疾病负担,治疗模式和控制喘在中国的成人喘患者:一个现实世界的研究
Victoria S Benson1, James Siddall2, Adam Haq2
1Epidemiology, Value Evidence & Outcomes, GSK, London, UK.
Journal of asthma and allergy
|October 7, 2024
概括
中国的喘管理显示,超过一半的患者使用肺功能测试不足,控制不良,随着GINA治疗步骤的提高,情况恶化.
科学领域:
- 肺部医学 肺部医学
- 临床研究 临床研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 喘在中国仍然是一个重大的公共卫生问题,需要全面了解当前的管理实践.
- 有效控制喘对于改善患者的生活质量和减少医疗负担至关重要.
研究的目的:
- 研究中国成人喘患者的临床特征,治疗模式和控制状态.
- 评估该人口中的恶化和人文负担 (生活质量,生产力损失).
- 确定中国医疗保健系统中喘护理改善的领域.
主要方法:
- 分析来自中国阿德尔菲喘疾病专项计划的数据 (2018年8月至12月).
- 包括765名在医院接受喘护理的成年患者.
- 从医疗记录,医生和患者自我报告中收集的数据,按全球喘倡议 (GINA) 治疗步骤分类.
主要成果:
- 肺功能和生物标志物测试的使用率不足 (例如,46.0%的肺功能测试).
- 超过一半的患者 (57.3%) 患有无法控制的喘,10.7% 患有严重的恶化.
- 报告说,生活质量和工作生产率显著下降,随着更高的GINA治疗步骤而恶化.
结论:
- 目前在中国的喘管理不足,测试利用率低,控制率低于最佳.
- 患者报告的结果表明存在相当大的人文负担,特别是在高级GINA阶段的患者中.
- 需要紧急优化喘管理策略,以改善中国患者的治疗结果.
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