时间趋势,区域变化和低过敏配方处方协会在英格兰处方
Karen H T Li1, Olivia Wing1, Hilary I Allen1
1National Heart and Lung Institute, Imperial College London, London, UK.
概括
牛奶过敏 (CMA) 的过度诊断正在上升,低过敏配方的处方增加. 这些配方的区域处方率与抗反流药物相关,这表明处方习惯可能导致过度诊断.
科学领域:
- 儿科过敏和免疫学
- 医疗保健服务研究 医疗服务研究
- 药品处方趋势 药品处方趋势
背景情况:
- 牛奶过敏 (CMA) 的过度诊断越来越多,这与过度处方低过敏配方有关.
- 这项研究调查了英格兰CMA的低过敏配方处方趋势和区域差异.
研究的目的:
- 评估英格兰CMA的低过敏配方处方的最新趋势.
- 评估处方率的区域差异.
- 确定与较高的处方率相关的潜在风险因素.
主要方法:
- 利用英格兰的电子处方数据库 (2007-2023) 查看国家趋势.
- 分析了使用多变量线性回归的区域处方变化 (2017-2019).
- 研究了区域因素与低过敏配方药处方率之间的关联.
主要成果:
- 全国低过敏配方药处方量从6.1升上升到每次出生的23.3升 (2007-2023年).
- 观察到显著的区域差异 (0.8至47.6升/分娩,2017-2019).
- 处方率与牛奶料加厚剂和抗反流药物有很强的关联;社会经济因素和服务提供没有任何关联.
结论:
- 在英格兰,低过敏度配方药的处方正在增加,并且显示出显著的区域差异.
- 厚化剂和抗反流药物的处方始终与低过敏配方使用相关.
- 社区的处方行为似乎是潜在的CMA过度诊断的关键因素.
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