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Quality of life and drug costs associated with switching antipsychotic medication to once-daily extended release quetiapine fumarate in patients with schizophrenia

机译:与精神分裂症患者将抗精神病药物改为每日一次延缓释放富马酸喹硫平相关的生活质量和药物成本

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Objective: The objective of this study was to assess the quality of life and drug costs associated with switching from any ongoing antipsychotic treatment to once-daily extended release quetiapine fumarate (quetiapine XR) in patients with schizophrenia. Methods: This assessment was based on data collected during a 12-week study in patients with schizophrenia (n=477) who switched from their current antipsychotic due to insufficient efficacy or poor tolerability to a flexible dose of quetiapine XR. Patients were assigned utilities based on their Positive and Negative Syndrome Scale (PANSS) scores and the presence of adverse events by applying the methods of Lenert et al.1. Quality adjusted life year (QALY) gains were calculated assuming a linear change of utility between two consecutive visits. Incremental costs were calculated by comparing the hypothetical mean drug cost (assuming patients stay on previous treatment) with the actual mean cost of quetiapine XR based on European prices.
机译:目的:本研究的目的是评估精神分裂症患者从任何正在进行的抗精神病药物治疗转为每天一次延缓释放富马酸喹硫平(喹硫平XR)的生活质量和药物费用。方法:该评估基于对精神分裂症患者(n = 477)进行的为期12周研究的数据,这些精神分裂症患者由于疗效不足或耐受性差而从目前的抗精神病药转向灵活剂量的喹硫平XR。通过使用Lenert等人的方法,根据患者的阳性和阴性综合征量表(PANSS)评分以及不良事件的存在为患者分配实用程序。假设两次连续访问之间效用呈线性变化,则计算出质量调整生命年(QALY)收益。通过将假设的平均药物成本(假设患者继续接受治疗)与喹硫平XR的实际平均成本(基于欧洲价格)进行比较,计算出增量成本。

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