Articles producció científica> Medicina i Cirurgia

Situación en 2020 de los requerimientos para la utilización de inhibidores de PCSK9 en España: resultados de una encuesta nacional

  • Identification data

    Identifier: imarina:9230405
    Authors:
    Guijarro CCiveira FLópez-Miranda JMasana LPedro-Botet JPintó XValdivielso PMostaza JM
    Abstract:
    Aims: During 2019 and 2020 a series of meetings over the country were carried out, with the aim of explaining the methodology and criteria for the ellaboration of the recommendations on the use of iPCSK9, published by the Spanish Society of Atherosclerosis (SEA in Spanish). At the end of the meetings, a survey was conducted among the participants, in order to describe the prescription requirements of these drugs in the Spanish regions. Methodology: Butterfly Project was developed by a scientific Committee of experts in lipids. After the ellaboration of the materials for the project, a train the trainers program was carried out, imparted by 17 experts who were the Project coordinators. Later, 16 regional workshops were performed, with the attendance of 169 medical doctors involved in the management of hipercolesterolemia. The attendants responded the survey, where they were asked different questions on the use of iPCSK9 on their clinical practice. Results: A high heterogeneity among centers regarding the requirements and difficulties for iPCSK9 prescription was revealed. Twenty one per cent of responders indicated to have low difficulties to prescribe iPCSK9 in their hospitals, whereas 78% found moderate or high difficulties. The difficulties came from burocracy- administrative aspects (18%), restrictions in the indication (41%) and both (38%). In general, the obstacles did not depend on the hospital level, neither the speciality, or the presence of lipid units, although the existance of lipid units was associated with a higher number of patients treated with iPCSK9. The factors which were associated with higher difficulty in the prescription were: the presence of an approval committee in the hospitals, the frequency in the revision of the treatment by hospital pharmacy,
  • Others:

    Author, as appears in the article.: Guijarro C; Civeira F; López-Miranda J; Masana L; Pedro-Botet J; Pintó X; Valdivielso P; Mostaza JM
    Department: Medicina i Cirurgia
    URV's Author/s: Masana Marín, Luis
    Keywords: Inhibitors of proprotein convertase subtilisin kexin 9 Homozygous familial hypercholesterolemia Heterozygous familial hypercholesterolemia Dyslipidemia Costs benefit analysis Atherosclerotic cardiovascular disease Arteriosclerosis homozygous familial hypercholesterole-mia dyslipidemia costs benefit analysis atherosclerotic cardiovascular disease <p>heterozygous familial hypercholesterolemia</p>
    Abstract: Aims: During 2019 and 2020 a series of meetings over the country were carried out, with the aim of explaining the methodology and criteria for the ellaboration of the recommendations on the use of iPCSK9, published by the Spanish Society of Atherosclerosis (SEA in Spanish). At the end of the meetings, a survey was conducted among the participants, in order to describe the prescription requirements of these drugs in the Spanish regions. Methodology: Butterfly Project was developed by a scientific Committee of experts in lipids. After the ellaboration of the materials for the project, a train the trainers program was carried out, imparted by 17 experts who were the Project coordinators. Later, 16 regional workshops were performed, with the attendance of 169 medical doctors involved in the management of hipercolesterolemia. The attendants responded the survey, where they were asked different questions on the use of iPCSK9 on their clinical practice. Results: A high heterogeneity among centers regarding the requirements and difficulties for iPCSK9 prescription was revealed. Twenty one per cent of responders indicated to have low difficulties to prescribe iPCSK9 in their hospitals, whereas 78% found moderate or high difficulties. The difficulties came from burocracy- administrative aspects (18%), restrictions in the indication (41%) and both (38%). In general, the obstacles did not depend on the hospital level, neither the speciality, or the presence of lipid units, although the existance of lipid units was associated with a higher number of patients treated with iPCSK9. The factors which were associated with higher difficulty in the prescription were: the presence of an approval committee in the hospitals, the frequency in the revision of the treatment by hospital pharmacy, the temporal cadence of the prescription, the profile of patients seen and the criteria followed by the specialists for the prescription. Conclusion: The results show important diferences in the treatment with iPCSK9 in the context of clinical practice in Spain. The analysis of these results will permit to make proposals regarding future actions addressed to reach the equity in the access to iPCSK9 in Spain, with the main aim of maximizing their potential benefit according to the patients profile.
    Thematic Areas: Pharmacology (medical) Peripheral vascular disease Medicina iii Medicina i Cardiology and cardiovascular medicine
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: luis.masana@urv.cat
    Author identifier: 0000-0002-0789-4954
    Record's date: 2024-08-24
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.sciencedirect.com/science/article/pii/S0214916821001297
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Clinica E Investigacion En Arteriosclerosis. 34 (1): 10-18
    APA: Guijarro C; Civeira F; López-Miranda J; Masana L; Pedro-Botet J; Pintó X; Valdivielso P; Mostaza JM (2022). Situación en 2020 de los requerimientos para la utilización de inhibidores de PCSK9 en España: resultados de una encuesta nacional. Clinica E Investigacion En Arteriosclerosis, 34(1), 10-18. DOI: 10.1016/j.arteri.2021.07.002
    Article's DOI: 10.1016/j.arteri.2021.07.002
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2022
    Publication Type: Journal Publications
  • Keywords:

    Cardiology and Cardiovascular Medicine,Peripheral Vascular Disease,Pharmacology (Medical)
    Inhibitors of proprotein convertase subtilisin kexin 9
    Homozygous familial hypercholesterolemia
    Heterozygous familial hypercholesterolemia
    Dyslipidemia
    Costs benefit analysis
    Atherosclerotic cardiovascular disease
    Arteriosclerosis
    homozygous familial hypercholesterole-mia
    dyslipidemia
    costs benefit analysis
    atherosclerotic cardiovascular disease

    heterozygous familial hypercholesterolemia

    Pharmacology (medical)
    Peripheral vascular disease
    Medicina iii
    Medicina i
    Cardiology and cardiovascular medicine
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