Evaluation of the Effectiveness of Teduglutide Treatment in Patients with Short Bowel Syndrome in Slovakia-Multicenter Real-World Study

被引:1
|
作者
Gombosova, Laura [1 ,2 ]
Suchansky, Martin [3 ]
Krivus, Juraj [4 ,5 ]
Hornova, Jarmila [6 ,7 ]
Havlicekova, Zuzana [8 ,9 ]
Fojtova, Andrea [10 ,11 ]
Norek, Barbora [10 ,11 ]
Valachova, Iveta [12 ,13 ]
Sprlakova, Jana [14 ]
Gazda, Jakub [1 ,2 ]
Ondrusova, Martina [3 ,15 ]
机构
[1] Univ Pavol Jozef Safarik Kosice, Univ Hosp L Pasteur, Internal Clin 2, Tr SNP 1, Kosice 04011, Slovakia
[2] Univ Pavol Jozef Safarik Kosice, Fac Med, Tr SNP 1, Kosice 04011, Slovakia
[3] PharmIn Ltd, Karadzicova 16, Bratislava 82108, Slovakia
[4] Univ Hosp, Comenius Univ, Internal Clin 1, Kollarova 2, Martin 03659, Slovakia
[5] Comenius Univ, Jessenius Fac Med, Kollarova 2, Martin 03659, Slovakia
[6] Comenius Univ, Dept Pediat, Fac Med, Limbova 1, Bratislava 83340, Slovakia
[7] Natl Inst Childrens Dis, Limbova 1, Bratislava 83340, Slovakia
[8] Comenius Univ, Univ Hosp, Jessenius Fac Med Martin, Kollarova 2, Martin 03601, Slovakia
[9] Comenius Univ, Jessenius Fac Med, Kollarova 2, Martin 03601, Slovakia
[10] Slovak Med Univ, Gastroenterol Clin, Antolska 11, Bratislava 85107, Slovakia
[11] Bratislava Univ Hosp, Antolska 11, Bratislava 85107, Slovakia
[12] Slovak Med Univ, Children Clin 2, Nam L Svobodu 4, Banska Bystrica 97409, Slovakia
[13] Childrens Fac Hosp, Nam L Svobodu 4, Banska Bystrica 97409, Slovakia
[14] Childrens Fac Hosp, Gastroenterol & Hepatol Dept, Tr SNP 1, Kosice 04011, Slovakia
[15] Slovak Med Univ, Fac Publ Hlth, Bratislava 83303, Slovakia
关键词
short bowel syndrome; teduglutide; HPN; weaning off; adults; children; PARENTERAL-NUTRITION; INTESTINAL FAILURE; ADULT PATIENTS; COMPLICATIONS; DEFINITIONS; EXPERIENCE; MANAGEMENT; DEPENDENCE; SURVIVAL; EFFICACY;
D O I
10.3390/jcm13051238
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
(1) Background: We present the first real-world-data study on teduglutide-treated SBS patients in the Slovak Republic and the first study to enable the comparison of the effects of teduglutide treatment between the adult and pediatric populations. (2) Methods: This was a non-interventional retrospective cohort study of adult and pediatric SBS patients treated with teduglutide. Primary and secondary endpoints were the results of teduglutide use at 12 weeks and 6 months after the initiation of treatment, compared to baseline. (3) Results: Teduglutide treatment led to a statistically significant reduction in the volume of intravenous hydration, HPN caloric intake, HPN and intravenous hydration applications per week and to increased urine output in adult patients. The results in the pediatric population were similar, but not statistically significant. A complete weaning off HPN was achieved in 57.14% of all patients (50.00% of children; 62.50% of adults) after a median of 0.99 years of teduglutide treatment (1.07 and 0.98 years for children and adults, respectively). (4) Conclusions: Teduglutide treatment in SBS patients leads to considerable reduction in or even weaning off PN in both pediatric and adult patients.
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页数:15
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