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新冠疫情对德国寻常型银屑病患者用药的影响

The IMPACT of the COVID-19 Pandemic on Prescription Drug Use in Patients with Psoriasis Vulgaris in Germany.

作者信息

Kahn Maria, Papukchieva Steffeni, Jacyshyn-Owen Elizabeth, Grimm Stefan, Eberl Markus, Schneeweiss Sebastian, Otten Marina, Augustin Matthias, Friedrich Benjamin

机构信息

Temedica GmbH, Erika-Mann-Straße 21, 80636, Munich, Germany.

Noventi Health SE, Munich, Germany.

出版信息

Dermatol Ther (Heidelb). 2023 Nov;13(11):2609-2620. doi: 10.1007/s13555-023-01023-w. Epub 2023 Sep 14.

DOI:10.1007/s13555-023-01023-w
PMID:37710077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10613167/
Abstract

INTRODUCTION

Real-world evidence (RWE) data is increasingly important to generate rapid insights to effectively manage patient populations. Disruptions like the coronavirus disease 2019 (COVID-19) pandemic may negatively impact the choice of medications used for managing chronic diseases such as psoriasis (PSO). Here, we explored the effect of the COVID-19 pandemic on the sales volumes of treatment guideline-based PSO medication in Germany.

METHODS

Patient-level pharmacy dispensing data from the Permea platform, covering approximately 44% of all community pharmacy dispensing in Germany, were analysed from 2019 through to 2021. Patient demographics and PSO indicated medication sales were assessed specifically before and during the pandemic in Germany.

RESULTS

We included 6,865,852 sold PSO related drugs from April 2019 to March 2021. Medication sales increased during the pandemic compared with before the pandemic for treatment classes of first-line biological and second-line drugs. The increase was observed across all age groups, but monthly variations could not be detected. Furthermore, we observed increased sales in first-line biological and second-line medications when comparing low to high COVID-19 incidence state.

CONCLUSION

Throughout the COVID-19 pandemic the PSO indicated medication sales increased for first-line biological and second-line treatment. This shows that despite the pandemic impact, there continues to be an increase in sales volume for biologics. Only German federal states with intermittently very high COVID-19 incidences show a stagnation in sales volume. The reasons for this need to be investigated in further studies to possibly gain a better understanding of the concerns and uncertainties of patients with PSO.

摘要

引言

真实世界证据(RWE)数据对于快速生成见解以有效管理患者群体愈发重要。诸如2019年冠状病毒病(COVID-19)大流行之类的干扰可能会对用于治疗银屑病(PSO)等慢性病的药物选择产生负面影响。在此,我们探讨了COVID-19大流行对德国基于治疗指南的PSO药物销量的影响。

方法

分析了Permea平台上患者层面的药房配药数据,该数据涵盖德国约44%的社区药房配药情况,时间跨度为2019年至2021年。具体评估了德国大流行之前和期间患者的人口统计学特征以及PSO相关药物的销售情况。

结果

我们纳入了2019年4月至2021年3月期间售出的6,865,852种与PSO相关的药物。与大流行之前相比,一线生物制剂和二线药物治疗类别的药物在大流行期间销量有所增加。所有年龄组均出现了这种增长,但未检测到月度变化。此外,在比较COVID-19发病率低至高的州时,我们观察到一线生物制剂和二线药物的销量有所增加。

结论

在整个COVID-19大流行期间,PSO相关药物的一线生物制剂和二线治疗药物销量有所增加。这表明尽管受到大流行的影响,生物制剂的销量仍在持续增长。只有COVID-19发病率间歇性非常高的德国联邦州销量出现停滞。对此原因需要在进一步研究中进行调查,以便可能更好地了解PSO患者的担忧和不确定性。

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