Publications by authors named "Charlotte E Kosmas"

Background: There is considerable burden of illness in hereditary angioedema (HAE). However, instruments to assess health-related quality of life (HRQoL) in HAE are limited. The Angioedema Quality of Life Questionnaire (AE-QoL) was developed to measure HRQoL in patients with recurrent angioedema; the validity of the AE-QoL in patients with HAE is described.

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Article Synopsis
  • The study investigates the real-world experiences of patients with neovascular age-related macular degeneration (nAMD) and diabetic macular edema (DME) undergoing anti-VEGF treatment, finding that these patients often have lower vision improvements than those in clinical trials.
  • Interviews with 49 nAMD and 46 DME patients, along with their caregivers and retina specialists, revealed that routine disruptions, missed appointments, and treatment adherence are influenced by various factors, especially the doctor-patient relationship.
  • Key barriers to treatment adherence included reported side effects primarily affecting patients and caregivers, while logistical issues, like travel, were the main concern for retina specialists, showcasing the complexity of managing these conditions in a real-world setting.*
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Objective: Acute postprandial hyperglycemia (aPPHG) is often symptomatic and can be associated with behavioral changes such as impaired working memory and attention. However, there is little evidence of the impact of aPPHG on the daily lives of patients. The aim of this study was to explore the frequency and severity of aPPHG episodes and their impact on daily functioning in people with insulin-treated diabetes.

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Objective: The objective of this study was to assess health-related quality of life (HRQoL) in adult ADHD.

Method: U.K.

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Introduction: Pulmonary arterial hypertension (PAH) is a rare, incurable disease associated with decreased life expectancy and a marked impact on quality of life (QoL). There are three classes of drugs available for treatment: endothelin receptor antagonists (ERA), drugs acting on nitric oxide pathway (riociguat and phosphodiesterase type 5 inhibitors [PDE5i]), and drugs acting on prostacyclin pathway. The latter have widely different modes of administration - continuous intravenous infusion, continuous subcutaneous infusion, inhaled, and oral - each associated with variable treatment burden, and implications for health economic assessment.

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Purpose: Long-term levodopa therapy and related fluctuating plasma concentrations are associated with between-dose periods of 'off time' resulting in substantial variation in symptoms and functioning throughout the day in people with Parkinson's (PwP).

Methods: PwP across UK, France, Spain and Italy completed an online survey to explore: the impact of 'off time' on (1) health-related quality of life (HRQL) and (2) on functioning and ability to undertake usual activities; (3) the value of 'off time' relative to other factors associated with Parkinson's through a stated preference discrete choice experiment (SPDCE).

Results: In total, 305 PwP completed the online survey.

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Chronic lymphocytic leukemia (CLL) is a largely incurable disease which affects patients' health related quality of life (HRQL). Treatment is often initiated when symptoms affect HRQL, and patients can experience many rounds of treatment throughout their life. Therefore, the economic burden of CLL can be high.

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