关键词: SCC actinic keratosis global dermatology international medication utilization medication utilization squamous cell carcinoma

来  源:   DOI:10.1016/j.jdin.2024.03.013   PDF(Pubmed)

Abstract:
UNASSIGNED: Actinic Keratoses (AK) are precancerous lesions that can lead to Squamous Cell Carcinoma. International differences in the utilization of topical medications to treat AK are not well described.
UNASSIGNED: To describe international differences in topical AK medication utilization, including associations of countries\' economic status with AK medication utilization.
UNASSIGNED: We used IQVIA MIDAS pharmaceutical sales data for 65 countries (42 high-income, 24 middle-income) from April 2011 to December 2021. We calculated each country\'s quarterly utilization of medications in grams per 1000 population. We used univariable linear regression to assess the association between country economic status and AK medication utilization.
UNASSIGNED: High-income countries used 15.37 more grams per 1000 population of 5-fluorouracil (95% CI: 9.68, 21.05), 4.64 more grams per 1000 population of imiquimod (95% CI: 3.45, 5.83), and 0.32 more grams per 1000 population of ingenol mebutate (95% CI: 0.05, 0.60).
UNASSIGNED: Missing medication utilization data for some countries.
UNASSIGNED: High-income countries use more topical AK therapies than middle-income countries.
摘要:
光化性角化病(AK)是可导致鳞状细胞癌的癌前病变。没有很好地描述使用局部药物治疗AK的国际差异。
为了描述局部AK药物利用的国际差异,包括国家/地区经济状况与AK药物利用的关联。
我们使用了65个国家的IQVIAMIDAS药品销售数据(42个高收入国家,24中等收入)从2011年4月到2021年12月。我们以每1000人的克数计算了每个国家的季度药物利用率。我们使用单变量线性回归来评估国家经济状况与AK药物利用之间的关系。
高收入国家每1000人使用15.37克5-氟尿嘧啶(95%CI:9.68,21.05),每1000个咪喹莫特人口中增加4.64克(95%CI:3.45,5.83),和0.32克更多每1000个群体的甲磺酸酯(95%CI:0.05,0.60)。
缺少一些国家的药物利用率数据。
高收入国家比中等收入国家使用更多的局部AK疗法。
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