[与处方记录审查相比,在药物流行病学研究中对自我报告的药物使用的有效性评估]
Rina Yajima1, Minako Matsumoto2, Miho Iida2
1Division of Pharmaceutical Care Sciences, Keio University Faculty of Pharmacy.
概括
自我报告的药物使用调查问卷适用于老年人,特别是对高敏感性药物. 这项研究在370名老年人中验证了自我报告与药物笔记本之间的关系.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 自我报告问卷在流行病学研究中评估药物使用是常见的.
- 针对老年人的这些问卷的有效性需要进行彻底的评估.
研究的目的:
- 通过将问卷数据与药物笔记本记录进行比较,评估老年人自我报告的药物使用的有效性.
- 为了确定各种药物类别的自我报告数据的准确性.
主要方法:
- 这项研究包括来自Tsuruoka Metabolomics队列研究的370名社区老年人 (平均年龄73.3岁).
- 药物使用情况在自我报告问卷和药物笔记本记录之间进行了比较.
- 对16种药物类别的敏感性,特异性和kappa统计数据使用解剖治疗化学 (ATC) 代码进行计算.
主要成果:
- 自我报告的药物使用显示出高有效性,特别是对于敏感度分数为0.8或更高的药物.
- 诸如高血压 (0.97,0.97),脂质失调 (0.93,0.98) 和糖尿病 (0.94,1.00) 等特定药物表现出极好的准确性.
- 对于某些疾病,如心肌梗塞 (0.24) 和焦虑/抑郁 (0.36),尽管特异性很高,但观察到较低的敏感性.
结论:
- 自我报告的药物使用问卷显示了老年人的整体有效性.
- 准确性因药物类别而异,对于经常使用或高度敏感的药物,可靠性更高.
- 这些发现支持在涉及老年人群的流行病学研究中使用自我报告问卷,并仔细考虑药物类型.
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