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Patient Prefer Adherence. 2021 Apr 13;15:729-739. doi: 10.2147/PPA.S305849. eCollection 2021.

Proxy-Reported Quality of Life and Access to Nusinersen Among Patients with Spinal Muscular Atrophy in Saudi Arabia.

Patient preference and adherence

Yazed AlRuthia, Ghadah S Almuaythir, Hala H Alrasheed, Wejdan R Alsharif, Mohamad-Hani Temsah, Fahad Alsohime, Ibrahim Sales, Monira Alwhaibi, Fahad A Bashiri

Affiliations

  1. Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
  2. Pharmacoeconomics Research Unit, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
  3. College of Medicine, King Saud University, Riyadh, Saudi Arabia.
  4. Pediatric Intensive Care Unit, Pediatric Department, King Saud University Medical City, Riyadh, Saudi Arabia.
  5. Division of Neurology, Department of Pediatrics, King Saud University Medical City, Riyadh, Saudi Arabia.

PMID: 33880016 PMCID: PMC8053517 DOI: 10.2147/PPA.S305849

Abstract

BACKGROUND: The recent approval of innovative therapies for spinal muscular atrophy (SMA), such as nusinersen, has brought hope to patients and their families.

OBJECTIVE: The aims of this study were to compare the characteristics and HRQoL of SMA patients treated with nusinersen and those treated with the standard of care.

METHODS: This was a cross-sectional, interviewer-administered telephone questionnaire, which used a purposive sampling of SMA patients through a social support network. EuroQol five-dimensions-3-level (EQ-5D-3L) and the visual analog scale (VAS) have been used to assess the HRQoL. Different descriptive and inferential tests have been performed to compare the characteristics, EQ-5D responses, and mean scores of EQ-VAS between patients on nusinersen and the standard of care.

RESULTS: Eleven out of 36 SMA patients (30.55%) have been treated with nusinersen. Patients with type I SMA represented 54% of those treated with nusinersen (

CONCLUSION: The results of this study highlight the uncertainty about the impact of nusinersen on SMA patients' HRQoL. Therefore, the impact of nusinersen on HRQoL should be examined using more robust study designs.

© 2021 AlRuthia et al.

Keywords: Saudi Arabia; health services accessibility; health-related quality of life; nusinersen; spinal muscular atrophy

Conflict of interest statement

The authors report no conflicts of interest in this work.

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