儿童瘤组机构中甲甲酸缺乏:一项跨国调查结果
Sarah Menig1, Olga Militano2, Andrew Ostrenga3
1Department of Pharmacy, Seattle Children's Hospital, Seattle, WA, USA.
The oncologist
|December 9, 2023
概括
化学疗法药物短缺,比如甲醇,危及癌症治疗和患者的结果. 一项调查揭示了各种各样的短缺影响和不一致的缓解策略,强调需要国家指导,以确保平等获得必要的癌症药物.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 医疗保健管理的管理
背景情况:
- 药物短缺,特别是必要的化疗剂,是影响儿童和成人患者癌症治疗的广泛问题.
- 这些短缺导致严重后果,包括治疗结果较差,药物错误增加,医疗费用增加和可预防的患者死亡.
- 在许多儿童癌症治疗方案中,甲托雷克萨特是关键药物,经常受到这些短缺的影响,但没有国家指导方针来管理这种危机.
研究的目的:
- 评估当前甲状腺素缺乏对儿童瘤组 (COG) 成员机构的影响.
- 为了确定美国不同中心甲状腺素缺乏范围的变化.
- 了解机构采用的各种缓解策略及其对公平患者护理的影响.
主要方法:
- 一项跨国调查分发给儿童瘤组 (COG) 内的机构.
- 该调查收集了有关每个机构所经历的甲状腺素缺乏程度的数据.
- 还收集了有关实施的缓解策略的信息,以管理药物稀缺情况.
主要成果:
- 在美国COG场所中观察到甲状腺素缺乏的严重程度存在显著差异;一些中心面临严重的稀缺,而另一些报告没有短缺.
- 机构采用了各种不同的策略来应对甲基稀缺问题.
- 这些多样化的缺乏缓解方法有可能在获得基本药物方面造成差异,并加剧癌症治疗现有的不平等现象.
结论:
- 该研究强调,对于管理化疗药物短缺的标准化国家指导的必要性至关重要,特别是对于甲状腺素.
- 解决这些短缺问题至关重要,以防止患者的治疗结果受到损害,并确保平等地获得拯救生命的癌症治疗.
- 制定和实施一致的协议对于减轻药物短缺的影响和促进儿科和成人瘤治疗公平性至关重要.
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