在七个欧洲电子健康数据库中对骨质疏松症药物的药物使用分析
Eng Hooi Tan1, Danielle E Robinson1, Annika M Jödicke1
1Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, OX3 7LD, UK.
骨质疏松症药物持久性低于最佳,特别是在口服治疗中,在12个月内观察到显著下降. 医疗保健提供者应该专注于改善对骨质疏松症治疗的坚持.
科学领域:
- 药理学和药理学流行病学
- 骨代谢和骨质疏松症研究研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 骨质疏松症的管理依赖于一致的药物坚持以获得有效性.
- 了解患者个人资料和药物使用情况对于优化骨质疏松症治疗至关重要.
- 低于最佳的持续性可能导致治疗失败和骨折风险增加.
研究的目的:
- 为了描述患者的特征,医生处方了骨质疏松症药物.
- 描述不同骨质疏松症疗法的药物使用模式和持久率.
- 为了确定影响欧洲队列治疗坚持的因素.
主要方法:
- 一项队列研究分析了来自七个欧洲数据库 (英国,意大利,荷兰,丹麦,西班牙,德国) 的数据.
- 包括18岁以上的新使用骨质疏松症药物 (双酸盐,代诺苏马布,特里巴,SERM) 的患者.
- 数据收集时间从2018年1月到2022年1月.
主要成果:
- 阿伦德罗纳酸是最常见的初始治疗方法.
- 在所有研究药物中,持续性在12个月内显著下降,在12个月后的阿伦德罗纳酸中,持续率从29%到53%不等.
- 治疗转换是罕见的,最常发生在阿伦德罗纳特和特里巴类药物组.
结论:
- 在欧洲数据库中,对骨质疏松症药物的坚持是不理想的.
- 坚持率因药物类别和地理区域而异.
- 需要有针对性的干预措施来改善骨质疏松症治疗的长期持久性.
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