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Understanding the priorities for women diagnosed with lymphangioleiomyomatosis: a patient perspective

Iris Bassi, Gill Hollis, Vincent Cottin, Sergio Harari, Elma Zwanenburg, Marcel Veltkamp, Alvaro Casanova, Monica Fletcher, Sarah Masefield, Pippa Powell, Jeanette Boyd
ERJ Open Research 2016 2: 00102-2015; DOI: 10.1183/23120541.00102-2015
Iris Bassi
1LAM Italia Onlus, Udine, Italy
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Gill Hollis
2LAM Action, Nottingham, UK
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Vincent Cottin
3Service de Pneumologie, Hopital L. Pradel, Claude Bernard University Lyon 1, Lyon, France
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Sergio Harari
4UO Pneumologia e Terapia Semi-Intensiva Respiratoria – Servizio di Fisiopatologia Respiratoria ed Emodinamica Polmonare, Osp. San Giuseppe – MultiMedica, Milan, Italy
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Elma Zwanenburg
5ILD Center of Excellence, St Antonius Hospital, Nieuwegein, The Netherlands
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Marcel Veltkamp
5ILD Center of Excellence, St Antonius Hospital, Nieuwegein, The Netherlands
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Alvaro Casanova
6Servicio de Neumología, Hospital Universitario del Henares, Coslada, Madrid, Spain
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Monica Fletcher
7Education for Health, Warwick, UK
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Sarah Masefield
8European Lung Foundation, Sheffield, UK
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Pippa Powell
8European Lung Foundation, Sheffield, UK
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Jeanette Boyd
8European Lung Foundation, Sheffield, UK
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  • For correspondence: jeanette.boyd@europeanlung.org
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    FIGURE 1

    Geographical percentage distribution of survey respondents by continent.

Tables

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  • TABLE 1

    Physical symptoms and psychological experiences of lymphangioleiomyomatosis

    Primary physical symptomsCommon psychological experiences
    Shortness of breath
    Low energy (or fatigue)
    Cough
    Sensations in the chest
    Frustration
    Worry
    Loss of identity
    Embarrassment or guilt
    Healthy defiance against the disease
    • Two of the physical symptoms described were present for all participants in the study: shortness of breath and low energy. Although less commonly mentioned, cough was also present in many participants as well as a sensation of heaviness or aching in the chest. The psychological experiences listed are those that were most commonly described by participants.

  • TABLE 2

    Top 10 priorities from the lymphangioleiomyomatosis (LAM) survey

     1) Improving methods of identifying patients with active disease81%
     2) Availability of drugs for LAM in all EU countries81%
     3) All patients can access a specialist LAM centre81%
     4) Lung transplants should be available to more patients and with shorter waiting times79%
     5) Improving noninvasive diagnosis78%
     6) Patients can access treatments such as low-dose sirolimus/everolimus77%
     7) Improving care for patients in nonspecialist hospitals/services77%
     8) Opportunity for patients to hear about and participate in clinical trials75%
     9) Improving diagnostic biomarkers so that diagnosis is faster and more definitive75%
    10) Development of a European-wide organ donor service73%
    • Priorities are listed in descending order of importance. EU: European Union.

  • TABLE 3

    Patient research priority areas

    Diagnosis
     How to develop better, noninvasive methods for the early diagnosis of LAM
    Progression
     How to develop better information about the likely progression of LAM, perhaps through biomarkers
     How does oestrogen affect LAM?
     An analysis of complications associated with the condition such as gynaecological complications
     Do lymphatics play a role in improved survival?
    Drug treatment
     How effective is sirolimus as a preventative drug?
     An analysis of the ovarian toxicity of drugs
     Why do some individuals develop resistance or do not respond to treatment?
    • LAM: lymphangioleiomyomatosis.

Additional Files

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    Files in this Data Supplement:

    • G. Hollis
    • V. Cottin
  • Supplementary material

    Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.

    Files in this Data Supplement:

    • Table S1 - Statements shown in priority order with rating score shown
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Understanding the priorities for women diagnosed with lymphangioleiomyomatosis: a patient perspective
Iris Bassi, Gill Hollis, Vincent Cottin, Sergio Harari, Elma Zwanenburg, Marcel Veltkamp, Alvaro Casanova, Monica Fletcher, Sarah Masefield, Pippa Powell, Jeanette Boyd
ERJ Open Research Apr 2016, 2 (2) 00102-2015; DOI: 10.1183/23120541.00102-2015

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Understanding the priorities for women diagnosed with lymphangioleiomyomatosis: a patient perspective
Iris Bassi, Gill Hollis, Vincent Cottin, Sergio Harari, Elma Zwanenburg, Marcel Veltkamp, Alvaro Casanova, Monica Fletcher, Sarah Masefield, Pippa Powell, Jeanette Boyd
ERJ Open Research Apr 2016, 2 (2) 00102-2015; DOI: 10.1183/23120541.00102-2015
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  • Article
    • Abstract
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    • Introduction
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    • Patient research priorities for LAM
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