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Use of a mobile application for self-management of pancreatic enzyme replacement therapy is associated with improved gastro-intestinal related quality of life in children with Cystic Fibrosis
Data de publicació:
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Autors de IIS La Fe
Autors aliens a IIS La Fe
- Boon, M
- Claes, I
- Havermans, T
- Asseiceira, I
- Bulfamante, A
- Garriga, M
- Masip, E
- van Schijndel, BAM
- Barreto, C
- Colombo, C
- Vicente, S
- Janssens, H
- Hulst, J
- Witters, P
- Nobili, R
- Pereira, L
- Ruperto, M
- Van der Wiel, E
- Mainz, JG
- De Boeck, K
Grups d'Investigació
Abstract
Background: Most patients with cystic fibrosis (CF) suffer from pancreatic insufficiency (PI), leading to fat malabsorption, malnutrition, abdominal discomfort and impaired growth. Pancreatic enzyme replacement therapy (PERT) is effective, but evidence based guidelines for dose adjustment are lacking. A mobile app for self-management of PERT was developed in the context of the HORIZON 2020 project MyCyFAPP. It contains an algorithm to calculate individual PERT-doses for optimal fat digestion, based on in vitro and in vivo studies carried out in the same project. In addition, the app includes a symptoms diary, educational material, and it is linked to a web tool allowing health care professionals to evaluate patient's data and provide feedback. Methods: A 6-month open label prospective multicenter interventional clinical trial was performed to assess effects of using the app on gastro-intestinal related quality of life (GI QOL), measured by the CF-PedsQL-GI (shortened, CF specific version of the Pediatric Quality of Life Inventory, Gastrointestinal Symptoms Module). Results: One hundred and seventy-one patients with CF and PI between 2 and 18 years were recruited at 6 European CF centers. Self-reported CF-PedsQL-GI improved significantly from month 0 (M0) (84.3, 76.4-90.3) to month 6 (M6) (89.4, 80.35-93.5) (p<0.0001). Similar improvements were reported by parents. Lower baseline CF-PedsQL-GI was associated with a greater improvement at M6 (p < 0.001). Conclusions: The results suggest that the MyCyFAPP may improve GI QOL for children with CF. This tool may help patients to improve self-management of PERT, especially those with considerable GI symptoms. (C) 2020 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.
Dades de la publicació
- ISSN/ISSNe:
- 1569-1993, 1873-5010
- Tipus:
- Article
- Pàgines:
- 562-568
- PubMed:
- 32335023
- Factor d'Impacte:
- 2,049 SCImago ℠
- Quartil:
- Q1 SCImago ℠
JOURNAL OF CYSTIC FIBROSIS ELSEVIER SCIENCE BV
Cites Rebudes en Web of Science: 17
Documents
- No hi ha documents
Filiacions
Keywords
- Cystic fibrosis; Pancreatic insufficiency; PERT; Quality of life; PedsQL GI; CFAbd-Score; MyCyFAPP; Mobile application
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