Pituitary & hypothalamus

Different patient versus provider perspectives on living with Cushing’s disease

PituitaryPublished Cross-sectional survey study

Authors' conclusion

CD patients experience long term symptoms and impaired QoL which may in part be due to a perception of lack of effective treatment options and little hope for improvement. Communicating experiences and care goals may improve long term outcomes for CD patients.

Study context

Population
Patients with Cushing's disease (CD) and healthcare providers (HCPs) attending the annual Memorial Sloan Kettering Pituitary Center pituitary symposium; median age 51 years in both groups; 78.3% of patients vs 53.0% of HCPs femalefrom 655 participants
Participants
46 vs 116
Exposure
Patients with CD vs HCPs
  • Patientsn = 46
  • HCPsn = 116reference
Outcome
Reported having no choices in treatment
Methodological detailsanonymous pre-program surveys, 2020 and 2022 symposia
  • Anonymous pre-program surveys
  • 2020 and 2022 symposia

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

Feeling alone living with CD (HCPs: perception of patients)

P = 0.08

Most common personal care goal concern

Patients: 'quality of life (QoL)/mental health'; HCPs: 'medical therapies/tumor control'

Most common CD unmet need

Patients: 'education/awareness'; HCPs: 'medical therapies/tumor control'

Original publication

Different patient versus provider perspectives on living with Cushing’s disease. Pituitary. Published 5 February 2024. doi:10.1007/s11102-024-01381-4

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