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在现实世界中,主要不坚持服用抗肥胖药物
Hong Kan1, Jay P Bae1, Julia P Dunn1
1Eli Lilly, Indianapolis, IN.
Journal of managed care & specialty pharmacy
|August 18, 2023
概括
对抗肥胖药物 (AOMs) 的初级不坚持非常高,影响超过90%的患者. 抑郁症和地理区域与风险增加有关,突出了肥胖治疗的障碍.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 临床医学 临床医学
背景情况:
- 初级不服药 (PNA),即未能填写新处方,是管理超重和肥胖症的重要差距.
- 抗肥胖药物 (AOM) 对于治疗至关重要,但PNA可能会阻碍它们的有效性.
研究的目的:
- 为了确定新规定的AOMs的PNA率.
- 为了确定患者的特征和与PNA相关的因素到AOMs.
主要方法:
- 对Optum综合临床加索赔数据库 (2012-2019) 的回顾性分析.
- 在60天内,根据药房声明,确定了新AOM处方和评估PNA的患者.
- 使用多变量逻辑回归来分析与PNA相关的因素.
主要成果:
- 总共有1563名患者被纳入;91.1%的人表现出PNA.
- 在特定的AOM和PNA之间没有发现显著的关联.
- 增加PNA风险与抑郁症和居住在中西部或南部地区有关.
结论:
- PNA对AOM的高率表明,超重和肥胖的医疗管理存在重大障碍.
- 需要进一步的研究来理解和解决PNA的原因,以优化AOM治疗.
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