与临床事件和死亡相关的药物变化描述的方法考虑:在2型糖尿病和癌症患者中的应用例子
Karl Sebastian Johansson1,2, Tonny Studsgaard Petersen3,4, Mikkel Bring Christensen3,4,5
1Department of Clinical Pharmacology, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark. karl.sebastian.johansson@regionh.dk.
Drugs & aging
|September 1, 2023
概括
癌症诊断后,药物治疗模式发生了显著的变化,症状缓解药物的使用增加,预防药物的使用减少. 这些变化与生存时间有关,突出了分析患者治疗轨迹的挑战.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 流行病学 流行病学
背景情况:
- 癌症等临床事件需要重新评估治疗.
- 了解围绕癌症诊断和生命终点的药物变化至关重要.
研究的目的:
- 描述癌症诊断后,接近生命终点的2型糖尿病患者的药物变化.
- 确定描述这些药物模式的挑战和局限性.
主要方法:
- 分析了一组丹麦2型糖尿病患者 (2000-2021年).
- 癌症患者 (n=41,745) 与非癌症患者 (n=166,994) 相匹配,使用倾向分数.
- 从癌症诊断到死亡时,追踪了药物使用情况.
主要成果:
- 癌症组的1年和5年死亡率明显高 (51%,86%) 与非癌症组 (13%,59%) 相比.
- 症状性药物使用增加,而预防性药物使用减少了癌症后诊断,特别是在短生存患者中.
- 临近死亡,预防性药物使用仍然很常见 (最近几个月超过60%).
结论:
- 围绕癌症诊断的药物改变是频繁的,并且取决于生存.
- 对诊断或死亡的分析提供临床实用性挑战.
- 预防性药物经常在生命的最后几个月内继续使用.
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