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产品特性摘要和包装说明书中的临床药理学信息。

Clinical pharmacology information in summaries of product characteristics and package inserts.

作者信息

Arguello B, Fernandez-Llimos F

机构信息

Farmacia Arguello, Pharmaceutical Care Research Group, University of Granada, Leon, Spain.

出版信息

Clin Pharmacol Ther. 2007 Nov;82(5):566-71. doi: 10.1038/sj.clpt.6100198. Epub 2007 Apr 4.

Abstract

The aim of the study was to assess the clinical pharmacology information provided in the summaries of product characteristics (SPCs) of European drugs compared with their package inserts. A list of the 150 most prescribed drugs at the local Health Service was assessed. To analyze clinical pharmacology information contained in package inserts and SPCs, Spyker's systematized scoring approach was used (scoring from 0 to 2). Ninety-one SPCs (84.3%) and 108 package inserts were obtained. The mean score for core information provided in the package inserts was 7.94 (confidence interval (CI) 95 %: 7.34-8.53), whereas for the SPCs it was 17.62 (CI 95 %: 16.48-18.75; 35.2% of the maximum). One core information item and two extra credit items were not contained in any of the SPCs. In the European Union the clinical pharmacology information found in SPCs is clearly insufficient. An improved access to and regular review of the SPCs might substantially improve the access and quality of clinical pharmacology and other prescribing information.

摘要

本研究的目的是评估欧洲药品的产品特性摘要(SPC)中提供的临床药理学信息与其包装说明书相比情况如何。对当地医疗服务机构中最常处方的150种药物清单进行了评估。为分析包装说明书和SPC中包含的临床药理学信息,采用了斯派克公司的系统化评分方法(评分范围为0至2)。共获取了91份SPC(84.3%)和108份包装说明书。包装说明书中提供的核心信息平均得分为7.94(95%置信区间:7.34 - 8.53),而SPC的平均得分为17.62(95%置信区间:16.48 - 18.75;占最大值的35.2%)。任何一份SPC中均未包含一项核心信息项和两项附加计分信息项。在欧盟,SPC中发现的临床药理学信息明显不足。改善获取SPC的途径并定期对其进行审查,可能会大幅提高临床药理学及其他处方信息的获取和质量。

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