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美国和欧洲医生对前列腺素治疗青光眼的态度。

Physician attitudes regarding prostaglandin treatment for glaucoma in the United States and Europe.

作者信息

Stewart W C, Stewart J A, Nelson L A, Kruft B

机构信息

Carolina Eye Institute, University of South Carolina, School of Medicine, Columbia, USA.

出版信息

Eur J Ophthalmol. 2008 Mar-Apr;18(2):199-204. doi: 10.1177/112067210801800206.

DOI:10.1177/112067210801800206
PMID:18320511
Abstract

PURPOSE

To evaluate physician use of prostaglandins (latanoprost, travoprost, and bimatoprost) in the United States (US) and Europe (EU).

METHODS

One thousand multiple-choice surveys were distributed via e-mail in the US and EU.

RESULTS

The authors received 71 responses (US 40 [8%] and EU 31 [6%]). Physicians preferred prostaglandin monotherapy (US 39 [98%] and EU 22 [71%], p=0.003), usually latanoprost (US 32 [80%] and EU 22 [71%], p=0.45). When more efficacy was required, US physicians would typically switch (23 [58%]) and EU physicians would add therapy (22 [71%], p=0.007). In both continents 45% of respondents stated bimatoprost was more efficacious.

CONCLUSIONS

US and EU physicians prefer prostaglandin monotherapy, most commonly latanoprost. Bimatoprost is often perceived as more effective, but having a higher incidence of conjunctival hyperemia.

摘要

目的

评估美国和欧洲医生对前列腺素(拉坦前列素、曲伏前列素和比马前列素)的使用情况。

方法

通过电子邮件在美国和欧洲分发了1000份多项选择题调查问卷。

结果

作者共收到71份回复(美国40份[8%],欧洲31份[6%])。医生更倾向于前列腺素单药治疗(美国39份[98%],欧洲22份[71%],p = 0.003),通常选择拉坦前列素(美国32份[80%],欧洲22份[71%],p = 0.45)。当需要更高疗效时,美国医生通常会换药(23份[58%]),而欧洲医生会增加联合治疗(22份[71%],p = 0.007)。在两大洲,45%的受访者表示比马前列素疗效更佳。

结论

美国和欧洲的医生更倾向于前列腺素单药治疗,最常用的是拉坦前列素。比马前列素通常被认为疗效更佳,但结膜充血发生率较高。

相似文献

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Physician attitudes regarding prostaglandin treatment for glaucoma in the United States and Europe.美国和欧洲医生对前列腺素治疗青光眼的态度。
Eur J Ophthalmol. 2008 Mar-Apr;18(2):199-204. doi: 10.1177/112067210801800206.
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Hyperemia-associated costs of medication changes in glaucoma patients treated initially with prostaglandin analogs.前列腺素类似物治疗的青光眼患者药物更换相关充血性成本。
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Ocular surface tolerability of prostaglandin analogs in patients with glaucoma or ocular hypertension.青光眼或高眼压症患者中前列腺素类似物的眼表面耐受性。
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Conjunctival hyperaemia with the use of latanoprost versus other prostaglandin analogues in patients with ocular hypertension or glaucoma: a meta-analysis of randomised clinical trials.眼压升高或青光眼患者使用拉坦前列素与其他前列腺素类似物相比的结膜充血情况:一项随机临床试验的荟萃分析
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Physicians' treatment decisions, patient persistence, and interruptions in the continuous use of prostaglandin therapy in glaucoma.医生的治疗决策、患者的坚持度和前列腺素治疗青光眼时连续使用的中断。
Curr Med Res Opin. 2010 Apr;26(4):957-63. doi: 10.1185/03007991003659012.
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