Evidence map›Paper›PMID 41410900›Full record

ArticleCardiology and therapy2026

Functionally Limiting Symptoms and Inability to Independently Complete Daily Activities Increase the Burden Felt by Caregivers to Patients with ATTR-CM.

Francesco Cappelli, Lucia Ponti, Martina Smorti, Kristen Hsu, Thibaud Damy, Nicolas Verheyen, Ronnie Wang, Nisith Kumar, Carmen Munteanu, Burden of Disease Study Investigators

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Article in Cardiology and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Francesco CappelliTuscan Regional Amyloidosis Referral Centre, Careggi University Hospital, Florence, Italy. cappellif@aou-careggi.toscana.it.ORCID http://orcid.org/0000-0002-1622-0732
Lucia PontiDepartment of Humanities, University of Urbino Carlo Bo, Urbino, Italy.
Martina SmortiDepartment of Surgical, Medical, Molecular and Critical Care Pathology, University of Pisa, Pisa, Italy.
Kristen HsuAmyloidosis Research Consortium, Newton, MA, USA.
Thibaud DamyReferral Center for Cardiac Amyloidosis, CHU Henri Mondor, Créteil, France.
Nicolas VerheyenMedical University of Graz, Graz, Austria.
Ronnie WangPfizer Inc, Groton, CT, USA.
Nisith KumarPfizer Inc, New York, NY, USA.
Carmen MunteanuPfizer Inc, New York, NY, USA.
Burden of Disease Study Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Burden of Disease survey characterized the humanistic burden of transthyretin amyloid cardiomyopathy (ATTR-CM) in 208 international patients not receiving disease-modifying therapy and their primary caregivers.

methodsPost hoc univariate analyses evaluated the relationships between patients' current symptoms and ability to complete activities of daily living (ADLs) with their caregivers' Zarit Burden Interview (ZBI), Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue, and Hospital Anxiety and Depression Survey Anxiety (HADS-A) and Depression (HADS-D) subscale scores.

resultsMost patients had wild-type ATTR-CM (91%; n = 141/155) and a New York Heart Association functional classification of I/II (78%; n = 156/199). Caregivers (n = 208) were a median age of 68 years, 85% were female, and 66% lived with the patient. Current patient symptoms of paralysis, heart failure, weakness (especially in the legs), leg pain, leg and ankle swelling, loss of sensation in the legs/arms, fatigue, insomnia, and weight loss were associated with a significantly (P < 0.05) higher caregiver ZBI score. Many of these symptoms were also associated with significantly (P < 0.05) higher PROMIS Fatigue and HADS-A scores; heart failure and weakness (especially in the legs) were associated with a significantly (P < 0.05) higher HADS-D score. Inability of patients to independently clean, bathe, cook, get in/out of bed, or walk were associated with significantly (P < 0.05) higher caregiver ZBI and HADS-D scores. Inability to independently clean and walk were associated with significantly (P < 0.05) higher PROMIS Fatigue and HADS-A scores.

conclusionsBurden is higher in caregivers of patients with ATTR-CM who have specific symptoms (including those causing disability) or an inability to independently complete ADLs. Graphical Abstract available for this article.

Indexed as

AnxietyCaregiver burdenDepressionFatigueHeart failure

Identifiers

PMID41410900
PMCPMC12988936

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