阿托瓦斯塔丁与罗斯瓦斯塔丁的比较有效性和安全性:一个多数据库队列研究
Shiyu Zhou1, Ruixuan Chen1, Jiao Liu1
1Division of Nephrology, National Clinical Research Center for Kidney Disease, State Key Laboratory of Organ Failure Research, Nanfang Hospital, Southern Medical University, Guangzhou, China (S.Z., R.C., J.L., Z.G., L.S., Y.Li, X.Z., F.L., Q.G., Y.Lin, M.P., L.C., X.X., S.N.).
Annals of internal medicine
|October 28, 2024
概括
罗斯瓦斯塔丁在实际使用中,与阿托瓦斯塔丁相比,全因死亡风险略低. 然而,在一个数据库中,罗斯瓦斯塔丁与更高的2型糖尿病风险有关.
科学领域:
- 心血管医学 心血管医学
- 药理学 药理学是指药理学的学科.
- 现实世界 证据研究 实证研究
背景情况:
- 罗斯瓦斯塔丁和阿托瓦斯塔丁是用于中度至高强度脂质管理的常用药物.
- 关于这两种广泛使用的他类药物的相对有效性和安全性,现实世界数据有限.
研究的目的:
- 为了比较罗斯瓦斯塔丁与阿托瓦斯塔丁的实际有效性和安全性.
- 评估两种他类药物之间所有原因死亡率,心血管事件和不良事件的差异.
主要方法:
- 采用了积极比较者队列研究设计,模拟了目标试验.
- 使用来自中国脏数据系统 (CRDS) 和英国生物银行 (UKB) 数据库的数据.
- 1:1多级倾向得分对应对考克斯比例危险回归进行.
主要成果:
- 在CRDS和UKB数据库中,与阿托瓦斯塔丁相比,罗斯瓦斯塔丁与较低的6年全因死亡率有关.
- 在这两种数据库中,罗斯瓦斯塔丁对主要心血管和肝脏不良结果的风险较低.
- 在UKB中,观察到使用罗斯瓦斯塔丁的2型糖尿病风险较高,脏疾病和其他他类药物不良反应的风险相似.
结论:
- 这项现实研究发现了罗苏瓦斯塔丁和阿托瓦斯塔丁之间对某些结果的风险差异.
- 观察到的差异通常很小,许多都没有达到统计学意义.
- 需要进一步的研究来确定这些发现的临床适用性.
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