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Attitudes and preferences in patients with acromegaly on long-term treatment with somatostatin analogues

Follin, Cecilia LU and Karlsson, Sven (2016) In Endocrine Connections 5(4). p.167-173
Abstract

Introduction: Patients with acromegaly can be treated with surgery, medical therapy and/or radiation therapy. For the patients not being cured with surgery, treatment with somatostatin analogues (SSAs) is the primary therapy. SSA can be taken by self- or partner-administered injections in addition to being given by a nurse at a clinic. The aim was to assess if patients with acromegaly prefer self-injections and to investigate their attitudes towards long-term medical therapy. Method: All patients in the southern medical region of Sweden with a diagnosis of acromegaly and treated with SSA were eligible for the study (n = 24). The study is based on a questionnaire asking about the patients’ attitudes and preferences for injections with... (More)

Introduction: Patients with acromegaly can be treated with surgery, medical therapy and/or radiation therapy. For the patients not being cured with surgery, treatment with somatostatin analogues (SSAs) is the primary therapy. SSA can be taken by self- or partner-administered injections in addition to being given by a nurse at a clinic. The aim was to assess if patients with acromegaly prefer self-injections and to investigate their attitudes towards long-term medical therapy. Method: All patients in the southern medical region of Sweden with a diagnosis of acromegaly and treated with SSA were eligible for the study (n = 24). The study is based on a questionnaire asking about the patients’ attitudes and preferences for injections with SSA, including their attitudes towards self-injection with SSA. Results: The patients’ (23 included) median age was 68.5 years and the patients had been treated with SSA for 13 (1–38) years. One patient was currently self-injecting. All of the other patients were receiving injections from a nurse at a clinic. Three patients preferred self-injections, one preferred partner injections and 19. patients did not prefer self- or partner injections. The most frequent arguments to not preferring self-injections were ‘feeling more secure with an educated nurse’ and ‘preferring regular contact with a specialised nurse’. Conclusion: Patients with acromegaly prefer regular contact with the endocrine team to the independence offered by self-injections. These findings might mirror the patients’ desires for continuity and safety. We need to address patients’ concerns regarding injections with SSA and support them in their choices.

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author
and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acromegaly, Attitudes, Long-term treatment, Somatostatin analogues
in
Endocrine Connections
volume
5
issue
4
pages
7 pages
publisher
BioScientifica
external identifiers
  • scopus:85043622760
ISSN
2049-3614
DOI
10.1530/EC-16-0038
language
English
LU publication?
no
id
38507126-50cf-4e8d-894d-8ca2767ddf35
date added to LUP
2018-03-26 13:43:26
date last changed
2022-03-25 00:55:15
@article{38507126-50cf-4e8d-894d-8ca2767ddf35,
  abstract     = {{<p>Introduction: Patients with acromegaly can be treated with surgery, medical therapy and/or radiation therapy. For the patients not being cured with surgery, treatment with somatostatin analogues (SSAs) is the primary therapy. SSA can be taken by self- or partner-administered injections in addition to being given by a nurse at a clinic. The aim was to assess if patients with acromegaly prefer self-injections and to investigate their attitudes towards long-term medical therapy. Method: All patients in the southern medical region of Sweden with a diagnosis of acromegaly and treated with SSA were eligible for the study (n = 24). The study is based on a questionnaire asking about the patients’ attitudes and preferences for injections with SSA, including their attitudes towards self-injection with SSA. Results: The patients’ (23 included) median age was 68.5 years and the patients had been treated with SSA for 13 (1–38) years. One patient was currently self-injecting. All of the other patients were receiving injections from a nurse at a clinic. Three patients preferred self-injections, one preferred partner injections and 19. patients did not prefer self- or partner injections. The most frequent arguments to not preferring self-injections were ‘feeling more secure with an educated nurse’ and ‘preferring regular contact with a specialised nurse’. Conclusion: Patients with acromegaly prefer regular contact with the endocrine team to the independence offered by self-injections. These findings might mirror the patients’ desires for continuity and safety. We need to address patients’ concerns regarding injections with SSA and support them in their choices.</p>}},
  author       = {{Follin, Cecilia and Karlsson, Sven}},
  issn         = {{2049-3614}},
  keywords     = {{Acromegaly; Attitudes; Long-term treatment; Somatostatin analogues}},
  language     = {{eng}},
  month        = {{07}},
  number       = {{4}},
  pages        = {{167--173}},
  publisher    = {{BioScientifica}},
  series       = {{Endocrine Connections}},
  title        = {{Attitudes and preferences in patients with acromegaly on long-term treatment with somatostatin analogues}},
  url          = {{http://dx.doi.org/10.1530/EC-16-0038}},
  doi          = {{10.1530/EC-16-0038}},
  volume       = {{5}},
  year         = {{2016}},
}