从2001年到2022年,导致化剂短缺的趋势
James D Whitledge1,2, Pelayia Soto3,4, Kieran M Glowacki5
1Harvard Medical Toxicology Fellowship (JDW), Boston Children's Hospital, Boston, MA.
概括
随着时间的推移,美国的化剂药物短缺增加,对肠道药物产生最严重的影响. 这些短缺,通常是仿制药,单一来源的药物,需要提高供应链的弹性.
科学领域:
- 药理学和治疗学 药理学和治疗学
- 公共卫生 公共卫生
- 供应链管理 供应链管理
背景情况:
- 中毒需要有效的化疗法.
- 类化剂药物短缺对患者护理构成了重大挑战.
- 了解历史的短缺模式对于未来的减缓至关重要.
研究的目的:
- 分析2001年至2022年美国类化剂药物短缺的频率,持续时间和特征.
- 确定与这些短缺相关的趋势和促成因素.
- 为提高基本药物的供应链弹性制定战略.
主要方法:
- 从犹他大学药物信息服务中心 (2001-2022) 获取药物短缺数据.
- 分析了第一线和第二线叶剂的短缺情况,检查了药物类别,配方,途径,原因,持续时间和来源.
- 计算总短缺月份,短缺研究期的百分比和短缺持续时间的中位数.
主要成果:
- 发生了13个化剂短缺,其中二乙酸盐和二卡体验的最多.
- 亲肠道药物占短缺的61.5%,平均持续时间为14.2个月.
- 在研究期的下半年,短缺的频率和持续时间增加,影响到通用,单一来源的产品.
结论:
- 类化剂短缺变得越来越频繁和持续,影响患者的治疗选择.
- 同时的短缺可能会限制治疗替代品,突出需要改善供应链.
- 医疗保健利益相关者必须制定策略,在药物短缺期间管理化疗法,并建立供应链性.
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