意大利人口使用三药:在社区药房的现实研究
Francesca Baratta1, Gianni Allais2,3, Roberto Gnavi4
1Department of Drug Science and Technology, University of Turin, Turin, Italy.
PloS one
|September 8, 2023
概括
头痛障碍未得到充分治疗,只有25%的患者接受平坦处方. 这项研究分析了影响普坦使用的因素,并探索了社区药房.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 头痛障碍 (HD) 代表着相当大的神经负担,经常被低估和治疗不足.
- 三类药物是中度至重度偏头痛的首要治疗方法,但它们的利用仍然不够理想.
- 在意大利,三药需要医生的处方,这可能会限制获取.
研究的目的:
- 分析与意大利患有头痛疾病的患者处方和使用triptan相关的因素.
- 调查社区药房在改善三类药物治疗管理方面的潜在作用.
- 为了确定特里普坦的处方率较低的原因.
主要方法:
- 来自2016-2017年的一项研究数据的二次分析,该研究涉及意大利19个地区的4424名药房用户.
- 数据是通过514家药房的610名训练有素的药剂师管理的问卷收集的.
- 多变量分析,以确定普坦使用与患者/临床变量之间的关联.
主要成果:
- 只有25%的患有头痛疾病的患者被处方三药.
- 老年患者,患有明确偏头痛,慢性疾病的患者,以及参加专业头痛中心的患者中,三类药物的使用率更高.
- 多变量分析证实了这些关联.
结论:
- 在意大利,对于头痛疾病的triptan处方和使用存在重大差距.
- 需要进一步调查普坦使用的障碍.
- 社区药房可以在监测偏头痛患者的需求和确保治疗遵守方面发挥至关重要的作用.
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