莱沃甲状腺素处方的适当性:一个多中心的回顾性研究
Ivan Nicolas Ayala1, Cristian Soto Jacome1,2, David Toro-Tobon2
1Knowledge and Evaluation Research Unit, Department of Medicine, Mayo Clinic, Rochester, MN 55902, USA.
超过一半的新levothyroxine处方是无证据的 (NEB),这意味着没有临床支持. 这凸显了对这种常见的甲状腺药物的处方实践和患者观点进行调查的必要性.
科学领域:
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 利沃甲氧氨酸是美国广泛处方的药物.
- 了解其启动的适当性对于患者护理和资源分配至关重要.
研究的目的:
- 为了评估初始Levothyroxine处方的适当性.
- 识别与非基于证据 (NEB) 处方相关的因素.
主要方法:
- 一项回顾性多中心研究分析了977名在2017-2020年间开始接受levothyroxine的成年患者.
- 处方被分为适当的,不确定的或没有证据的 (NEB).
- 多变量分析确定了与NEB处方相关的因素.
主要成果:
- 54%的勒沃西素处方被归类为NEB.
- NEB的常见原因包括没有先前值的低TSH.
- 女性性别和初级保健提供者处方与NEB有关.
- 过度的甲状腺功能低下是适当处方的主要原因.
结论:
- 相当一部分的Levothyroxine启动是基于没有证据的.
- 需要进一步的研究来了解处方和患者的观点.
- 这些研究结果表明,可能需要改进勒沃西的处方指南.
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