scholarly journals Quality of Life in Cushing's disease: A long term issue?

2018 ◽  
Vol 79 (3) ◽  
pp. 132-137 ◽  
Author(s):  
Susan M. Webb ◽  
Alicia Santos ◽  
Eugenia Resmini ◽  
Maria-Antonia Martínez-Momblán ◽  
Luciana Martel ◽  
...  
2019 ◽  
Vol 80 (1) ◽  
pp. 32-37 ◽  
Author(s):  
Pauline Sarkis ◽  
Muriel Rabilloud ◽  
Jean-Christophe Lifante ◽  
Anna Siamand ◽  
Emmanuel Jouanneau ◽  
...  

2004 ◽  
Vol 61 (4) ◽  
pp. 458-465 ◽  
Author(s):  
Adrian H. Heald ◽  
Sandip Ghosh ◽  
Stephanie Bray ◽  
Christine Gibson ◽  
Simon G Anderson ◽  
...  

2005 ◽  
Vol 90 (6) ◽  
pp. 3279-3286 ◽  
Author(s):  
M. O. van Aken ◽  
A. M. Pereira ◽  
N. R. Biermasz ◽  
S. W. van Thiel ◽  
H. C. Hoftijzer ◽  
...  

2015 ◽  
Vol 11 (1) ◽  
pp. 34 ◽  
Author(s):  
Isabel Huguet ◽  
Georgia Ntali ◽  
Ashley Grossman ◽  
Niki Karavitaki ◽  
◽  
...  

Cushing’s disease (CD) is a rare disorder caused by an adrenocorticotropic hormone (ACTH)-secreting pituitary adenoma. Chronic exposure to hypercortisolism leads to significant morbidities, which may be only partially reversible after remission of the disease, as well as to impairment of the health-related quality of life (HRQoL) and an increase in mortality. Transsphenoidal surgery (TSS) is the treatment of choice, and recurrence rates vary widely, confirming the need for lifelong follow-up. This review summarises the studies performed on HRQoL, recurrence rates and morbidities in patients who have CD.


2012 ◽  
Vol 76 (6) ◽  
pp. 861-867 ◽  
Author(s):  
Monika Milian ◽  
Philipp Teufel ◽  
Juergen Honegger ◽  
Baptist Gallwitz ◽  
Guenter Schnauder ◽  
...  

2014 ◽  
Vol 171 (1) ◽  
pp. 89-98 ◽  
Author(s):  
Susan M Webb ◽  
John E Ware ◽  
Anna Forsythe ◽  
Min Yang ◽  
Xavier Badia ◽  
...  

ObjectiveCushing's disease (CD) can significantly impair patients' health-related quality of life (HRQOL). This study investigated the treatment effectiveness of pasireotide on HRQOL of CD patients, and assessed the relationships between HRQOL and urinary free cortisol (UFC) and CD-related signs and symptoms.DesignIn this phase III, randomized, double-blind study, patients with UFC ≥1.5×upper limit of normal (ULN) received s.c. pasireotide 600 or 900 μg twice daily. The trial primary endpoint was UFC at or below ULN at month 6 without dose titration. Open-label treatment continued through month 12. HRQOL was measured using the Cushing's Quality of Life Questionnaire (CushingQoL) instrument at baseline and follow-up visits until month 12 during which clinical signs and features of CD, and the Beck Depression Inventory II (BDI-II), were also collected.MethodsPearson's/Spearman's correlations between changes in CushingQoL and changes in clinical signs and symptoms were assessed. Changes in CushingQoL and the proportion of patients achieving a clinically meaningful improvement in CushingQoL were also compared among patients stratified by mean UFC (mUFC) control status (controlled, partially controlled, and uncontrolled) at month 6. Analyses were also conducted at month 12, with multivariable adjustment for baseline characteristics and CushingQoL.ResultsChange in CushingQoL was significantly correlated with changes in mUFC (r=−0.40), BMI (r=−0.39), weight (r=−0.41), and BDI-II (r=−0.54) at month 12 but not at month 6. The percentage of CushingQoL responders at month 12 based on month 6 mUFC control status were as follows: 63, 58.8, and 37.9% in the controlled, partially controlled, and uncontrolled groups respectively. Adjusted CushingQoL scores at month 12 were 58.3 for controlled patients (Δ=11.5 vs uncontrolled,P=0.012) and 54.5 for partially controlled patients (Δ=7.7 vs uncontrolled,P=0.170).ConclusionsPasireotide treatment can result in a meaningful HRQOL improvement among those who complete a 12-month treatment period, most often among patients achieving biochemical control.


2013 ◽  
Vol 98 (3) ◽  
pp. 188-199 ◽  
Author(s):  
Monika Milian ◽  
Juergen Honegger ◽  
Philipp Teufel ◽  
Alena Wolf ◽  
Tsambika Psaras

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