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左西替利嗪治疗变应性鼻炎和慢性特发性荨麻疹的药物经济学:美国的考虑因素。

Pharmacoeconomics of levocetirizine in allergic rhinitis and chronic idiopathic urticaria: considerations for the USA.

机构信息

Consultant in Allergy, Brigham and Women's Hospital; Clinical Instructor in Medicine, Harvard Medical School, Boston, MA, USA.

出版信息

Expert Rev Pharmacoecon Outcomes Res. 2008 Jun;8(3):233-41. doi: 10.1586/14737167.8.3.233.

DOI:10.1586/14737167.8.3.233
PMID:20528375
Abstract

BACKGROUND

Levocetirizine, a recent, second-generation oral antihistamine, was approved by the US FDA in May 2007 to treat symptoms of allergic rhinitis and chronic idiopathic urticaria.

OBJECTIVE

To review the economic literature for levocetirizine.

METHODS

Two reviewers conducted a systematic review of the literature to identify abstracts that met the inclusion criteria. Abstracts that were considered acceptable were retrieved with full text for further assessment.

RESULTS

A total of 82 potential studies were identified. After reviewing abstracts, 11 articles were preselected for potential inclusion. Of the 11 full-text articles, three articles met the inclusion criteria.

CONCLUSION

The pharmacoeconomic literature for levocetirizine was limited. The findings were consistent across the literature, suggesting levocetirizine improved outcomes, leading to incremental cost savings and cost-effectiveness. Since many of the available levocetirizine data come from European studies, differences in practice patterns and medical resources should be considered when extrapolating data to a US clinical setting.

摘要

背景

左西替利嗪是一种新型第二代口服抗组胺药,于 2007 年 5 月获得美国食品和药物管理局(FDA)批准,用于治疗过敏性鼻炎和慢性特发性荨麻疹的症状。

目的

综述左西替利嗪的经济学文献。

方法

两位评价者系统地检索文献,以确定符合纳入标准的摘要。对被认为可以接受的摘要进行全文检索,以进一步评估。

结果

共确定了 82 项潜在的研究。在对摘要进行审查后,有 11 篇文章被预先选定为可能的纳入对象。在 11 篇全文文章中,有 3 篇符合纳入标准。

结论

左西替利嗪的药物经济学文献有限。文献中的研究结果一致,表明左西替利嗪改善了结果,导致增量成本节约和成本效益。由于许多现有的左西替利嗪数据来自欧洲的研究,因此在将数据外推到美国临床环境时,应考虑实践模式和医疗资源的差异。

相似文献

1
Pharmacoeconomics of levocetirizine in allergic rhinitis and chronic idiopathic urticaria: considerations for the USA.左西替利嗪治疗变应性鼻炎和慢性特发性荨麻疹的药物经济学:美国的考虑因素。
Expert Rev Pharmacoecon Outcomes Res. 2008 Jun;8(3):233-41. doi: 10.1586/14737167.8.3.233.
2
Levocetirizine for the treatment of allergic rhinitis and chronic idiopathic urticaria in adults and children.左西替利嗪用于治疗成人和儿童的过敏性鼻炎及慢性特发性荨麻疹。
Clin Ther. 2009 Aug;31(8):1664-87. doi: 10.1016/j.clinthera.2009.08.015.
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A review of the evidence from comparative studies of levocetirizine and desloratadine for the symptoms of allergic rhinitis.对左西替利嗪和地氯雷他定治疗过敏性鼻炎症状的比较研究证据的综述。
Clin Ther. 2005 Jul;27(7):979-92. doi: 10.1016/j.clinthera.2005.07.011.
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A review of the role of levocetirizine as an effective therapy for allergic disease.左西替利嗪作为过敏性疾病有效治疗方法的作用综述。
Expert Opin Pharmacother. 2008 Apr;9(5):859-67. doi: 10.1517/14656566.9.5.859.
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A treatment for allergic rhinitis: a view on the role of levocetirizine.过敏性鼻炎的一种治疗方法:左西替利嗪作用之观点
Curr Med Res Opin. 2005 Jul;21(7):1099-106. doi: 10.1185/030079905X53298.
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Pharmacokinetic evaluation of levocetirizine.左西替利嗪的药代动力学评价。
Expert Opin Drug Metab Toxicol. 2011 Aug;7(8):1035-47. doi: 10.1517/17425255.2011.590131. Epub 2011 Jun 4.
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A review of the efficacy of desloratadine, fexofenadine, and levocetirizine in the treatment of nasal congestion in patients with allergic rhinitis.地氯雷他定、非索非那定和左西替利嗪治疗变应性鼻炎患者鼻充血疗效的综述
Clin Ther. 2009 May;31(5):921-44. doi: 10.1016/j.clinthera.2009.05.017.
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The effectiveness of levocetirizine in comparison with loratadine in treatment of allergic rhinitis--a meta-analysis.左西替利嗪对比氯雷他定治疗变应性鼻炎的疗效——一项荟萃分析。
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Efficacy and safety of levocetirizine in improving symptoms and health-related quality of life in US adults with seasonal allergic rhinitis: a randomized, placebo-controlled study.左旋西替利嗪改善美国季节性变应性鼻炎成人患者症状和健康相关生活质量的疗效和安全性:一项随机、安慰剂对照研究。
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Efficacy and safety of montelukast-levocetirizine combination therapy in combined allergic rhinitis and asthma syndrome: a systematic review and meta-analysis.孟鲁司特-左西替利嗪联合治疗在变应性鼻炎和哮喘综合征中的疗效和安全性:一项系统评价和荟萃分析
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Pharmacoeconomic Assessment of Antiallergic Drugs by Comparing Serum Immunoglobulin E Level as a Diagnostic and Monitoring Indicator of Allergic Rhinitis in Rural Population of India.通过比较血清免疫球蛋白E水平作为印度农村人口过敏性鼻炎诊断和监测指标对抗过敏药物进行药物经济学评估。
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