使用阿巴洛帕拉提德治疗绝经后骨质疏松症妇女的治疗模式:现实世界的观察性研究
Deborah T Gold1, Tammy Beckett2, Chad Deal3
1Departments of Psychiatry & Behavioral Sciences and Sociology, Duke University Medical Center, Durham, NC, USA.
概括
大多数患有骨质疏松症的妇女完成了阿巴洛帕拉提德治疗,许多妇女继续接受治疗. 财政和耐受性问题是停止治疗的关键原因,强调了患者支持服务对骨质疏松症管理的重要性.
科学领域:
- 内分泌学 在内分泌学.
- 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:
- 骨质疏松症具有显著的骨折风险,特别是在绝经后的妇女中.
- 阿巴洛帕拉提德是一种FDA批准的合成代谢剂,用于治疗高风险个体的绝经后骨质疏松症.
- 关于阿巴洛帕拉提德治疗模式的现实数据对于了解其临床实用性至关重要.
研究的目的:
- 评估骨质疏松症妇女的阿巴洛帕拉提德的现实世界治疗模式.
- 评估治疗完成率,停止治疗的原因以及随后的治疗过渡.
- 检查患者支持服务对治疗坚持的影响.
主要方法:
- 对173名美国妇女的医疗记录进行了回顾性分析,这些妇女在美国的临床环境中新开了阿巴洛帕拉提德的处方.
- 数据收集包括患者人口统计,先前的骨质疏松症治疗,以及随访信息.
- 评估治疗持续时间,完成率,停止治疗的原因和过渡到后续治疗.
主要成果:
- 大多数患者 (64.8%) 按照处方完成了阿巴洛帕拉提德治疗,治疗时间中位数为18.6个月.
- 最常见的停止原因是财务 (31.2%) 和耐受性 (22.8%).
- 超过一半的患者 (50.6%) 在完成阿巴洛帕拉提德治疗后转换为另一种骨质疏松症药物,开始治疗的中位数为21天.
结论:
- 在现实环境中,完成阿巴洛帕拉提德治疗是可行的,得到定期随访和患者支持服务的支持.
- 了解停止治疗的原因对于优化骨质疏松症管理策略至关重要.
- 在阿巴洛帕拉提德后向抗吸收剂过渡是一种常见且重要的临床途径.
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