[巴西大麻基产品的合法化:2019年至2022年的分析]
Ronaldo Portela1, Daniel Marques Mota2, Paulo José Gonçalves Ferreira2
1Faculdade de Farmácia, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Cadernos de saude publica
|October 11, 2023
概括
巴西对大麻 (CBD) 产品的司法请求揭示了关键的患者人口统计和治疗模式. 专家意见,主要是基于证据的,指导决策,强调司法技术支持对医疗准入的重要性.
科学领域:
- 医疗法 法律 医疗法
- 药物监督 药物监督 药物监督
- 卫生政策 卫生政策
背景情况:
- 通过巴西统一国家卫生系统 (SUS) 增加了对大麻素 (CBD) 产品的要求.
- 司法决定往往依赖于技术专家的意见,以授予这些治疗的机会.
- 了解这些诉讼的特点对于卫生政策和患者获取至关重要.
研究的目的:
- 通过巴西诉讼分析寻求CBD产品的患者的社会人口统计学,临床和法律概况.
- 评估专家意见与科学证据和CBD产品获取监管地位的协调程度.
- 确定影响对基于CBD的治疗方法有利的司法意见的因素.
主要方法:
- 横截面研究分析了来自e-NatJus系统 (2019-2022) 的115个技术笔记.
- 从巴西司法部的e-NatJus平台通过网络取收集数据.
- 后勤回归分析以确定有利意见的赔率比率.
主要成果:
- 原告主要是男性 (54.7%),平均年龄为18.4岁,主要来自南方地区 (38.8%).
- 是最常见的疾病 (49.6%),并且很大一部分有利的意见缺乏科学证据 (28.8%) 或涉及未注册/错误指示的产品.
- 来自东北地区的患者 (OR=3.0) 和患有的患者 (OR=2.3) 的好评率更高.
结论:
- 支持巴西关于CBD获取司法决定的专家意见通常与科学证据保持一致.
- 司法技术支持中心 (NatJus) 在确保有资格获得药品方面发挥着至关重要的作用.
- 需要对涉及未注册或非标签CBD产品的情况进行进一步评估,以确保患者安全和监管合规.
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