摘要
目的:研究药物经济学评价对降低青光眼治疗成本、促进临床合理用药的重要性。内容与方法:分析比较他氟前列素与其他前列腺素类药物治疗青光眼的有效性和安全性,从药物经济学评价和上市后影响预测两个角度分析应用他氟前列素的经济性。结论 :药物经济学评价对优化青光眼治疗方案、控制药品费用、减轻患者费用负担具有重要意义。
Objective To Study on the importance of introducing pharmacoeconomics into the treatment of glaucoma by medicine in decreasing the cost and promoting rational drug use. Methods The efficacy and safety of tafluprost and three other kinds of prostaglandins analogues were compared. The economical efficiency of tafluprost was analyzed from the perspectives of both pharmacoeconomic evaluation and possible post-marketing impact. Conclusion Introducing pharmacoeconomics can optimize the treatment of glaucoma, control drug cost and reduce financial burden of patients.
引文
[1]Makino K,Charles H,Tilden D,et al.Health economic evaluation of preservative-free tafluprost versus preserved latanoprost in the treatment of open-angle glaucoma or ocular hypertension(OH)[J].Value in Health,2012,15(7):A643.
[2]NAKAJIMA T,MATSUGI T,GOTO W,et al.New fluoroprostaglandin F(2alpha)derivatives with prostanoid FP-receptor agonistic activity as potent ocular-hypotensive agents[J].Biol Pharm Bull,2003,26(12):1691-1695.
[3]Rintaro Suzuki Jr E,Meirelles Franklin L,Basilio da Silva L J,et al.Comparison of the efficacy and safety of travoprost with a fixedcombination of dorzolamide and timolol in patients with open-angle glaucoma or ocular hypertension[J].Current Medical Research and Opinion®,2006,22(9):1799-1805.
[4]Song H J,Kang S H,Heo J H,et al.Cost effectiveness analysis of tafluprost compared with latanoprost on the treatment of primary open angle glaucoma in South Korea[J].Value in Health,2009,12(7):A456-A457.
[5]胡春阳,韩晟,邢冬乐,史录文.他氟前列素和拉坦前列素治疗原发性开角型青光眼临床试验研究综述[J].中国药物经济学,2013,03:9-13.
[6]胡春阳,韩晟,陈路佳等.他氟前列素与拉坦前列素治疗原发性开角型青光眼的成本效果分析[J].中国新药杂志,2013,22(23):2831-2836.
[7]林其敏,韩晟,王继斌,管晓东,马满玲,王长连,侯锐钢,史录文.医疗机构青光眼治疗药物使用结构分析[J].中国新药杂志,2015,19:2271-2276.
[8]林其敏,韩晟,管晓东,马莉莉,赵亮,史录文.他氟前列素上市后的预算影响分析[J].中国新药杂志,2015,23:2645-2650.
[9]任泽钦.青光眼局部降眼压药专家共识和一线药物的发展[J].眼科,2012,21(1):11-13.
[10]张舒心、唐忻、刘磊等,《青光眼治疗学》,人民卫生出版社,2011.
[11]中华医学会眼科学分会官网.http://www.cmao.org.cn/news_view.asp?id=199.
[12]中华医学会眼科学分会青光眼学组.我国原发性青光眼诊断和治疗专家共识(2014年)[J].
[13]胡铮,赵家良,董方田等.北京市顺义县青光眼流行病学调查[J].中华眼科杂志,1989,25(2):115-119.
[14]赵家良,睢瑞芳,贾丽君等.北京市顺义县50岁及以上人群中青光眼患病率和正常眼眼压的调查[J].中华眼科杂志,2002,06:18-22.