Implantable system for treprostinil: a real-world patient experience study

Parenteral prostanoids are effective for improving outcomes in patients with pulmonary arterial hypertension. However, subcutaneous or intravenous delivery via an external pump places a significant burden on patients. Consequently, the Implantable System for Remodulin© (treprostinil) was developed a...

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Main Authors: Shelley Shapiro, Robert C. Bourge, Patti Pozella, David F. Harris, Erick H. Borg, Andrew C. Nelsen
Format: Article
Language:English
Published: Wiley 2020-04-01
Series:Pulmonary Circulation
Online Access:https://doi.org/10.1177/2045894020907881
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author Shelley Shapiro
Robert C. Bourge
Patti Pozella
David F. Harris
Erick H. Borg
Andrew C. Nelsen
author_facet Shelley Shapiro
Robert C. Bourge
Patti Pozella
David F. Harris
Erick H. Borg
Andrew C. Nelsen
author_sort Shelley Shapiro
collection DOAJ
description Parenteral prostanoids are effective for improving outcomes in patients with pulmonary arterial hypertension. However, subcutaneous or intravenous delivery via an external pump places a significant burden on patients. Consequently, the Implantable System for Remodulin© (treprostinil) was developed and is associated with a low rate of complications (United Therapeutics (Research Triangle Park, NC) in collaboration with Medtronic, Inc. (Mounds View, MN)). The current real-world experience study evaluated pulmonary arterial hypertension patients' perceptions of their quality of life, ability to perform activities of daily living, perceptions on the benefits and risks of the implantable system, and their social interactions before and after receiving the implantable system. Pulmonary arterial hypertension patients who had been transitioned from an external infusion pump to the implantable system completed a mix of quantitative and qualitative questions administered online over the course of a six-day period. A total of 20 patients completed the study. All patients reported that their quality of life, confidence out in public, and ability to travel long distances had improved. Over 90% of patients reported that their overall level of independence was better since receiving the implantable system, and most patients indicated that their ability to independently perform specific activities of daily living had improved. Responses to the qualitative questions suggested that the implantable system saved time, improved interpersonal relationships, and increased freedom. Results from this real-world patient experience study suggest this novel delivery system provides improvements in factors that are of substantial importance to patients.
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spelling doaj.art-003d044438e34eb695c5ad4e3dcdc87f2022-12-22T00:24:33ZengWileyPulmonary Circulation2045-89402020-04-011010.1177/2045894020907881Implantable system for treprostinil: a real-world patient experience studyShelley Shapiro0Robert C. Bourge1Patti Pozella2David F. Harris3Erick H. Borg4Andrew C. Nelsen5VA Greater Los Angeles Healthcare System Cardiology Section, David Geffen UCLA School of Medicine, UCLA Medical Center Department of Pulmonary Critical Care, Los Angeles, CA, USADepartment of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USAUnited Therapeutics Corporation, Research Triangle Park, NC, USAInsight & Measurement, LLC, Durham, NC, USAUnited Therapeutics Corporation, Research Triangle Park, NC, USAUnited Therapeutics Corporation, Research Triangle Park, NC, USAParenteral prostanoids are effective for improving outcomes in patients with pulmonary arterial hypertension. However, subcutaneous or intravenous delivery via an external pump places a significant burden on patients. Consequently, the Implantable System for Remodulin© (treprostinil) was developed and is associated with a low rate of complications (United Therapeutics (Research Triangle Park, NC) in collaboration with Medtronic, Inc. (Mounds View, MN)). The current real-world experience study evaluated pulmonary arterial hypertension patients' perceptions of their quality of life, ability to perform activities of daily living, perceptions on the benefits and risks of the implantable system, and their social interactions before and after receiving the implantable system. Pulmonary arterial hypertension patients who had been transitioned from an external infusion pump to the implantable system completed a mix of quantitative and qualitative questions administered online over the course of a six-day period. A total of 20 patients completed the study. All patients reported that their quality of life, confidence out in public, and ability to travel long distances had improved. Over 90% of patients reported that their overall level of independence was better since receiving the implantable system, and most patients indicated that their ability to independently perform specific activities of daily living had improved. Responses to the qualitative questions suggested that the implantable system saved time, improved interpersonal relationships, and increased freedom. Results from this real-world patient experience study suggest this novel delivery system provides improvements in factors that are of substantial importance to patients.https://doi.org/10.1177/2045894020907881
spellingShingle Shelley Shapiro
Robert C. Bourge
Patti Pozella
David F. Harris
Erick H. Borg
Andrew C. Nelsen
Implantable system for treprostinil: a real-world patient experience study
Pulmonary Circulation
title Implantable system for treprostinil: a real-world patient experience study
title_full Implantable system for treprostinil: a real-world patient experience study
title_fullStr Implantable system for treprostinil: a real-world patient experience study
title_full_unstemmed Implantable system for treprostinil: a real-world patient experience study
title_short Implantable system for treprostinil: a real-world patient experience study
title_sort implantable system for treprostinil a real world patient experience study
url https://doi.org/10.1177/2045894020907881
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