Clinical Compliance and Influencing Factors in Patients with Chronic Hepatitis B Treated by Traditional Chinese Medicine in Multi-center Clinical Trial
TAO Junxiu, LI Xiaodong, LIANG Haili, et al. Clinical Compliance and Influencing Factors in Patients with Chronic Hepatitis B Treated by Traditional Chinese Medicine in Multi-center Clinical Trial[J]. Journal of Traditional Chinese Medicine2018, 59(19): 1661-1666.
TAO Junxiu, LI Xiaodong, LIANG Haili, et al. Clinical Compliance and Influencing Factors in Patients with Chronic Hepatitis B Treated by Traditional Chinese Medicine in Multi-center Clinical Trial[J]. Journal of Traditional Chinese Medicine2018, 59(19): 1661-1666.DOI: 10.13288/j.11-2166/r.2018.19.011.
Objectives To analyze the clinical compliance and the influencing factors of patients with chronic hepatitis B in the clinical research of traditional Chinese medicine( TCM). Methods The participants from 13 clinical research centers nationwide who participated in the National TCM Clinical Research Base( Hubei) from June2012 to August 2016 were selected to retrospectively analyze the clinical compliance of the subjects. By using the"arrival rate"method
the assessment of subject compliance was conducted. Logistic regression was used to analyze the influencing factors of clinical compliance. Results A total of 620 cases were included in the study. After follow-up for 48 weeks
59 cases( 9. 5%) were lost. 561 participants( 90. 5%) completed all visits
including 356 participants( 63. 5%) that visited on time and completed relevant examinations and tests
and 205 participants( 36. 5%) that visited over the deadline or did not complete the related clinical data as required. The compliance of subjects in different regions decreased gradually in 4
8
12
24
36
and 48 weeks( P < 0. 01). Univariate analysis showed statistical difference( P < 0. 05) in 6 clinical compliance differences including family history
clinical research coordinator( CRC)
chronic liver disease quality of life questionnaire( CLDQ)
Short Form 36 Health Survey Questionnaire( SF-36)
health changes
and TCM syndrome scores. Regression analysis showed that the impact of CRC and SF-36 scores on clinical compliance was prominent. CRC was positively correlated with clinical compliance( P < 0. 05)
and SF-36 scores was negatively correlated with clinical compliance( P < 0. 05). At the same time
the results showed that the patient’s family history
CLDQ
health changes
TCM syndrome scores
etc. did not show a correlation with compliance. Conclusion The on-time visit rate gradually decreases with the extension of follow-up time. CRC and SF-36 scores are important influencing factors of clinical compliance.