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P T. 2019 Jul;44(7):424-427.
2
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本文引用的文献

1
Oral Ondansetron Offers Effective Antidiarrheal Activity for Carcinoid Syndrome Refractory to Somatostatin Analogs.奥氮平口服可有效治疗类癌综合征腹泻,且对生长抑素类似物无反应。
Oncologist. 2019 Feb;24(2):255-258. doi: 10.1634/theoncologist.2018-0191. Epub 2018 Aug 31.
2
Carcinoid syndrome: update on the pathophysiology and treatment.类癌综合征:病理生理学和治疗的最新进展。
Clinics (Sao Paulo). 2018 Aug 20;73(suppl 1):e490s. doi: 10.6061/clinics/2018/e490s.
3
Economic analysis of inadequate symptom control in carcinoid syndrome in the United States.美国类癌综合征症状控制不足的经济分析。
Future Oncol. 2018 Oct;14(23):2361-2370. doi: 10.2217/fon-2018-0129. Epub 2018 Aug 10.
4
Budgetary Impact of Telotristat Ethyl, a Novel Treatment for Patients with Carcinoid Syndrome Diarrhea: A US Health Plan Perspective.泰罗替坦乙酯治疗类癌综合征腹泻的预算影响:美国健康计划视角。
Clin Ther. 2017 Dec;39(12):2338-2344. doi: 10.1016/j.clinthera.2017.10.019. Epub 2017 Nov 23.
5
Understanding the Patient Experience with Carcinoid Syndrome: Exit Interviews from a Randomized, Placebo-controlled Study of Telotristat Ethyl.理解类癌综合征患者体验:替利曲塞乙酯随机、安慰剂对照研究的退出访谈。
Clin Ther. 2017 Nov;39(11):2158-2168. doi: 10.1016/j.clinthera.2017.09.013. Epub 2017 Oct 23.
6
A retrospective analysis of tolerance and outcomes of cutaneous malignant melanoma in patients receiving adjuvant interferon-alpha 2B: a community oncology perspective.接受辅助性α-2B干扰素治疗的皮肤恶性黑色素瘤患者的耐受性及治疗结果回顾性分析:社区肿瘤学视角
J Exp Ther Oncol. 2017 Sep;11(2):91-96.
7
Cost-effectiveness analysis of telotristat ethyl for treatment of carcinoid syndrome diarrhea inadequately controlled with somatostatin analogs.用生长抑素类似物治疗控制不佳的类癌综合征腹泻时,使用乙基替加色罗的成本效益分析。
J Med Econ. 2018 Feb;21(2):182-188. doi: 10.1080/13696998.2017.1387120. Epub 2017 Oct 9.
8
Patient-Reported Burden of a Neuroendocrine Tumor (NET) Diagnosis: Results From the First Global Survey of Patients With NETs.患者报告的神经内分泌肿瘤(NET)诊断负担:NET患者首次全球调查结果
J Glob Oncol. 2016 Jun 8;3(1):43-53. doi: 10.1200/JGO.2015.002980. eCollection 2017 Feb.
9
Carcinoid Syndrome and Costs of Care During the First Year After Diagnosis of Neuroendocrine Tumors Among Elderly Patients.类癌综合征与老年患者神经内分泌肿瘤诊断后第一年的治疗费用。
Oncologist. 2017 Dec;22(12):1451-1462. doi: 10.1634/theoncologist.2017-0149. Epub 2017 Jun 22.
10
The North American Neuroendocrine Tumor Society Consensus Guidelines for Surveillance and Medical Management of Midgut Neuroendocrine Tumors.北美神经内分泌肿瘤学会关于中肠神经内分泌肿瘤监测与医学管理的共识指南
Pancreas. 2017 Jul;46(6):707-714. doi: 10.1097/MPA.0000000000000850.

实践中的循证政策:类癌综合征腹泻的管理

Evidence-Based Policy in Practice: Management of Carcinoid Syndrome Diarrhea.

作者信息

Cook Richard, Hendifar Andrew E

出版信息

P T. 2019 Jul;44(7):424-427.

PMID:31258314
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6590927/
Abstract

Carcinoid syndrome causes substantial morbidity and reduces quality of life and survival. In a recent clinical trial, 97% of patients reported bowel movement-related issues, abdominal pain, flushing, and low energy. Combining somatostatin analogs with elotristat ethyl provides a new option for managing refractory CS symptoms. Health care providers should consider strategies that take advantage of approved dosing for patients with CS-related diarrhea.

摘要

类癌综合征会导致严重的发病率,并降低生活质量和生存率。在最近的一项临床试验中,97%的患者报告了与排便相关的问题、腹痛、潮红和精力不足。将生长抑素类似物与艾托司他乙酯联合使用为治疗难治性类癌综合征症状提供了一种新选择。医疗保健提供者应考虑利用已批准的剂量策略来治疗类癌综合征相关腹泻患者。