{"title":"皮下免疫球蛋白治疗慢性炎性脱髓鞘性神经病患者的生活质量。","authors":"Adnan Almasri, Vera Bril, Hans Katzberg","doi":"10.1017/cjn.2025.10416","DOIUrl":null,"url":null,"abstract":"<p><p>Multifocal motor neuropathy (MMN) and chronic inflammatory demyelinating polyneuropathy (CIDP) are immune-mediated peripheral nerve disorders. Treatment typically involves immunoglobulin therapy, with both intravenous (IVIG) and subcutaneous (SCIG) routes being used. Although multiple studies have determined that these therapies are effective and comparable, a comprehensive assessment of quality of life (QoL) has not been systematically reviewed. This review aims to evaluate QoL in patients with MMN and CIDP who are treated with SCIG, including those who have made the transition from IVIG to SCIG. We conducted a comprehensive search of electronic databases for studies that measured QoL outcomes in MMN and CIDP patients receiving SCIG. The primary outcome was the change in QoL scores as measured by validated tools compared with baseline values collected during IVIG treatment. Secondary outcomes included adverse effects, treatment satisfaction and functional status. Our review suggests that SCIG may offer comparable QoL outcomes to IVIG with potential benefits in self-administration and reduced systemic adverse effects. This review provides evidence-based insights into the comparative effectiveness of SCIG and IVIG in improving QoL for MMN and CIDP patients. Future research should aim to standardize QoL assessment tools and include larger, long-term studies to better capture the nuanced benefits of SCIG.</p>","PeriodicalId":56134,"journal":{"name":"Canadian Journal of Neurological Sciences","volume":" ","pages":"1-7"},"PeriodicalIF":2.2000,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Quality of Life in Patients with Chronic Inflammatory Demyelinating Neuropathies Treated with Subcutaneous Immunoglobulin.\",\"authors\":\"Adnan Almasri, Vera Bril, Hans Katzberg\",\"doi\":\"10.1017/cjn.2025.10416\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Multifocal motor neuropathy (MMN) and chronic inflammatory demyelinating polyneuropathy (CIDP) are immune-mediated peripheral nerve disorders. Treatment typically involves immunoglobulin therapy, with both intravenous (IVIG) and subcutaneous (SCIG) routes being used. Although multiple studies have determined that these therapies are effective and comparable, a comprehensive assessment of quality of life (QoL) has not been systematically reviewed. This review aims to evaluate QoL in patients with MMN and CIDP who are treated with SCIG, including those who have made the transition from IVIG to SCIG. We conducted a comprehensive search of electronic databases for studies that measured QoL outcomes in MMN and CIDP patients receiving SCIG. The primary outcome was the change in QoL scores as measured by validated tools compared with baseline values collected during IVIG treatment. Secondary outcomes included adverse effects, treatment satisfaction and functional status. Our review suggests that SCIG may offer comparable QoL outcomes to IVIG with potential benefits in self-administration and reduced systemic adverse effects. This review provides evidence-based insights into the comparative effectiveness of SCIG and IVIG in improving QoL for MMN and CIDP patients. Future research should aim to standardize QoL assessment tools and include larger, long-term studies to better capture the nuanced benefits of SCIG.</p>\",\"PeriodicalId\":56134,\"journal\":{\"name\":\"Canadian Journal of Neurological Sciences\",\"volume\":\" \",\"pages\":\"1-7\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-09-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Canadian Journal of Neurological Sciences\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1017/cjn.2025.10416\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian Journal of Neurological Sciences","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/cjn.2025.10416","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Quality of Life in Patients with Chronic Inflammatory Demyelinating Neuropathies Treated with Subcutaneous Immunoglobulin.
Multifocal motor neuropathy (MMN) and chronic inflammatory demyelinating polyneuropathy (CIDP) are immune-mediated peripheral nerve disorders. Treatment typically involves immunoglobulin therapy, with both intravenous (IVIG) and subcutaneous (SCIG) routes being used. Although multiple studies have determined that these therapies are effective and comparable, a comprehensive assessment of quality of life (QoL) has not been systematically reviewed. This review aims to evaluate QoL in patients with MMN and CIDP who are treated with SCIG, including those who have made the transition from IVIG to SCIG. We conducted a comprehensive search of electronic databases for studies that measured QoL outcomes in MMN and CIDP patients receiving SCIG. The primary outcome was the change in QoL scores as measured by validated tools compared with baseline values collected during IVIG treatment. Secondary outcomes included adverse effects, treatment satisfaction and functional status. Our review suggests that SCIG may offer comparable QoL outcomes to IVIG with potential benefits in self-administration and reduced systemic adverse effects. This review provides evidence-based insights into the comparative effectiveness of SCIG and IVIG in improving QoL for MMN and CIDP patients. Future research should aim to standardize QoL assessment tools and include larger, long-term studies to better capture the nuanced benefits of SCIG.
期刊介绍:
Canadian Neurological Sciences Federation The Canadian Journal of Neurological Sciences is the official publication of the four member societies of the Canadian Neurological Sciences Federation -- Canadian Neurological Society (CNS), Canadian Association of Child Neurology (CACN), Canadian Neurosurgical Society (CNSS), Canadian Society of Clinical Neurophysiologists (CSCN). The Journal is a widely circulated internationally recognized medical journal that publishes peer-reviewed articles. The Journal is published in January, March, May, July, September, and November in an online only format. The first Canadian Journal of Neurological Sciences (the Journal) was published in 1974 in Winnipeg. In 1981, the Journal became the official publication of the member societies of the CNSF.