Satisfaction with chronic obstructive pulmonary disease treatment: results from a multicenter, observational study

Alida Benfante; Nicola Scichilone; Lucia Simoni; Paolo Mimotti; Giuseppe Fiorentino; Antonella Marotta; Luigi Di Re; Giovanni Florio; Alida Benfante; Dejan Radovanovic; Roberto Piro; Laura Maugeri; Patrizia Lessi; Giacomo Forini; Laura Maugeri; Marco Contoli; Claudio Micheletto; Francesco Spannella; Erica Gini; Riccardo Sarzani; Rigoletta Vincenti; Alessandra Ori; Francesca Trevisan; Francesco Cavalli; Giovanni Fiori; Christian Amici; Patrizia Ruggiero; Silvia Garuti; Antonio Iannaccone; Fausta Alfano; Barbara Roncari; Francesca Trevisan; Carla Scognamillo; Fabio Ferri; Saide Sala; Giovanni Florio; Roberto Carbone; Rodolfo Riva; Alessandro Izzo; Christian Amici; Christian A. Amici; Laura Maugeri; Biago Polla; Antonio Iannaccone; Stefano Viaggi; Claudio Micheletto; Laura Maugeri; Laura Maugeri; Claudio Micheletto; Rita Raccanelli; Roberto Tazza; Barbara Roncari; Maria Aliani; Paola Rogliani; Carlo Gulotta; Fabiano Di Marco; Angelo G. Corsico; Angelo Guido Corsico; Mauro Carone; Stefano Viaggi; Vincenzo Patella; Roberto Carbone; Fulvio Braido; Nicole Lanci; Pierachille Santus

Satisfaction with chronic obstructive pulmonary disease treatment: results from a multicenter, observational study

Alida Benfante, Nicola Scichilone, Lucia Simoni, Paolo Mimotti, Giuseppe Fiorentino, Antonella Marotta, Luigi Di Re, Giovanni Florio, Alida Benfante, Dejan Radovanovic, Roberto Piro, Laura Maugeri, Patrizia Lessi, Giacomo Forini, Laura Maugeri, Marco Contoli, Claudio Micheletto, Francesco Spannella, Erica Gini, Riccardo SarzaniRigoletta Vincenti, Alessandra Ori, Francesca Trevisan, Francesco Cavalli, Giovanni Fiori, Christian Amici, Patrizia Ruggiero, Silvia Garuti, Antonio Iannaccone, Fausta Alfano, Barbara Roncari, Francesca Trevisan, Carla Scognamillo, Fabio Ferri, Saide Sala, Giovanni Florio, Roberto Carbone, Rodolfo Riva, Alessandro Izzo, Christian Amici, Christian A. Amici, Laura Maugeri, Biago Polla, Antonio Iannaccone, Stefano Viaggi, Claudio Micheletto, Laura Maugeri, Laura Maugeri, Claudio Micheletto, Rita Raccanelli, Roberto Tazza, Barbara Roncari, Maria Aliani, Paola Rogliani, Carlo Gulotta, Fabiano Di Marco, Angelo G. Corsico, Angelo Guido Corsico, Mauro Carone, Stefano Viaggi, Vincenzo Patella, Roberto Carbone, Fulvio Braido, Nicole Lanci, Pierachille Santus

Promozione della Salute, Materno-Infantile, di Medicina Interna e Specialistica di Eccellenza “G. D’Alessandro”

Risultato della ricerca: Article › peer review

9 Citazioni (Scopus)

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 < 0.0001), and grade of dyspnea (β = −4.2564, p = 0.009). Satisfaction with treatment was lower in patients with poor compared with optimal adherence to treatment (β = −4.5608, p = 0.002). Changes in inhalation regimens during follow up did not modify the satisfaction with treatment. 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.

Lingua originale	English
pagine (da-a)	1753466619888128-
Numero di pagine	0
Rivista	Therapeutic Advances in Respiratory Disease
Volume	13
Stato di pubblicazione	Published - 2019

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Benfante, A., Scichilone, N., Simoni, L., Mimotti, P., Fiorentino, G., Marotta, A., Di Re, L., Florio, G., Benfante, A., Radovanovic, D., Piro, R., Maugeri, L., Lessi, P., Forini, G., Maugeri, L., Contoli, M., Micheletto, C., Spannella, F., Gini, E., ... Santus, P. (2019). Satisfaction with chronic obstructive pulmonary disease treatment: results from a multicenter, observational study. Therapeutic Advances in Respiratory Disease, 13, 1753466619888128-.

Benfante, A , Scichilone, N, Simoni, L, Mimotti, P, Fiorentino, G, Marotta, A, Di Re, L, Florio, G, Benfante, A, Radovanovic, D, Piro, R, Maugeri, L, Lessi, P, Forini, G, Maugeri, L, Contoli, M, Micheletto, C, Spannella, F, Gini, E, Sarzani, R, Vincenti, R, Ori, A, Trevisan, F, Cavalli, F, Fiori, G, Amici, C, Ruggiero, P, Garuti, S, Iannaccone, A, Alfano, F, Roncari, B, Trevisan, F, Scognamillo, C, Ferri, F, Sala, S, Florio, G, Carbone, R, Riva, R, Izzo, A, Amici, C, Amici, CA, Maugeri, L, Polla, B, Iannaccone, A, Viaggi, S, Micheletto, C, Maugeri, L, Maugeri, L, Micheletto, C, Raccanelli, R, Tazza, R, Roncari, B, Aliani, M, Rogliani, P, Gulotta, C, Di Marco, F, Corsico, AG, Corsico, AG, Carone, M, Viaggi, S, Patella, V, Carbone, R, Braido, F, Lanci, N & Santus, P 2019, 'Satisfaction with chronic obstructive pulmonary disease treatment: results from a multicenter, observational study', Therapeutic Advances in Respiratory Disease, vol. 13, pagg. 1753466619888128-.

@article{1468748aa936463ca99c2de8c3bf3066,

title = "Satisfaction with chronic obstructive pulmonary disease treatment: results from a multicenter, observational study",

abstract = "Background: Understanding the level of patients{\textquoteright} 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{\textquoteright} 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 < 0.0001), and grade of dyspnea (β = −4.2564, p = 0.009). Satisfaction with treatment was lower in patients with poor compared with optimal adherence to treatment (β = −4.5608, p = 0.002). Changes in inhalation regimens during follow up did not modify the satisfaction with treatment. Conclusions: The results of this real-life study showed that the patients{\textquoteright} satisfaction with treatments is only moderate in COPD. A high grade of patients{\textquoteright} 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.",

author = "Alida Benfante and Nicola Scichilone and Lucia Simoni and Paolo Mimotti and Giuseppe Fiorentino and Antonella Marotta and {Di Re}, Luigi and Giovanni Florio and Alida Benfante and Dejan Radovanovic and Roberto Piro and Laura Maugeri and Patrizia Lessi and Giacomo Forini and Laura Maugeri and Marco Contoli and Claudio Micheletto and Francesco Spannella and Erica Gini and Riccardo Sarzani and Rigoletta Vincenti and Alessandra Ori and Francesca Trevisan and Francesco Cavalli and Giovanni Fiori and Christian Amici and Patrizia Ruggiero and Silvia Garuti and Antonio Iannaccone and Fausta Alfano and Barbara Roncari and Francesca Trevisan and Carla Scognamillo and Fabio Ferri and Saide Sala and Giovanni Florio and Roberto Carbone and Rodolfo Riva and Alessandro Izzo and Christian Amici and Amici, {Christian A.} and Laura Maugeri and Biago Polla and Antonio Iannaccone and Stefano Viaggi and Claudio Micheletto and Laura Maugeri and Laura Maugeri and Claudio Micheletto and Rita Raccanelli and Roberto Tazza and Barbara Roncari and Maria Aliani and Paola Rogliani and Carlo Gulotta and {Di Marco}, Fabiano and Corsico, {Angelo G.} and Corsico, {Angelo Guido} and Mauro Carone and Stefano Viaggi and Vincenzo Patella and Roberto Carbone and Fulvio Braido and Nicole Lanci and Pierachille Santus",

year = "2019",

language = "English",

volume = "13",

pages = "1753466619888128--",

journal = "Therapeutic Advances in Respiratory Disease",

issn = "1753-4658",

publisher = "SAGE Publications Ltd",

}

TY - JOUR

T1 - Satisfaction with chronic obstructive pulmonary disease treatment: results from a multicenter, observational study

AU - Benfante, Alida

AU - Scichilone, Nicola

AU - Simoni, Lucia

AU - Mimotti, Paolo

AU - Fiorentino, Giuseppe

AU - Marotta, Antonella

AU - Di Re, Luigi

AU - Florio, Giovanni

AU - Benfante, Alida

AU - Radovanovic, Dejan

AU - Piro, Roberto

AU - Maugeri, Laura

AU - Lessi, Patrizia

AU - Forini, Giacomo

AU - Maugeri, Laura

AU - Contoli, Marco

AU - Micheletto, Claudio

AU - Spannella, Francesco

AU - Gini, Erica

AU - Sarzani, Riccardo

AU - Vincenti, Rigoletta

AU - Ori, Alessandra

AU - Trevisan, Francesca

AU - Cavalli, Francesco

AU - Fiori, Giovanni

AU - Amici, Christian

AU - Ruggiero, Patrizia

AU - Garuti, Silvia

AU - Iannaccone, Antonio

AU - Alfano, Fausta

AU - Roncari, Barbara

AU - Trevisan, Francesca

AU - Scognamillo, Carla

AU - Ferri, Fabio

AU - Sala, Saide

AU - Florio, Giovanni

AU - Carbone, Roberto

AU - Riva, Rodolfo

AU - Izzo, Alessandro

AU - Amici, Christian

AU - Amici, Christian A.

AU - Maugeri, Laura

AU - Polla, Biago

AU - Iannaccone, Antonio

AU - Viaggi, Stefano

AU - Micheletto, Claudio

AU - Maugeri, Laura

AU - Micheletto, Claudio

AU - Raccanelli, Rita

AU - Tazza, Roberto

AU - Roncari, Barbara

AU - Aliani, Maria

AU - Rogliani, Paola

AU - Gulotta, Carlo

AU - Di Marco, Fabiano

AU - Corsico, Angelo G.

AU - Corsico, Angelo Guido

AU - Carone, Mauro

AU - Viaggi, Stefano

AU - Patella, Vincenzo

AU - Carbone, Roberto

AU - Braido, Fulvio

AU - Lanci, Nicole

AU - Santus, Pierachille

PY - 2019

Y1 - 2019

N2 - 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 < 0.0001), and grade of dyspnea (β = −4.2564, p = 0.009). Satisfaction with treatment was lower in patients with poor compared with optimal adherence to treatment (β = −4.5608, p = 0.002). Changes in inhalation regimens during follow up did not modify the satisfaction with treatment. 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.

AB - 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 < 0.0001), and grade of dyspnea (β = −4.2564, p = 0.009). Satisfaction with treatment was lower in patients with poor compared with optimal adherence to treatment (β = −4.5608, p = 0.002). Changes in inhalation regimens during follow up did not modify the satisfaction with treatment. 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.

UR - http://hdl.handle.net/10447/412127

M3 - Article

SN - 1753-4658

VL - 13

SP - 1753466619888128-

JO - Therapeutic Advances in Respiratory Disease

JF - Therapeutic Advances in Respiratory Disease

ER -

Satisfaction with chronic obstructive pulmonary disease treatment: results from a multicenter, observational study

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