title: Three-years of growth hormone (GH) replacement therapy in GH-deficient adults: effects on quality of life, patient-reported outcomes and healthcare consumption.
abstract: OBJECTIVE
  The objective was to investigate the effects of 3 years of growth hormone (GH) replacement therapy in GH deficient (GHD) patients in Sweden.
  
  
  METHODS
  An open label study in 237 adults with GHD (116 men and 121 women), consecutively enrolled in KIMS (Pfizer's international metabolic database) in Sweden.
  
  
  METHODS
  QoL and healthcare consumption were determined using questionnaires [QoL-assessment of GHD in Adults (QoL-AGHDA), the psychological general well-being (PGWB) index and the patient life situation form (PLSF)].
  
  
  RESULTS
  The mean starting dose of GH was 0.13 mg/day and the mean maintenance dose was 0.37 mg/day. The mean insulin-like growth factor I (IGF-I) SD score increased from -1.92 at baseline to 0.38 after 3 years. There was a sustained increase in QoL as measured by the QoL-AGHDA and PGWB questionnaires. The number of doctor visits and the number of days in hospital were reduced after 3 years of GH replacement. The number of days of sickleave decreased during the first 2 years of treatment, but returned towards baseline values after 3 years. Leisure-time physical activity and satisfaction with physical activity increased.
  
  
  CONCLUSIONS
  Three years of GH replacement therapy induced a sustained improvement in QoL. Healthcare consumption was reduced, although the reduction in the number of days of sickleave was not statistically significant after 3 years of treatment.
authors.affiliation: Research Centre for Endocrinology and Metabolism, Sahlgrenska University Hospital, SE-413 45, Göteborg, Sweden. johan.svensson@medic.gu.se
authors.forename: Johan
authors.initials: J
authors.lastname: Svensson
authors.forename: Anders
authors.initials: A
authors.lastname: Mattsson
authors.forename: Thord
authors.initials: T
authors.lastname: Rosén
authors.forename: Lena
authors.initials: L
authors.lastname: Wirén
authors.forename: Gudmundur
authors.initials: G
authors.lastname: Johannsson
authors.forename: Bengt-Ake
authors.initials: BA
authors.lastname: Bengtsson
authors.forename: Maria
authors.initials: M
authors.lastname: Koltowska Häggström
mesh_terms: D000328:Adult; D000368:Aged; D003695:Delivery of Health Care / Q000706:statistics & numerical data; D005260:Female; D020249:Hormone Replacement Therapy / Q000009:adverse effects; D019382:Human Growth Hormone / Q000009:adverse effects / Q000172:deficiency* / Q000627:therapeutic use*; D006801:Humans; D007018:Hypopituitarism / Q000188:drug therapy*; D007334:Insulin-Like Growth Factor I / Q000032:analysis / Q000378:metabolism; D008297:Male; D011788:Quality of Life; D011795:Surveys and Questionnaires; D013548:Sweden; D013577:Syndrome; D013997:Time Factors
chemical_list: D019382:Human Growth Hormone; D007334:Insulin-Like Growth Factor I