与前列腺癌患者可能不适当的处方相关的因素
Marija Peulic1,2, Radica Zivkovic Zaric2,3, Milorad Stojadinovic4
1Department of Oncology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
老年前列腺癌患者通常会收到潜在的不充分的药物处方. 高PSA,间歇性雄激素剥夺疗法 (ADT) 和多种药物增加了这种风险.
科学领域:
- 老年人药理学 老年人药理学
- 在瘤学瘤学.
- 临床药房 临床药房
背景情况:
- 在患有慢性疾病的老年患者中,多药制增加了不充分处方药物的风险.
- 前列腺癌主要影响老年男性,他们经常有多种并发症,需要多种药物治疗.
研究的目的:
- 在被诊断为前列腺癌的老年男性患者中识别潜在的不充分处方 (PIP).
- 在这个患者群体中分析与PIP相关的因素.
主要方法:
- 这是一项涉及334名男性前列腺癌患者的观察性,横截面研究.
- 这些数据来自于向多学科瘤委员会 (MDT) 提交尿道癌症患者的数据.
- 药物适用性指数 (MAI) 评分是主要结果指标.
主要成果:
- 很大一部分前列腺癌患者接受了可能不充分处方的药物.
- 较高的PIP风险与PSA水平升高,间歇性雄激素剥夺疗法 (ADT) 和处方药物的数量有关.
- 二次激素治疗与PIP的发病率较低有关.
结论:
- 前列腺癌患者处于不适当处方的风险增加,特别是多药,高PSA和间歇性ADT.
- 临床医生必须在向这一群体开处方时保持谨慎,以减轻不利的健康和经济后果.
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