在丹麦国家处方注册表中验证"使用指示" (INDO) 变量
1From the Clinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Epidemiology (Cambridge, Mass.)
|October 27, 2023
概括
丹麦国家处方注册表准确地捕获了处方数据,具有适用于药物流行病学研究的一般有效指示信息. 一些缺失和非特定的代码存在,特别是在2017年之前.
科学领域:
- 药学流行病学 药学流行病学
- 医疗信息学 医疗信息学
- 药物使用研究 药物利用研究
背景情况:
- 丹麦国家处方注册局的"使用指示" (INDO) 数据在研究中未得到充分利用.
- 之前的研究并没有系统地评估 INDO 数据在注册表中的有效性.
研究的目的:
- 评估丹麦国家处方注册表中"使用指示"数据的有效性和完整性.
- 评估INDO数据对基于登记册的药物流行病学研究的可用性.
主要方法:
- 从五家丹麦社区药房 (PharmaNet和C2) 提取了2019年2月和2020年2月填写的处方的数据.
- 使用药房软件系统指示数据作为评估处方注册表数据的黄金标准.
- 分析了超过8万份处方药的捕获率,准确性和指示码的特异性.
主要成果:
- 超过99%的处方被捕获在处方注册表中.
- 大约88%的处方有记录的指示代码,记录的人的准确性很高 (>99%).
- 在选定的药物/类别中,在5.6%-36%的药物/类别中发现了非特定的指示代码.
结论:
- 丹麦国家处方注册表中的指示数据通常是有效的,适合研究.
- 担忧包括缺少的数据,不特定的代码和2017年之前的有效性较低.
- 注册表数据支持药物流行病学研究,仔细考虑数据限制.
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