临床指导方针与现实之间的脱节:Trastuzumab的案例
Alejandro Aranda-Gutierrez1, Enrique Soto-Perez-de-Celis2
1Departamento de Hemato-Oncología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
概括
即使在高收入国家,对HER2阳性乳腺癌的关键药物trastuzumab的获取也是有限的. 只有45%的符合条件的患者获得了这种必需药物,这突出了全球获取挑战.
科学领域:
- 在瘤学瘤学.
- 药物经济学 药物经济学
背景情况:
- HER2阳性乳腺癌影响10-20%的诊断.
- 特拉斯图祖马布 (mAb) 对于改善HER2阳性乳腺癌的存活率至关重要.
- 特拉斯图祖马布在世卫组织基本药物榜单中,但全球获取有限.
研究的目的:
- 评估Trastuzumab在HER2阳性乳腺癌患者的实际可用性.
- 突出获得必要癌症药物的差异.
- 讨论改善药物可获得性的策略.
主要方法:
- 对英国 (2012-2017年) 符合条件的患者的trastuzumab利用数据的分析.
- 审查有关药物获取的现有文献和医疗保健系统数据.
主要成果:
- 在英国,只有45%的符合条件的HER2阳性乳腺癌患者在2012年至2017年期间接受了trastuzumab.
- 高收入国家的低吸收率表明,低收入国家存在重大障碍.
- 在先进的瘤学研究和基本治疗方法的实际可用性之间存在分离.
结论:
- 确保获得trastuzumab等基本药物对于患者的治疗结果和医疗保健的可持续性至关重要.
- 建议采取策略,例如缩短治疗时间和促进生物类似药的可用性.
- 在新药开发的同时,应优先考虑公平获得经过验证的,必要的癌症治疗方法.
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