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Practice patterns for chronic hypoparathyroidism: data from patients and physicians in France
- Source :
- Endocrine Connections, Endocrine Connections, 2021, ⟨10.1530/EC-21-0350⟩, Endocrine Connections, BioScientifica Ltd., 2021, ⟨10.1530/EC-21-0350⟩, Endocrine Connections, BioScientifica Ltd., 2021, 111 (1), pp.252-262. ⟨10.1530/EC-21-0350⟩, Endocrine Connections, Vol 11, Iss 1, Pp 1-11 (2022)
- Publication Year :
- 2021
- Publisher :
- HAL CCSD, 2021.
-
Abstract
- Context Recent guidelines have provided recommendations for the care of patients with chronic hypoparathyroidism. Very little is known about actual physicians’ practices or their adherence to such guidelines. Objective To describe the physicians’ practice patterns and their compliance with international guidelines. Design The cohort studies included were Épi-Hypo (118 physicians and 107 patients, from September 2016 to December 2019) and ePatients (110 patients, November 2019). Methods Internet-based cohorts involving all settings at a nationwide level (France). Participants were (i) physicians treating patients with chronic hypoparathyroidism and patients with chronic hypoparathyroidism either participating in the (ii) Épi-Hypo study (Épi-Hypo 2019 patients), or (iii) Hypoparathyroidism France, the national representative association (ePatients). Results The physicians’ specialties were mainly endocrinology (61%), nephrology (28%), family medicine (2.5%), pediatrics (2.5%), rheumatology (2%), or miscellaneous (4%) and 45% were practicing in public universities. The median number of pharmaceutical drug classes prescribed was three per patient. The combination of active vitamin D and calcium salt was given to 59 and 58% of ePatients and Épi-Hypo 2019 patients, respectively. Eighty-five percent of ePatients and 87% of physicians reported monitoring plasma calcium concentrations at a steady state at least twice a year. In 32 and 26% of cases, respectively, ePatients and physicians reported being fully in accordance with international guidelines that recommend targeting symptoms, plasma calcium and phosphate values, and urine calcium excretion. Conclusions The care of patients with chronic hypoparathyroidism involves physicians with very different practices, so guidelines should include and target other specialists as well as endocrinologists. Full adherence to the guidelines is low in France.
- Subjects :
- [SDV.MHEP] Life Sciences [q-bio]/Human health and pathology
physicians
Endocrinology, Diabetes and Metabolism
hypoparathyroidism
practice patterns
030209 endocrinology & metabolism
hypocalcemia
RC648-665
Diseases of the endocrine glands. Clinical endocrinology
3. Good health
[SHS]Humanities and Social Sciences
03 medical and health sciences
0302 clinical medicine
Endocrinology
[SHS.ENVIR]Humanities and Social Sciences/Environmental studies
epidemiological studies
Internal Medicine
[SHS.GESTION]Humanities and Social Sciences/Business administration
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Subjects
Details
- Language :
- English
- ISSN :
- 20493614
- Database :
- OpenAIRE
- Journal :
- Endocrine Connections, Endocrine Connections, 2021, ⟨10.1530/EC-21-0350⟩, Endocrine Connections, BioScientifica Ltd., 2021, ⟨10.1530/EC-21-0350⟩, Endocrine Connections, BioScientifica Ltd., 2021, 111 (1), pp.252-262. ⟨10.1530/EC-21-0350⟩, Endocrine Connections, Vol 11, Iss 1, Pp 1-11 (2022)
- Accession number :
- edsair.doi.dedup.....0b038be4c205e6d1c71d392caa08ef5f