall adherence scores were high. Considering these results, the device has the potential to increase adherence to therapy and, possibly, reduce healthcare costs.

Identifiants

pubmed: 30774319
doi: 10.2147/PPA.S175254
pii: ppa-13-233
pmc: PMC6362933
doi:

Types de publication

Journal Article

Langues

eng

Pagination

233-240

Déclaration de conflit d'intérêts

Disclosure Eleonora Russo and Cristiano Gallucci are employees of Pfizer srl, Italy. The authors report no other conflicts of interest in this work.

Références

Haemophilia. 2001 Jul;7(4):392-6
pubmed: 11442644
Health Qual Life Outcomes. 2004 Feb 26;2:12
pubmed: 14987333
Haemophilia. 2010 Mar;16(2):247-55
pubmed: 19925631
Haemophilia. 2011 Sep;17(5):e901-5
pubmed: 21649798
Haemophilia. 2012 May;18(3):e286-9
pubmed: 21910789
J Thromb Haemost. 2012 Mar;10(3):359-67
pubmed: 22212248
Haemophilia. 2012 Jul;18(4):568-74
pubmed: 22335526
Int J Behav Med. 2013 Dec;20(4):609-17
pubmed: 22948483
J Blood Med. 2013 May 16;4:49-56
pubmed: 23700376
Haemophilia. 2014 Jul;20(4):527-34
pubmed: 24471912
Orphanet J Rare Dis. 2014 Mar 21;9:39
pubmed: 24655371
Blood Transfus. 2014 Apr;12 Suppl 3:s567-75
pubmed: 24922297
Patient Prefer Adherence. 2014 Dec 12;8:1713-20
pubmed: 25525348
J Med Econ. 2015 Jun;18(6):457-65
pubmed: 25660324
Haemophilia. 2015 Sep;21(5):612-21
pubmed: 25858411
J Thromb Haemost. 2015 Jun;13 Suppl 1:S176-9
pubmed: 26149020
Br J Haematol. 2016 Aug;174(3):454-60
pubmed: 27098446
Haemophilia. 2016 Jul;22(4):e245-50
pubmed: 27216992
Farm Hosp. 2016 Nov 01;40(n06):579-603
pubmed: 27894230
Haemophilia. 2017 Jul;23(4):e267-e275
pubmed: 28574162
Haemophilia. 2017 Nov;23(6):884-893
pubmed: 28925586

Auteurs

Giovanni Di Minno (G)

Department of Clinical Medicine and Surgery, Azienda Universitaria Policlinico Federico II, Naples, Italy, diminno@unina.it.

Elena Santagostino (E)

Hemophilia and Thrombosis Center, IRCCS Fondazione Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.

Massimo Morfini (M)

Scientific Committee, Italian Association of Haemophilia Centres (AICE), Florence, Italy.

Cosimo Ettorre (C)

Haemophilia and Thrombosis Center, Policlinico Giovanni XXIII, Bari, Italy.

Dorina Cultrera (D)

Hematology Unit, Regional Center for Hemophilia, Italy Ospedaliera-Universitaria "Policlinico - Vittorio Emanuele", Catania, Italy.

Erminia Baldacci (E)

Hemophilia, Thrombosis, and Hematology Center, Dipartimento Biotecnologie cellulari ed Ematologia, Università la Sapienza, Rome, Italy.

Eleonora Russo (E)

Medical Department, Pfizer srl Rome, Italy.

Cristiano Gallucci (C)

Medical Department, Pfizer srl Rome, Italy.

Classifications MeSH