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基于中国指南的卫生技术评估:活性维生素 D 及其类似物治疗骨质疏松症。

A Health Technology Assessment Based on Chinese Guideline: Active Vitamin D and Its Analogs in the Treatment of Osteoporosis.

机构信息

Key Specialty of Clinical Pharmacy, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, People's Republic of China.

出版信息

Drug Des Devel Ther. 2024 Jun 26;18:2593-2608. doi: 10.2147/DDDT.S465960. eCollection 2024.

Abstract

OBJECTIVE

To quantitatively assess all dosage forms of three active vitamin D and its analogs, namely, calcitriol, alfacalcidol, and eldecalcitol, to provide a basis for the selection of active vitamin D and its analogs in hospitals.

METHODS

In this study, three active vitamin D and its analogs were evaluated by quantitative scoring in five dimensions, including pharmaceutical properties (28 points), efficacy (27 points), safety (25 points), economy (10 points), and other attributes (10 points).

RESULTS

The final scores of quantitative assessment for the selection of alfacalcidol soft capsules, calcitriol soft capsules I, calcitriol soft capsules II, alfacalcidol tablets, alfacalcidol capsules, alfacalcidol oral drops, calcitriol injection, and eldecalcitol soft capsules were 73.17, 72.06, 71.52, 71.29, 69.62, 68.86, 65.60, 64.05 points.

CONCLUSION

Based on the scoring results, alfacalcidol soft capsules, calcitriol soft capsules I, calcitriol soft capsules II, alfacalcidol tablets can be entered into the medication list of medical institutions as strongly recommended drugs. This study offers guidance on selecting and using active vitamin D and its analogs in hospitals, with consideration for the patient's needs.

摘要

目的

定量评估三种活性维生素 D 及其类似物(即骨化三醇、阿法骨化醇和艾地骨化醇)的所有剂型,为医院选择活性维生素 D 及其类似物提供依据。

方法

本研究从药剂学特性(28 分)、疗效(27 分)、安全性(25 分)、经济性(10 分)和其他属性(10 分)等五个维度对三种活性维生素 D 及其类似物进行定量评分评估。

结果

阿法骨化醇软胶囊、骨化三醇软胶囊 I、骨化三醇软胶囊 II、阿法骨化醇片、阿法骨化醇胶囊、阿法骨化醇口服液、骨化三醇注射液和艾地骨化醇软胶囊的定量评估选择最终得分为 73.17、72.06、71.52、71.29、69.62、68.86、65.60、64.05 分。

结论

根据评分结果,阿法骨化醇软胶囊、骨化三醇软胶囊 I、骨化三醇软胶囊 II、阿法骨化醇片可作为强推荐药物纳入医疗机构用药目录。本研究为医院选择和使用活性维生素 D 及其类似物提供了指导,兼顾了患者的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74cd/11214749/99fa57211832/DDDT-18-2593-g0001.jpg

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