量化与开始与持续心脏保护药物相关的药丸不实用性:一个随机实验
Alexander Chaitoff1, Julie C Lauffenburger1, Nancy Haff1
1Center for Healthcare Delivery Sciences, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA (A.C., J.C.L., N.H., K.T.J., N.K.C.).
开始使用新的心脏病发作和中风预防药物对老年人来说,比继续使用现有的药物更有高的药物无用性. 这些发现为处方和解除处方的成本效益模型提供了新的估计.
科学领域:
- 卫生经济学 卫生经济学
- 老年学是一门学科.
- 药物经济学 药物经济学
背景情况:
- 量化患者报告的药丸无用性对于评估药物风险-益处权衡至关重要.
- 了解这种不实用性对于明智的治疗决定至关重要,特别是在老年人中.
研究的目的:
- 量化和比较开始新药与继续使用现有药物预防心脏代谢疾病的药片无用性.
- 为药物管理中的成本效益分析提供新的估计.
主要方法:
- 一项采用双臂实验的调查对60岁以上的成年人进行了调查.
- 使用时间权衡方法和条件估值来衡量药丸不实用性.
- 克鲁斯卡尔-瓦利斯试验和逻辑回归被用于比较.
主要成果:
- 在开始服用新药时 (0.0662) 与继续服用现有的药物 (0.0378) 相比,药丸的不实用性显著更高.
- 开始服用新药的参与者,经历更大的药丸失效的几率是1.66倍.
- 这项研究包括621名老年人,其中大多数人患有慢性心脏代谢疾病.
结论:
- 对心脏保护药物的药丸不适用性比以前报告的要高,尤其是在开始治疗时.
- 这些发现提供了在处方和解除处方的背景下为成本效益建模的首次估计.
- 在美国老年人样本中采用了严格的确定方法.
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