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生物制剂治疗过敏性疾病的成本效益分析。

Cost-Effectiveness of Biologics for Allergic Diseases.

机构信息

Center for Healthcare Research in Pediatrics, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Mass.

Pulmonary Science and Critical Care Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colo.

出版信息

J Allergy Clin Immunol Pract. 2021 Mar;9(3):1107-1117.e2. doi: 10.1016/j.jaip.2020.10.009. Epub 2020 Oct 15.

Abstract

The introduction of specific humanized monoclonal antibodies over the past 20 years has dramatically changed the treatment of allergic diseases. At present, 5 mAbs are licensed for treating moderate to severe allergic and eosinophilic asthma, atopic dermatitis, chronic spontaneous urticaria, chronic sinusitis with nasal polyps, and eosinophilic granulomatosis with polyangiitis. Given the high costs of biologics, understanding their cost-effectiveness is critical. As new biologics are developed and new indications are approved for existing biologics, the use of biologics for allergic diseases will increase. Conducting cost-effectiveness evaluations in parallel to efficacy and effectiveness trials will help patients, providers, payers, and policymakers in decision making.

摘要

在过去的 20 年中,特异性人源化单克隆抗体的引入极大地改变了过敏性疾病的治疗方法。目前,有 5 种单抗获批用于治疗中重度过敏性和嗜酸性粒细胞性哮喘、特应性皮炎、慢性自发性荨麻疹、伴鼻息肉的慢性鼻窦炎和嗜酸性肉芽肿性多血管炎。鉴于生物制剂的高成本,了解其成本效益至关重要。随着新的生物制剂的开发和现有生物制剂新适应证的批准,生物制剂在过敏性疾病中的应用将会增加。在进行疗效和有效性试验的同时进行成本效益评估,将有助于患者、提供者、支付者和决策者做出决策。

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