从随机AMBORA试验到临床实践:在口服抗瘤治疗中比较药物错误
Lisa Cuba1,2,3,4, Pauline Dürr1,2,3,4, Frank Dörje2,3,4,5
1Institute of Experimental and Clinical Pharmacology and Toxicology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Clinical pharmacology and therapeutics
|April 24, 2024
概括
药物错误在现实世界癌症护理中比口服抗瘤药物的临床试验更为常见. 强化护理计划有效地解决了这两个设置中的大多数错误.
科学领域:
- 在瘤学瘤学.
- 临床药理学 临床药理学
- 患者安全 患者安全
背景情况:
- 在口服抗瘤疗法中,药物错误是常见的.
- 随机对照试验 (RCT) 可能不能完全代表现实世界的概括性.
- 一个加强的临床药理/制药护理计划可以减少这些错误.
研究的目的:
- 为了比较药物错误频率和特征在现实世界的临床常规与RCT设置.
- 在日常实践中评估临床药理学/药物护理计划的有效性.
主要方法:
- 追溯分析比较来自AMBORA试验干预组和AMBORA竞争和咨询中心的数据.
- 数据包括新的口服抗瘤疗法启动.
- 药物错误率,治疗方案的复杂性,药物数量和ECOG状态的比较.
主要成果:
- 药物错误在临床常规 (0.83错误/患者) 与RCT (0.41错误/患者) 相比,是临床常规中的两倍.
- 现实世界中的患者有更复杂的治疗方案,更多的药物,以及更高的ECOG状态.
- 在这两种情况下,高比例的错误都被解决了 (85.7%与88.3%对比).
结论:
- 涉及口服抗瘤治疗药物的药物错误在临床常规中比在RCT中更频繁.
- 临床药理/制药护理计划在现实环境中有效地管理药物错误.
- 尽管复杂性更高,但观察到类似的错误特征和高分辨率.
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