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Effectiveness of dienogest in improving quality of life in Asian women with endometriosis (ENVISIOeN): interim results from a prospective cohort study under real-life clinical practice

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dc.contributor.author이병석-
dc.date.accessioned2019-12-18T00:49:48Z-
dc.date.available2019-12-18T00:49:48Z-
dc.date.issued2019-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/173232-
dc.description.abstractBACKGROUND: Dienogest has been shown to substantially improve endometriosis-associated symptoms such as debilitating chronic pelvic pain, and in turn, health-related quality of life (HRQoL). To date, there is no data on patient-reported outcomes reflecting the real-world practice in Asia where endometriosis is a relevant health, social and economic burden. This non-interventional, multi-center, prospective study aims to investigate the influence of dienogest on HRQoL. METHODS: Asian women received dienogest (2 mg/daily) and were followed for 24 months. The effectiveness of dienogest to improve HRQoL and endometriosis-associated pelvic pain (EAPP) was assessed by patient-reported outcomes. HRQoL, especially the "pain" domain as primary endpoint, was evaluated with the Endometriosis Health Profile-30 (EHP-30) questionnaire. The numeric rating scale served to determine changes in the severity of EAPP. Within the presented interim analysis (data cut-off: 2017-11-27), the mean changes in EHP-30 and EAPP scores from baseline to 6 months upon availability of the data were evaluated. Treatment-emergent adverse events (TEAEs) and bleeding profiles were documented. RESULTS: Dienogest therapy decreased EHP-30 scores in all assessed domains (score 0-100, lower scores indicate better HRQoL). Primarily, the "pain" domain was improved in 78.4% of patients. EAPP was reduced (score 0-10, lower scores reflect less pain), highlighted by a mean reduction of the pain score by - 4.5 points. Patients with a higher EAPP score at baseline had an increased response to dienogest (- 6.2 points mean change) compared to patients with low baseline EAPP severity (- 1.4 points mean change). Both surgically and clinically diagnosed patients described comparable pain reduction, as well as women with or without prior treatment. Drug-related TEAEs were documented for 31.5% of patients, with amenorrhoea (5.9%) and metrorrhagia (5.1%) being the most common events. The bleeding pattern was changed upon dienogest, characterized by decreased normal bleeding (84.2 to 28.8%) and increased amenorrhea (3.2 to 42.9%) at 6 months. CONCLUSION: The data indicate an amelioration of HRQoL and EAPP upon dienogest therapy. No new safety signals were observed. Therefore, its use as first-line therapy for long-term management of debilitating and chronic endometriosis-associated pain represents an interesting option that remains to be further investigated. TRIAL REGISTRATION: Name of registry: Clinical Trials Clinicaltrials.gov registration number: NCT02425462 Registration date: 2015-04-24. Registration timing: prospective.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherBioMed Central-
dc.relation.isPartOfBMC WOMENS HEALTH-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleEffectiveness of dienogest in improving quality of life in Asian women with endometriosis (ENVISIOeN): interim results from a prospective cohort study under real-life clinical practice-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Obstetrics and Gynecology (산부인과학교실)-
dc.contributor.googleauthorKitirat Techatraisak-
dc.contributor.googleauthorAndon Hestiantoro-
dc.contributor.googleauthorSoon Ruey-
dc.contributor.googleauthorMaria Jesusa Banal-Silao-
dc.contributor.googleauthorMee-Ran Kim-
dc.contributor.googleauthorSeok Ju Seong-
dc.contributor.googleauthorSyarief Thaufik-
dc.contributor.googleauthorChristiane Ahlers-
dc.contributor.googleauthorSo Young Shin-
dc.contributor.googleauthorByung Seok Lee-
dc.identifier.doi10.1186/s12905-019-0758-6-
dc.contributor.localIdA02795-
dc.relation.journalcodeJ03326-
dc.identifier.eissn1472-6874-
dc.identifier.pmid31096979-
dc.subject.keywordAsian women-
dc.subject.keywordClinical diagnosis-
dc.subject.keywordEndometriosis-
dc.subject.keywordHealth-related quality of life-
dc.subject.keywordPain-
dc.contributor.alternativeNameLee, Byung Seok-
dc.contributor.affiliatedAuthor이병석-
dc.citation.volume19-
dc.citation.number1-
dc.citation.startPage68-
dc.identifier.bibliographicCitationBMC WOMENS HEALTH, Vol.19(1) : 68, 2019-
dc.identifier.rimsid64159-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers

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