[在与年龄相关的黄斑变性治疗中使用贝瓦齐祖马布:更多的注射,更好的视力,成本更低]
Haras Mhmud1,2, Odette A M Tigchelaar-Besling3, Jeroen P Vermeulen4
1Radboudumc, afd. Oogheelkunde, Nijmegen.
Nederlands tijdschrift voor geneeskunde
|February 27, 2025
概括
荷兰患有新血管与年龄相关的黄斑退行症 (nAMD) 的患者在非标记性bevacizumab的治疗中获得了更好的视力敏度 (VA). 这需要更多的注射和更早地切换到其他抗VEGF治疗.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 药物经济学 药物经济学
背景情况:
- 神经血管与年龄相关的黄斑变性 (nAMD) 是导致视力丧失的主要原因.
- 抗VEGF疗法是对nAMD的标准治疗方法.
- 与许多其他国家不同,荷兰使用非标签的贝瓦西祖马布作为一线治疗.
研究的目的:
- 为了比较荷兰与其他国家的nAMD抗VEGF治疗的长期结果.
- 评估视力敏度 (VA),注射频率和治疗切换模式.
主要方法:
- 展望,现实世界,观察性研究.
- 荷兰1617只眼睛与来自13个可比国家的8667只眼睛进行了比较.
- 主要结局:60个月的平均VA;次要结局:注射频率和治疗转换.
主要成果:
- 荷兰人的眼睛在60个月后显示VA显著更高.
- 荷兰患者每年接受的注射量更多 (平均差异为2).
- 在荷兰观察到更高的比率和更早的转换到替代抗VEGF治疗 (65.2%与50.1%相比).
结论:
- 荷兰的非标签贝瓦齐祖马布导致nAMD患者的长期VA优异.
- 实现更高的VA与增加的治疗负担有关 (更多的注射,更早的切换).
- 这表明视觉结果和治疗成本/复杂性之间的权衡.
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