DYNAMICS OF QUALITY OF LIFE INDICATORS AGAINST THE BACKGROUND OF ETANERCEPT THERAPY IN CHILDREN WITH JIA.
Author(s)
Fetisova A1, Alexeeva E2, Dvoryakovskaya T1, Chernikov V1, Vinyarskaya I3, Soloshenko M1, Denisova R1, Isaeva K1, Mamutova A1
11National Medical Research Center for Children’s Health, Moscow, Russian Federation, 22Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation, 3National Medical Research Center for Children’s Health, Moscow, Russian Federation
Objectives: To assess the influence of the genetically engineered biologic drug etanercept on the quality of life of patients with juvenile idiopathic arthritis (JIA). Methods: The research included 85 children with poly-and oligoarticular variant of the JIA at the age of 5 (2; 17) years. The assessment of the quality of life of patients was carried out by means of the parental version of a special questionnaire CHAQ (Childhood Health Assessment Questionnaire), Health Utilities Index Mark 3 (HUI3) questionnaire. The doctor and parents of the patient also assessed the global activity of the illness by the 100-mm visual analog scale (VAS) before the etanercept prescription and in 1, 6 and 12 months. All patients before the etanercept prescription received immunosuppressive agents. Results: Impressive increase in an average point of the quality of life (the response in 1 month after the therapy beginning) was noted by the attributes of a questionnaire of HUI3 «emotions» — from 0.82 (± 0.18) to 0.90 (± 0.13), p =0.001, «cognitive abilities» — from 0.85 (± 0.17) to 0.91 (± 0.18), p =0.006, and «pain» — from 0.78 (± 0.23) to 0.91 (± 0.1), p < 0.001. In 12 months of the treatment the average point of the quality of life raised also by such attributes as «locomotivity» — from 0.85 (± 0.3) to 0.99 (± 0.06), p < 0.0001, and «fine motor skills» — from 0.9 (± 0.19) to 0.98 (± 0.05), p < 0.001. Conclusions: Treatment with the etanercept provided the improvement of the quality of life of children with the JIA and their families, improvement of physical activity and emotional state of patients.
Conference/Value in Health Info
2018-11, ISPOR Europe 2018, Barcelona, Spain
Value in Health, Vol. 21, S3 (October 2018)
Code
PSY175
Topic
Health Service Delivery & Process of Care
Topic Subcategory
Health Care Research
Disease
Systemic Disorders/Conditions