Volume 60, Issue 6 pp. 724-731
Clinical Research Article

Patient-reported disease burden in oculopharyngeal muscular dystrophy

Nicolette S. Kurtz BA

Nicolette S. Kurtz BA

Department of Neurology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico

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Claudia Cote RD, MS

Claudia Cote RD, MS

Centre de recherche Charles-Le Moyne–Saguenay-Lac-Saint-Jean sur les innovations en santé, Sherbrooke University, Sherbrooke, Québec, Canada

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Chad Heatwole MD

Chad Heatwole MD

Department of Neurology, University of Rochester, Rochester, New York

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Cynthia Gagnon OT, PhD

Cynthia Gagnon OT, PhD

Centre de recherche Charles-Le Moyne–Saguenay-Lac-Saint-Jean sur les innovations en santé, Sherbrooke University, Sherbrooke, Québec, Canada

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Sarah Youssof MD, MS

Corresponding Author

Sarah Youssof MD, MS

Department of Neurology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico

Correspondence

Sarah Youssof, Department of Neurology, University of New Mexico Health Sciences Center, Albuquerque, NM 87131.

Email: [email protected]

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First published: 18 September 2019
Citations: 8

Funding information: Fonds de Recherche du Québec - Santé, Grant/Award Number: 31011

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.

CONFLICT OF INTEREST

The authors declare no potential conflicts of interest.

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