Patient-reported disease burden in oculopharyngeal muscular dystrophy

Muscle Nerve. 2019 Dec;60(6):724-731. doi: 10.1002/mus.26712. Epub 2019 Oct 30.

Abstract

Introduction: There is currently little evidence regarding oculopharyngeal muscular dystrophy (OPMD) disease burden reported by patients. In this study we aim to elicit direct patient input regarding OPMD disease burden.

Methods: We conducted semistructured interviews with 25 participants with genetically confirmed OPMD and a wide range of disease duration (15 ± 8 years). Using the Framework Technique, themes and categories were then extracted.

Results: Analyses revealed 7 themes (physical impact, mental impact, social impact, perception of progression, treatment perceptions, coping strategies, and access to disease information), encompassing 27 categories of OPMD disease burden. The most frequent categories were related to dysphagia, coping strategies for dysphagia, and impaired mobility.

Discussion: This study demonstrates the importance of considering, when providing clinical care, the broad range of coping strategies patients use to deal with OPMD symptoms, especially dysphagia, to properly assess limitations and monitor real disease progression.

Keywords: coping strategies; dysphagia; impaired mobility; neuromuscular disease; qualitative study.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Access to Information
  • Adaptation, Psychological
  • Adolescent
  • Adult
  • Aged
  • Attitude to Health
  • Body Dysmorphic Disorders
  • Child
  • Cost of Illness
  • Deglutition Disorders / etiology
  • Deglutition Disorders / physiopathology
  • Disease Progression
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mobility Limitation
  • Muscle Weakness / etiology
  • Muscle Weakness / physiopathology
  • Muscular Dystrophy, Oculopharyngeal / complications
  • Muscular Dystrophy, Oculopharyngeal / physiopathology*
  • Muscular Dystrophy, Oculopharyngeal / psychology*
  • Muscular Dystrophy, Oculopharyngeal / therapy
  • Pain / etiology
  • Pain / physiopathology
  • Patient Reported Outcome Measures
  • Psychological Distress
  • Qualitative Research
  • Social Participation
  • Voice Disorders / etiology
  • Voice Disorders / physiopathology
  • Work Performance
  • Young Adult