处方药的摄入量和使用新型降脂疗法
Jimin Hwang1, Eric D Peterson1, Anand Gupta1
1University of Texas Southwestern Medical Center Dallas TX USA.
Journal of the American Heart Association
|May 2, 2025
概括
很少有美国临床医生开处方新的降脂疗法,如PCSK9抑制剂和bempedoic酸. 需要采取干预措施,以增加处方者对这些重要的治疗方法的接受率.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 新型降脂疗法 (LLT) 的摄入量仍然很低.
- 临床医生对LLT的处方模式的变化尚未得到充分理解.
研究的目的:
- 描述美国新型LLT的早期处方模式.
- 为了确定与高使用PCSK9抑制剂和bempedoic酸相关的因素.
主要方法:
- 对美国药房交易数据 (2018年1月至2022年12月) 的分析,用于LLT处方.
- 确定新开始使用PCSK9抑制剂 (PCSK9i) 或bempedoic acid (BA) 的患者.
- 评估PCSK9i和BA的处方者比例,专业和处方量.
主要成果:
- 到2022年12月,只有9.2%的LLT处方者使用了PCSK9i,2.4%使用了BA.
- 心脏病学家显示使用率较高 (62.8%PCSK9i,18.2%BA),但整体采用程度有限.
- 10%的处方者占PCSK9i和BA启动的50%以上.
结论:
- 大多数处方LLT的美国临床医生都没有使用PCSK9i或BA.
- 早期的采用者和大量的处方者存在,通常是心脏病学家.
- 新型LLT的普及需要有针对性的干预措施,鉴于批准率的上升.
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