抗抑郁药品临床综合评价专家共识
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篇名: 抗抑郁药品临床综合评价专家共识
TITLE: Expert consensus on comprehensive clinical evaluation of antidepressant drugs
摘要: 目前国内已上市的抗抑郁药品品类众多,但缺乏科学、规范的药品临床综合评价体系。为引导和推动医疗机构规范开展抗抑郁药品临床综合评价,中国人口福利基金会组织来自全国的19名临床、药学和循证医学专家,通过研讨会、访谈等方式,参考临床真实世界数据与循证医学证据,对5类11种药品(舍曲林/艾司西酞普兰/帕罗西汀/氟伏沙明/西酞普兰/氟西汀/文拉法辛/度洛西汀/伏硫西汀/阿戈美拉汀/米氮平)进行评价,形成《抗抑郁药品临床综合评价专家共识》初稿,并由18名临床及药学专家进行外审校验,最终定稿。本专家共识的评价体系采用百分制量化评估,从有效性、安全性、经济性、适宜性、可及性、创新性共6个维度进行系统评价;评价维度更加细化,兼顾了药品临床综合评价体系的可操作性和抗抑郁领域的药物特性,旨在为医疗机构精神疾病领域药品的合理使用提供理论依据,并助力提高药事服务质量,以更好地满足人民群众的用药需求。
ABSTRACT: At present, many antidepressant drug categories have been marketed in China, but still lack a scientific and standardized system for drug comprehensive clinical evaluation. To guide and promote medical institutions to standardize the comprehensive clinical evaluation of antidepressant drugs, 19 clinical, pharmacy and evidence-based medicine experts from China were organized by the China Population Welfare Foundation to evaluate 11 drugs in 5 categories, including sertraline/escitalopram/ paroxetine/fluvoxamine/citalopram/fluoxetine/venlafaxine/duloxetine/vortioxetine/agomelatine/mirtazapine, through seminars and interviews, concerning clinical real-world data and evidence-based medicine, and to form the first draft of Expert Consensus on Comprehensive Clinical Evaluation of Antidepressant drugs, which is finalized after peer review by 18 clinical and pharmacy experts. The evaluation system of this expert consensus adopts the quantitative evaluation system of percentile and carries out a systematic evaluation from 6 dimensions of effectiveness, safety, economy, suitability, accessibility and innovativeness, while the evaluation dimensions are more detailed, with the operability of the drug evaluation system and the characteristics of drugs in the field of antidepressants. It aims to provide a theoretical basis for the rational use of drugs in the field of psychiatric disorders in medical institutions and help improve the quality of pharmacy services to better meet the needs of the people for medication.
期刊: 2023年第34卷第13期
作者: 司天梅;王振;李凌江
AUTHORS: SI Tianmei,WANG Zhen,LI Lingjiang
关键字: 抗抑郁药品;临床综合评价;专家共识;合理用药
KEYWORDS: antidepressant drugs; comprehensive clinical evaluation; expert consensus; rational drug use
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