Director of Pharmacy Revenue & Supply, Atrius Health, Watertown, MA. Email:
Am J Manag Care. 2018 Aug;24(14 Suppl):S308-S313.
Although several new therapies to both treat acute hereditary angioedema (HAE) attacks and provide prophylaxis for patients with recurrent episodes have been introduced in the past several years, HAE remains a disease with a substantial physical, psychosocial, and economic burden to both affected patients and society in general. Not all treatments work for all patients, and research is ongoing to improve HAE diagnosis and selection of therapy for individual patients to optimize outcomes. But the disease has a significant economic impact with high direct and indirect costs, and high charges related to the new therapies developed for patients to reduce symptoms and attack recurrence. Overall, effective management of HAE is often complicated by clinical and economic barriers to optimal patient outcomes that must be overcome to provide the best care possible and prevent future attacks and complications associated with this rare disease.
尽管在过去几年中已经引入了几种新的治疗方法来治疗急性遗传性血管性水肿 (HAE) 发作并为反复发作的患者提供预防措施,但 HAE 仍然是一种对患者和整个社会都有重大身体、心理社会和经济负担的疾病。并非所有治疗方法都对所有患者有效,并且正在进行研究以改善 HAE 的诊断和为个体患者选择治疗方法,以优化治疗效果。但是,该疾病的直接和间接成本很高,并且与为减轻症状和减少发作复发而开发的新疗法相关的费用很高,因此对经济有重大影响。总体而言,HAE 的有效管理通常受到临床和经济障碍的影响,这些障碍必须克服,以提供最佳的护理并预防与这种罕见疾病相关的未来发作和并发症。