Examining the Characteristics and Beliefs of Hydroxyurea Users and Nonusers Among Adults With Sickle Cell Disease

Author/Creator ORCID

Date

2010-09-17

Department

Program

Citation of Original Publication

Carlton Haywood Jr. et al., Examining the characteristics and beliefs of hydroxyurea users and nonusers among adults with sickle cell disease, American Journal of Hematology, Volume 86, Issue 1 Pages 85-87(2011), https://doi.org/10.1002/ajh.21883

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This is the peer reviewed version of the following article: Carlton Haywood Jr. et al., Examining the characteristics and beliefs of hydroxyurea users and nonusers among adults with sickle cell disease, American Journal of Hematology, Volume 86, Issue 1 Pages 85-87(2011), https://doi.org/10.1002/ajh.21883, which has been published in final form at https://doi.org/10.1002/ajh.21883. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.

Subjects

Abstract

The attitudes of patients with sickle cell disease (SCD) toward the use of hydroxyurea (HU) therapy may contribute to the underutilization of HU in the United States, yet our understanding of these attitudes is limited. We examined the attitudes and beliefs of 94 adult SCD patients, comparing those with who never used HU (n = 37), formerly used HU (n = 23), and were currently using HU (n = 34). Seventy percent of current HU users reported some level of improvement from the drug (“average” or “very much”) and 80% reported little or no trouble from side effects. Fifty‐seven percent of former users reported taking HU for less than 6 months, with “doctor's recommendation,” or “not liking the way it made me feel” given as the most commonly reported reasons for stopping HU. Fifty percent of the never users reported receiving no information about HU from any source, and 85% of the never users thought that they would receive no improvement if they were to take HU. A deeper understanding of patient perspectives toward HU utilization is required as part of multipronged efforts to combat its underutilization in the treatment of SCD.