关键词: CORNEA / EXTERNAL DISEASE GLAUCOMA Glaucoma medical therapies epidemiology / risk factors health economics ocular surface agents open angle glaucoma

Mesh : Humans Glaucoma, Open-Angle / drug therapy Ocular Hypertension / drug therapy Public Health Retrospective Studies Intraocular Pressure Glaucoma / drug therapy Preservatives, Pharmaceutical / therapeutic use Antihypertensive Agents / therapeutic use Benzalkonium Compounds Ophthalmic Solutions / therapeutic use Prescriptions

来  源:   DOI:10.1177/11206721231170034

Abstract:
OBJECTIVE: To analyze the prescribing trends over a 7-years period, between 2013 and 2020, in a tertiary hospital (Hospital Clinico San Carlos, Madrid, Spain) and its health area.
METHODS: A retrospective study on the data collected from the information systems, \"farm@web\" and \"Farmadrid\", of glaucoma prescriptions in the framework of a public health system (Spanish National Health System) during the last seven years.
RESULTS: Prostaglandin analogues were the most commonly used drugs in monotherapy during the study period (range: 36.82% - 47.07%). Fixed combinations of topical hypotensives had an upward trend since 2013 (range: 39.99% - 54.21%), becoming the most dispensed drugs in 2020 (48.99%). Preservative-free eye drops (lacking benzalkonium chloride, BAK) have displaced preservative containing topical treatments in all pharmacological groups. In 2013, BAK-preserved eye drops accounted for 91.1% of the total prescriptions, however in 2020 they only accounted for 34.2% of total prescriptions.
CONCLUSIONS: The results of the present study highlight the current trend to avoid BAK-preserved eye drops for the treatment of glaucoma.
摘要:
目的:分析7年的处方趋势,2013年至2020年,在一家三级医院(医院诊所圣卡洛斯,马德里,西班牙)及其健康领域。
方法:对从信息系统收集的数据进行回顾性研究,\"farm@web\"和\"Farmadrid\",在过去的七年中,公共卫生系统(西班牙国家卫生系统)框架内的青光眼处方。
结果:前列腺素类似物是研究期间单药治疗中最常用的药物(范围:36.82%-47.07%)。局部降压药的固定组合自2013年以来呈上升趋势(范围:39.99%-54.21%),成为2020年配药最多的药品(48.99%)。无防腐剂滴眼液(缺乏苯扎氯铵,BAK)在所有药理组中都取代了含有局部治疗的防腐剂。2013年,BAK保存的滴眼液占总处方的91.1%,然而,在2020年,它们仅占总处方的34.2%。
结论:本研究的结果强调了目前避免使用BAK保留的滴眼液治疗青光眼的趋势。
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