Repositori URV

Autor según el artículo: Guijarro C; Civeira F; López-Miranda J; Masana L; Pedro-Botet J; Pintó X; Valdivielso P; Mostaza JM

Departamento: Medicina i Cirurgia

Autor/es de la URV: Masana Marín, Luis

Palabras clave: 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>

Resumen: 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.

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

Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/

Direcció de correo del autor: luis.masana@urv.cat

Identificador del autor: 0000-0002-0789-4954

Fecha de alta del registro: 2024-08-24

Versión del articulo depositado: info:eu-repo/semantics/publishedVersion

URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/

Referencia al articulo segun fuente origial: Clinica E Investigacion En Arteriosclerosis. 34 (1): 10-18

Referencia de l'ítem segons les normes 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

Entidad: Universitat Rovira i Virgili

Año de publicación de la revista: 2022

Tipo de publicación: Journal Publications