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Assessing therapeutic decisions in generalized myasthenia gravis : Study protocol
Gutiérrez-Gutiérrez, Gerardo (Hospital Universitario Infanta Sofía)
Gómez-Ballesteros, R. (Roche Farma)
Sotoca Fernández, Javier (Hospital Universitari Vall d'Hebron)
Ares, A. (Complejo Asistencial Universitario León)
Villaverde, R. (Hospital General Universitario Morales Meseguer (Múrcia))
Reyes, V. (Hospital Regional Universitario de Málaga)
Armangué, T. (Hospital Sant Joan de Déu)
Salas, Eduardo (Roche Farma)
Díaz-Abós, P. (Roche Farma)
Rebollo, P. (IQVIA)
Sarmiento, M. (IQVIA)
Escobar, I. (Roche Farma)
Maurino, Jorge (Roche Farma)
Querol, Luis (Institut de Recerca Sant Pau)
Universitat Autònoma de Barcelona. Departament de Medicina

Fecha: 2025
Resumen: Background The therapeutic landscape in generalized myasthenia gravis (gMG) has been continuously evolving in recent years, with over five products approved, each with different efficacy, safety, and administration profiles. With the availability of new targeted treatments, physicians are faced with the challenge of therapeutic decision-making tailored to traditional therapeutic goals, individual preferences, and personal experience, seeking optimal disease control with a positive safety profile. In this context of uncertainty and multiple novel choices, this study aims to provide insights into the preferred treatment choices of neurologists managing gMG and to identify demographic, professional or behavioral factors influencing the decision-making process. Methods This is a non-interventional, cross-sectional, web-based study involving 150 neurologists treating gMG patients in collaboration with the Spanish Society of Neurology. The primary endpoint will be to assess preferences for different gMG treatment attributes using a conjoint analysis to create hypothetical treatment scenarios. Therapeutic inertia, described as the lack of treatment initiation or intensification when therapeutic goals are not met, will be evaluated as a secondary endpoint through 7 case scenarios simulating real gMG clinical practice situations. Neurologists will also answer a survey composed of demographic, professional, and behavioral characteristics (user resistance behavior, care-related regret, burnout, risk attitude, empathy, work fulfilment, and personality traits) to recognize possible factors influencing decisions. Conclusions The study findings will contribute to better understanding of decision-making in gMG under a changing therapeutic landscape with multiple new targeted options, and will identify which factors have a role in affecting those decisions.
Derechos: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Lengua: Anglès
Documento: Article ; recerca ; Versió publicada
Materia: Adult ; Clinical Decision-Making ; Cross-Sectional Studies ; Decision Making ; Female ; Humans ; Male ; Myasthenia Gravis ; Neurologists ; Surveys and Questionnaires
Publicado en: PloS one, Vol. 20 Núm. 4 April (april 2025) , p. e0322168, ISSN 1932-6203

DOI: 10.1371/journal.pone.0322168
PMID: 40261907


15 p, 1.1 MB

El registro aparece en las colecciones:
Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut de Recerca Sant Pau
Artículos > Artículos de investigación
Artículos > Artículos publicados

 Registro creado el 2025-11-25, última modificación el 2025-12-05



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