对于患有晚期慢性病的成年人来说,药物审查干预措施:范围审查
Cathy Margaret Pogson1, Rosalynn Austin2,3,4, Jignesh Prakash Patel5,6
1Pharmacy Department, Portsmouth Hospitals University NHS Trust, Portsmouth, UK.
British journal of clinical pharmacology
|December 31, 2024
概括
结构化药物评价 (SMR) 对于优化初级保健中的药物至关重要. 然而,对于晚期慢性病 (CKD) 患者的SMR缺乏研究,这表明需要在这一领域进行更多研究.
科学领域:
- 药理学和病学 药理学和病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 结构化药物评价 (SMR) 在初级保健中实施,以优化药物使用并改善患者的治疗结果.
- 晚期慢性病 (CKD) G4-5D阶段的患者面临心血管疾病和过早死亡的高风险,通常涉及复杂的药物治疗方案.
研究的目的:
- 进行范围审查,评估现有的SMR研究,特别是针对CKD阶段G4-5D的成年患者.
- 为了确定全球模式,干预细节和研究差距,关于SMRs在这个脆弱的患者群体.
主要方法:
- 在2023年10月20日,对电子数据库进行了全面的搜索.
- 包括描述成人CKDG4-5D阶段SMR的研究,无论研究设计如何.
- 关于研究特征,干预措施和结果的数据被提取并以叙事方式合成.
主要成果:
- 审查发现,对于CKD G4-5D患者的SMR研究有限,大多数研究是在北美和欧洲进行的.
- 没有发现来自英国的研究.
- 大多数研究是定量性的,包括随机对照试验,主要设置在门诊科诊所.
结论:
- 显著缺乏证据来支持SMRs在减少晚期CKD (G4-5D) 的成年人中多药和与药物相关的危害方面的有效性.
- 迫切需要进一步的研究,以调查SMRs在这种高风险患者群体的药物管理中的作用和影响.
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