Abstract:
Background:Non-adherence to r-hGH treatments occurs in a variable percentage of subjects. One problem found when evaluating adherence is the great variability in methods of detection and definitions utilized in studies. This study assessed the level of adherence in subjects receiving r-hGH with the easypod™ electronic device. Methods:National, multicenter, prospective and observational study involving 238 subjects (144 with GH deficiency (GHD), and 86 with small for gestational age (SGA), 8 with Turner Syndrome), who received r-hGH with easypod™ for at least 3 months before inclusion. The follow-up period was 4 years. Results:Overall adherence was 94.5%; 97.5% after 6 months, 95.3% after 1 year, 93.7% after 2, 94.4% after 3 and 95.5% after 4 years of treatment. No differences in adherence were observed between prepubertal and pubertal groups and GHD and SGA groups. Change in height after 1 and 2 years, change in height SDS after 1 and 2 years, HV after 1 year, HV SDS after at 1 and 4 years, change in BMI after 1 year and change in BMI SDS at 1 and 2 years showed significant correlation with adherence. No significant differences in adherence according to IGF-I levels were found in follow-up visits or between groups. Conclusions:The easypod™ electronic device, apart from being a precise and objective measure of adherence to r-hGH treatment, allows high compliance rates to be achieved over long periods of time. Adherence significantly impacts growth outcomes associated with r-hGH treatment.
journal_name
Endocr Connectjournal_title
Endocrine connectionsauthors
Rodríguez Arnao MD,Rodríguez Sánchez A,Díez López I,Ramírez Fernández J,Bermúdez de la Vega JA,Yeste Fernández D,Chueca Guindulain M,Corripio Collado R,Pérez Sánchez J,Fernández González Adoi
10.1530/EC-19-0325subject
Has Abstractpub_date
2019-09-01 00:00:00pages
1240-1249issue
9issn
2049-3614pii
EC-19-0325journal_volume
8pub_type
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