骨质疏松症治疗史与接受第二剂佐莱德龙酸之间的关系
Natalia Konstantelos1, Sandra Kim2,3, Angela M Cheung4,5
1Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada. natalia.konstantelos@gmail.com.
概括
大多数接受酸治疗的骨质疏松症患者先前接受过治疗. 那些先前使用过口服双酸的人更有可能接受第二次酸输注,这凸显了了解患者决定的必要性.
科学领域:
- 骨质疏松症的药物治疗
- 双酸盐处理
- 医疗管理数据分析
背景情况:
- 在加拿大安大略省,酸是骨质疏松症的关键二线治疗.
- 临床试验主要用于未经治疗的患者.
- 在实体患者群体中,开始使用索尔德罗尼酸的患者往往有骨质疏松症药物治疗史.
研究的目的:
- 描述在安大略省开始使用zoledronic acid的患者.
- 确定先前的骨质疏松症药物治疗是否会影响索莱德龙酸的剂量频率.
- 确定影响第二次注射索莱德龙酸的因素.
主要方法:
- 安大略省卫生保健行政数据的分析 (2006-2021年).
- 基于5年药物治疗史的患者分类 (没有,denosumab,口服双酸盐,其他).
- 考克斯的比例危险模型可以在不同群体中比较第二剂接收.
主要成果:
- 有3308名患者开始接受氨酸;31%的患者接受了第二次输液.
- 49% 的患者先前使用过口服双酸盐; 37% 的患者先前没有接受过治疗.
- 接受第二剂的可能性增加了1.5倍 (HR: 1. 50 [1. 31-1. 71]).
结论:
- 大多数实体患者有骨质疏松症治疗经验.
- 以前接受过口服双酸盐治疗的患者接受第二剂索莱德龙酸的比例较高.
- 需要进一步研究患者对氨酸的看法和治疗决策.
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