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Treatment burden on patients receiving intravitreal anti-VEGF for wet age-related macular degeneration
Reg Jonkoping Cty, Sweden.
Linköping University, Department of Biomedical and Clinical Sciences, Division of Sensory Organs and Communication. Linköping University, Faculty of Medicine and Health Sciences.
2023 (English)In: Acta Ophthalmologica, ISSN 1755-375X, E-ISSN 1755-3768Article in journal (Refereed) Epub ahead of print
Abstract [en]

PurposeThe aim of this study was to map the treatment burden for patients with wet age-related macular degeneration (wAMD).MethodPatients with ongoing treatment with anti-VEGF for wAMD at a Swedish eye unit underwent a survey about the time spent receiving treatment, caregiver assistance, way of transportation, self-rated vision and negative experiences associated with the treatment such as discomfort, anxiety or transportation problems. Information about current visual acuity, number of treatments and current treatment intervals were obtained from medical records.ResultsThe study included 93 patients with an average age of 79.9 years, 68% were women. The average interval between treatments was 7.3 weeks, and 26% had active treatment in both eyes. On average, patients had to spend 2.7 h (2.4-2.9: 95% CI) per treatment and a caregiver assisted the patient in 58% of cases. Caregivers spent on average 2.6 h (2.5-2.8: 95% CI) per visit, and 19% needed to take time off work. The majority (91%) of patients did not experience any transportation problems associated with treatment. A multivariate logistic regression analysis showed a significantly lower odds ratio for discomfort with higher self-rated vision and a significantly higher odds ratio for discomfort with longer treatment intervals.DiscussionAnti-VEGF treatment is an effective treatment for wAMD. However, the relatively short treatment intervals place a considerable burden on patients and their relatives regarding time. Although the patients in this study had to spend a lot of time to receive treatment, the majority did not experience any problems associated with treatment.

Place, publisher, year, edition, pages
WILEY , 2023.
Keywords [en]
anti-VEGF; burden; patient perspective; treatment; wAMD
National Category
General Practice
Identifiers
URN: urn:nbn:se:liu:diva-198826DOI: 10.1111/aos.15783ISI: 001080127200001PubMedID: 37800611OAI: oai:DiVA.org:liu-198826DiVA, id: diva2:1808608
Note

Funding Agencies|Futurum-Akademin for vard och halsa Region Jonkopings lan and Edwin Jordans stiftelse for oftalmologisk forskning [2021-00024]

Available from: 2023-10-31 Created: 2023-10-31 Last updated: 2023-10-31

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