Clinical Practice Evidence of Treatment Satisfaction with Moderate and High-Efficacy Drugs in Multiple Sclerosis

Francisco Javier Barrero Hernández,1– 3 Ángel José Morales Lahoz,1 Cristina Serrano Gutiérrez,1 Elena López Fandila,1 Carolina Asenjo Martín,1 Maria Dolores González Ramírez,2 Raquel Piñar-Morales1– 3 1Department of Neurology, Hospital Clinico Universitario San Cecilio, Granada, Spain; 2Department o...

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Main Authors: Barrero Hernández FJ, Morales Lahoz ÁJ, Serrano Gutiérrez C, López Fandila E, Asenjo Martín C, González Ramírez MD, Piñar-Morales R
Format: Article
Language:English
Published: Dove Medical Press 2025-03-01
Series:Patient Preference and Adherence
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Online Access:https://www.dovepress.com/clinical-practice-evidence-of-treatment-satisfaction-with-moderate-and-peer-reviewed-fulltext-article-PPA
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author Barrero Hernández FJ
Morales Lahoz ÁJ
Serrano Gutiérrez C
López Fandila E
Asenjo Martín C
González Ramírez MD
Piñar-Morales R
author_facet Barrero Hernández FJ
Morales Lahoz ÁJ
Serrano Gutiérrez C
López Fandila E
Asenjo Martín C
González Ramírez MD
Piñar-Morales R
author_sort Barrero Hernández FJ
collection DOAJ
description Francisco Javier Barrero Hernández,1– 3 Ángel José Morales Lahoz,1 Cristina Serrano Gutiérrez,1 Elena López Fandila,1 Carolina Asenjo Martín,1 Maria Dolores González Ramírez,2 Raquel Piñar-Morales1– 3 1Department of Neurology, Hospital Clinico Universitario San Cecilio, Granada, Spain; 2Department of Medicine, Faculty of Medicine. University of Granada, Granada, Spain; 3Institute of Biosanitary Research: (IBS.Granada), Granada, SpainCorrespondence: Francisco Javier Barrero Hernández, Email fjbarreroh@ugr.esIntroduction: Generally, the choice of disease-modifying treatment (DMT) for people with multiple sclerosis (PwMS) is based on aspects of efficacy and safety. However, due to the diversity of drugs and the different routes of administration, it is essential to know the experience and satisfaction of PwMS. Patient- reported outcomes (PROs) help us to optimize and improve adherence.Methods: Our objective with this cross-sectional, non-interventional study is to analyze satisfaction outcomes using the treatment satisfaction questionnaire for medication (TSQM) according to moderate or high efficacy of DMTs and the relationship with demographic, clinical and quality of life (QoL) aspects.Results: PwMS receiving high-efficacy DMTs show greater overall satisfaction, but not in the other TSQM subscales. The route of administration did not show differences in treatment satisfaction. The best QoL scores were observed in patients treated with oral DMTs compared to injectables or infusions.Discussion: The efficacy of DMT is a significant predictor of overall satisfaction. Quality of life has a minimal impact on overall satisfaction. EDSS, treatment duration and fatigue (MFIS) were not significant predictors of satisfaction outcomes. The knowledge provided by the PROs allows healthcare professionals to better understand the preferences and needs of PwMS, adjusting therapeutic strategies, improving patient experience and treatment effectiveness.Keywords: quality of life, relapsing remitting multiple sclerosis, fatigue, patient- reported outcomes, treatment satisfaction, disease-modifying treatment
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series Patient Preference and Adherence
spelling doaj-art-9397e372f5024cf9ba35599d69b5b7b42025-08-20T02:41:33ZengDove Medical PressPatient Preference and Adherence1177-889X2025-03-01Volume 19715727101395Clinical Practice Evidence of Treatment Satisfaction with Moderate and High-Efficacy Drugs in Multiple SclerosisBarrero Hernández FJMorales Lahoz ÁJSerrano Gutiérrez CLópez Fandila EAsenjo Martín CGonzález Ramírez MDPiñar-Morales RFrancisco Javier Barrero Hernández,1– 3 Ángel José Morales Lahoz,1 Cristina Serrano Gutiérrez,1 Elena López Fandila,1 Carolina Asenjo Martín,1 Maria Dolores González Ramírez,2 Raquel Piñar-Morales1– 3 1Department of Neurology, Hospital Clinico Universitario San Cecilio, Granada, Spain; 2Department of Medicine, Faculty of Medicine. University of Granada, Granada, Spain; 3Institute of Biosanitary Research: (IBS.Granada), Granada, SpainCorrespondence: Francisco Javier Barrero Hernández, Email fjbarreroh@ugr.esIntroduction: Generally, the choice of disease-modifying treatment (DMT) for people with multiple sclerosis (PwMS) is based on aspects of efficacy and safety. However, due to the diversity of drugs and the different routes of administration, it is essential to know the experience and satisfaction of PwMS. Patient- reported outcomes (PROs) help us to optimize and improve adherence.Methods: Our objective with this cross-sectional, non-interventional study is to analyze satisfaction outcomes using the treatment satisfaction questionnaire for medication (TSQM) according to moderate or high efficacy of DMTs and the relationship with demographic, clinical and quality of life (QoL) aspects.Results: PwMS receiving high-efficacy DMTs show greater overall satisfaction, but not in the other TSQM subscales. The route of administration did not show differences in treatment satisfaction. The best QoL scores were observed in patients treated with oral DMTs compared to injectables or infusions.Discussion: The efficacy of DMT is a significant predictor of overall satisfaction. Quality of life has a minimal impact on overall satisfaction. EDSS, treatment duration and fatigue (MFIS) were not significant predictors of satisfaction outcomes. The knowledge provided by the PROs allows healthcare professionals to better understand the preferences and needs of PwMS, adjusting therapeutic strategies, improving patient experience and treatment effectiveness.Keywords: quality of life, relapsing remitting multiple sclerosis, fatigue, patient- reported outcomes, treatment satisfaction, disease-modifying treatmenthttps://www.dovepress.com/clinical-practice-evidence-of-treatment-satisfaction-with-moderate-and-peer-reviewed-fulltext-article-PPAquality of liferelapsing remitting multiple sclerosisfatiguepatient- reported outcomestreatment satisfactiondisease-modifying treatment.
spellingShingle Barrero Hernández FJ
Morales Lahoz ÁJ
Serrano Gutiérrez C
López Fandila E
Asenjo Martín C
González Ramírez MD
Piñar-Morales R
Clinical Practice Evidence of Treatment Satisfaction with Moderate and High-Efficacy Drugs in Multiple Sclerosis
Patient Preference and Adherence
quality of life
relapsing remitting multiple sclerosis
fatigue
patient- reported outcomes
treatment satisfaction
disease-modifying treatment.
title Clinical Practice Evidence of Treatment Satisfaction with Moderate and High-Efficacy Drugs in Multiple Sclerosis
title_full Clinical Practice Evidence of Treatment Satisfaction with Moderate and High-Efficacy Drugs in Multiple Sclerosis
title_fullStr Clinical Practice Evidence of Treatment Satisfaction with Moderate and High-Efficacy Drugs in Multiple Sclerosis
title_full_unstemmed Clinical Practice Evidence of Treatment Satisfaction with Moderate and High-Efficacy Drugs in Multiple Sclerosis
title_short Clinical Practice Evidence of Treatment Satisfaction with Moderate and High-Efficacy Drugs in Multiple Sclerosis
title_sort clinical practice evidence of treatment satisfaction with moderate and high efficacy drugs in multiple sclerosis
topic quality of life
relapsing remitting multiple sclerosis
fatigue
patient- reported outcomes
treatment satisfaction
disease-modifying treatment.
url https://www.dovepress.com/clinical-practice-evidence-of-treatment-satisfaction-with-moderate-and-peer-reviewed-fulltext-article-PPA
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