1. Satisfaction with chronic obstructive pulmonary disease treatment: results from a multicenter, observational study
- Author
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Marco Contoli, Paola Rogliani, Fabiano Di Marco, Fulvio Braido, Angelo G. Corsico, Christian A. Amici, Roberto Piro, Riccardo Sarzani, Patrizia Lessi, Carla Scognamillo, Nicola Scichilone, Pierachille Santus, Angelo Guido Corsico, Rita Raccanelli, Dejan Radovanovic, Erica Gini, Vincenzo Patella, Giovanni Florio, Silvia Garuti, Giacomo Forini, Alida Benfante, Giuseppe Fiorentino, Antonella Marotta, Fausta Alfano, Francesco Cavalli, Patrizia Ruggiero, Mauro Carone, Maria Aliani, Antonio Iannaccone, Alessandro Izzo, Biago Polla, Francesco Spannella, Claudio Micheletto, Rigoletta Vincenti, Laura Maugeri, Carlo Gulotta, Roberto Tazza, Luigi Di Re, Paolo Mimotti, Roberto Carbone, Rodolfo Riva, Giovanni Fiori, Stefano Viaggi, Alessandra Ori, Lucia Simoni, Christian Amici, Fabio Ferri, Barbara Roncari, Saide Sala, Francesca Trevisan, Nicole Lanci, Contoli M., Rogliani P., Di Marco F., Braido F., Corsico A.G., Amici C.A., Piro R., Sarzani R., Lessi P., Scognamillo C., Scichilone N., Santus P., Raccanelli R., Radovanovic D., Gini E., Patella V., Florio G., Garuti S., Forini G., Benfante A., Fiorentino G., Marotta A., Alfano F., Cavalli F., Ruggiero P., Carone M., Aliani M., Iannaccone A., Izzo A., Polla B., Spannella F., Micheletto C., Vincenti R., Maugeri L., Gulotta C., Tazza R., Di Re L., Mimotti P., Carbone R., Riva R., Fiori G., Viaggi S., Ori A., Simoni L., Amici C., Ferri F., Roncari B., Sala S., Trevisan F., and Lanci N.
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Pulmonary and Respiratory Medicine ,Male ,Chronic Obstructive ,medicine.medical_specialty ,COPD ,adherence ,treatment satisfaction ,Pulmonary disease ,Socio-culturale ,Treatment results ,Settore MED/10 - Malattie Dell'Apparato Respiratorio ,Outcome (game theory) ,Medication Adherence ,Pulmonary Disease ,03 medical and health sciences ,Pulmonary Disease, Chronic Obstructive ,0302 clinical medicine ,Surveys and Questionnaires ,Administration, Inhalation ,Settore MED/10 ,Medicine ,Humans ,Pharmacology (medical) ,030212 general & internal medicine ,Intensive care medicine ,Original Research ,Aged ,lcsh:RC705-779 ,adherence, COPD, treatment satisfaction ,business.industry ,lcsh:Diseases of the respiratory system ,Middle Aged ,Dyspnea ,Inhalation ,030228 respiratory system ,Italy ,Patient Satisfaction ,Administration ,Observational study ,Female ,business ,Follow-Up Studies - Abstract
Background: Understanding the level of patients’ satisfaction with treatment and its determinants have the potential to impact therapeutic management and clinical outcome in chronic conditions such as chronic obstructive pulmonary disease (COPD). Methods: A national, multicenter, longitudinal, observational study of COPD from 20 Italian pulmonary centers to explore patients’ satisfaction to treatment [assessed by the Treatment Satisfaction Questionnaire, 9 items (TSQM-9)] and association with clinical parameters [including dyspnea score, COPD Assessment Test (CAT) score, exacerbation rate], adherence to treatment [Morisky Medication-Taking Adherence Scale (MMAS-4)], illness perception [evaluated by Brief Illness Perception Questionnaire (B-IPQ)] in a 1-year follow up. Results: A total of 401 COPD patients were enrolled [69.4% group B Global Initiative for COPD (GOLD), considering 366 patients with available GOLD 2017 classification at enrollment]. At enrollment, satisfaction with treatment was moderate, being TSQM-9 mean scores for effectiveness 64.2 [95% confidence interval (CI) 62.5–65.9], for convenience 75.8 (95% CI 74.2–77.3), and for global satisfaction 65.7 (95% CI 64.0–67.4). Global satisfaction was negatively associated with disease perception (β = −0.4709, p Conclusions: The results of this real-life study showed that the patients’ satisfaction with treatments is only moderate in COPD. A high grade of patients’ satisfaction is associated mainly with a low perception of the disease, high adherence to treatment and lower level of dyspnea. Trial Registration: Clinicaltrials.gov identifier: NCT02689492 The reviews of this paper are available via the supplemental material section.
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- 2019