肺高血压患者的治疗模式:哥伦比亚的一项描述性研究
Manuel Machado-Duque1,2, Andrés Gaviria-Mendoza1,2, Luis Fernando Valladales-Restrepo1,2
1Grupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira y Audifarma S.A, Pereira, Colombia.
哥伦比亚肺高血压 (PH) 患者主要接受单一治疗,通常是通道阻塞剂. 这与建议联合治疗的指导方针形成鲜明对比,短期药物持续性表明潜在的治疗挑战.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床医学 临床医学
- 流行病学 流行病学
背景情况:
- 肺高血压 (PH) 是一种影响肺动脉压力的渐进性疾病.
- 了解现实世界的治疗模式对于管理PH至关重要.
研究的目的:
- 描述肺动脉高血压 (PAH) 和慢性血栓栓塞性肺高血压 (CTEPH) 的门诊患者的治疗模式.
- 在现实世界中分析药物使用,持续性和组合疗法.
主要方法:
- 使用基于人口的药物分配数据库 (2022-2023) 进行纵向队列后续研究.
- 数据包括社会人口统计,诊断,处方专业和治疗细节.
- 分析的重点是药物使用模式和持续使用.
主要成果:
- 确定了1045名PH患者 (平均年龄62.9岁,72.3%为女性).
- 90.6%的人接受单一治疗,9.4%的人最初接受组合治疗.
- 最常见的药物:通道阻塞剂 (58.1%),PDE5抑制剂 (41.1%),ERAs (32.5%).
- 单独使用安洛迪平 (31.0%) 和西尔代纳菲尔 (19.2%) 的治疗是常见的.
- 平均药物持续时间为一年的161天.
结论:
- 哥伦比亚PH患者主要接受单一治疗 (CCB,PDE5抑制剂),与联合治疗的指导方针建议有所不同.
- 药物持续时间短 (<6个月) 可能表明随访,坚持,有效性,耐受性或获取问题.
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