Bootman J Lyle, Crown William H, Luskin Allan T
College of Pharmacy, Arizona Health Sciences Center, Tucson 85721, USA.
Manag Care Interface. 2004 Jan;17(1):31-6.
Patients with difficult-to-treat or suboptimally controlled asthma consume a disproportionate share of asthma health care resources. Treatment strategies that minimize exacerbations may decrease the need for unscheduled medical services, reduce emergency department visits, and minimize asthma-related hospitalizations. Clinical trial evidence indicates the immunoglobulin-E blocker omalizumab reduces the frequency of asthma exacerbations, minimizes symptoms, and improves lung function in patients with moderate-to-severe asthma that is inadequately controlled by inhaled corticosteroid therapy. Treatment with omalizumab of patients with suboptimally controlled asthma may reduce the clinical and economic burden of asthma.
难治性或控制不佳的哮喘患者消耗了不成比例的哮喘医疗资源。将病情加重风险降至最低的治疗策略可能会减少对非计划医疗服务的需求,减少急诊就诊次数,并使哮喘相关住院次数降至最低。临床试验证据表明,免疫球蛋白E阻滞剂奥马珠单抗可降低中重度哮喘患者的哮喘加重频率,减轻症状,并改善肺功能,这些患者使用吸入性糖皮质激素治疗控制不佳。对控制不佳的哮喘患者使用奥马珠单抗进行治疗可能会减轻哮喘的临床和经济负担。