使用链接的电子医疗记录和药房数据来检查狼治疗药物的坚持:一项回顾性队列研究
Kai Sun1, Daniel Wojdyla2, Ankoor Shah1
1Division of Rheumatology and Immunology, Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Lupus
|September 3, 2024
概括
在全身性红斑狼 (SLE) 中,药物不服药与糟糕的结果有关. 较年轻的SLE患者更有可能不坚持治疗,这凸显了需要针对性干预来改善药物坚持治疗的需要.
科学领域:
- 类风湿病学 类风湿病学
- 药理学 药理学是指药理学的学科.
- 医疗信息学 医疗信息学
背景情况:
- 药物不服药是系统性红斑狼 (SLE) 的一个重要问题,导致发病率和死亡率增加.
- 可靠的追踪方法对于有效的SLE管理至关重要.
研究的目的:
- 评估电子医疗记录 (EMR) 中药房数据的可靠性,以研究SLE药物坚持.
- 使用EMR药房数据识别与不坚持SLE药物相关的因素.
主要方法:
- 对比了两个药房填充数据集:EMR集成和供应商来源.
- 药物持有率 (MPR) ≥80%定义的坚持是药物持有率.
- 利用后勤回归来分析影响SLE患者坚持治疗的因素.
主要成果:
- 在EMR和供应商药房数据之间有很高的重叠 (74%).
- 权重平均MPR为57%;32%的患者遵守了所有SLE药物.
- 较年轻的年龄与SLE患者较低的药物坚持有显著的关联.
结论:
- 链接EMR-药房数据是SLE坚持研究的可行和可靠的资源,数据损失最小.
- 年轻的全身性红斑狼患者需要有针对性的干预措施来改善药物坚持和降低相关风险.
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