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对药物计数方法进行比较分析,以评估医疗行政数据库中的多药性
Marie-Eve Gagnon1, Miceline Mésidor2, Marc Simard3
1Faculté de pharmacie, Université Laval, Québec, Canada; Département des sciences de la santé, Université du Québec à Rimouski (UQAR), Rimouski, Québec, Canada.
不同的药物计数方法显著影响多药性流行率估计. 研究人员必须仔细考虑这些变化,当比较跨种群的多药.
科学领域:
- 老年学是一门学科.
- 制药科学 制药科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多药性,即使用多种药物,是老龄化人口日益关注的问题.
- 计数药物的不一致方法使得跨研究和人群的多药性流行率比较变得复杂.
研究的目的:
- 通过使用六种不同的药物计数方法,从医疗行政数据库中得出的多种药房患病率估计进行比较.
- 评估不同多药店确定策略之间的一致性.
主要方法:
- 分析了来自北克的93516名65岁以上的人群.
- 应用了六种药物计数方法:累计一年,平均季度,单日,第一/第四季度,持续时间加权和不间断使用.
- 计算了流行率估计,并使用科恩的卡帕来确定方法之间的一致性.
主要成果:
- 多药药的流行率因方法而异,从35.4% (不间断使用) 到74.1% (累计一年).
- 累积方法产生了最高的患病率,而单日,第一/第四季度和持续时间加权方法产生了类似的,较低的估计值.
- 与其他方法相比,累积方法还发现年轻的,较少多病症的个体具有多药性.
结论:
- 药物计数方法极大地影响了多药制药的流行率估计.
- 仔细考虑所选择的方法对于准确解释和比较多药房数据至关重要.
- 为了可靠的跨人群分析,需要对方法进行标准化或明确报告.
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