Persistence of the carteolol hydrochloride/latanoprost fixed-combination ophthalmic solution, compared with the other β-blocker/prostanoid FP receptor agonist fixed-combination ophthalmic solutions.

IF 2.1 3区 医学 Q2 OPHTHALMOLOGY Japanese Journal of Ophthalmology Pub Date : 2023-11-01 Epub Date: 2023-08-19 DOI:10.1007/s10384-023-01020-8
Kenji Kashiwagi, Kentaro Ouchi, Yoshiyuki Shibasaki, Masaki Suginaka
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Abstract

Purpose: To investigate the treatment persistence of carteolol hydrochloride/latanoprost fixed-combination ophthalmic solution (CAR/LAT) and other β-blocker/prostanoid FP receptor agonist fixed-combination ophthalmic solutions (BB/FP) in the treatment of glaucoma.

Study design: Retrospective observational cohort study.

Methods: A retrospective observational cohort study using JMDC Claims Database. Patients aged 20 years or older diagnosed with glaucoma between February 1, 2017, and March 31, 2020, and prescribed CAR/LAT or another BB/FP were included.

Results: A total of 16,612 patients (7423 in the CAR/LAT group and 9189 in the other BB/FP group) were included. The cumulative treatment persistence rate at the end of follow-up was 42.0% (64.9% at 1 year, 53.4% at 2 years, 45.0% at 3 years, and 42.0% at 4 years) in the CAR/LAT group and 34.7% (54.8% at 1 year, 43.6% at 2 years, 37.1% at 3 years, and 34.7% at 4 years) in the other BB/FP group. Treatment persistence was significantly longer in the CAR/LAT group compared to that in the other BB/FP group (hazard ratio 0.747, p < 0.0001). Over the treatment period, the number of patients who discontinued treatment was 3281 (44.2%) in the CAR/LAT group and 4926 (53.6%) in the other BB/FP group; the median duration of treatment was 135 days and 97 days, respectively.

Conclusion: The study results suggest that persistence rates vary depending on the BB/FP and CAR/LAT appears to be more persistent than other BB/FP.

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盐酸卡替洛尔/拉坦前列素固定联合眼液的持久性,与其他β受体阻滞剂/前列腺素FP受体激动剂固定联合眼液的比较。
目的:探讨盐酸卡替洛尔/拉坦前列素固定联合眼液(CAR/LAT)与其他β受体阻滞剂/前列腺素FP受体激动剂固定联合眼液(BB/FP)治疗青光眼的疗效。研究设计:回顾性观察队列研究。方法:采用JMDC索赔数据库进行回顾性观察队列研究。纳入了2017年2月1日至2020年3月31日期间诊断为青光眼的20岁或以上患者,并处方了CAR/LAT或另一种BB/FP。结果:共纳入16612例患者(CAR/LAT组7423例,另BB/FP组9189例)。随访结束时,CAR/LAT组的累积治疗持续率为42.0%(1年为64.9%,2年为53.4%,3年为45.0%,4年为42.0%),而另一BB/FP组为34.7%(1年为54.8%,2年为43.6%,3年为37.1%,4年为34.7%)。CAR/LAT组的治疗持续时间明显长于其他BB/FP组(风险比0.747,p < 0.0001)。在治疗期间,CAR/LAT组有3281例(44.2%)患者停止治疗,另一BB/FP组有4926例(53.6%)患者停止治疗;中位治疗时间分别为135天和97天。结论:研究结果表明,持续率取决于BB/FP, CAR/LAT似乎比其他BB/FP更持久。
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来源期刊
CiteScore
4.80
自引率
8.30%
发文量
65
审稿时长
6-12 weeks
期刊介绍: The Japanese Journal of Ophthalmology (JJO) was inaugurated in 1957 as a quarterly journal published in English by the Ophthalmology Department of the University of Tokyo, with the aim of disseminating the achievements of Japanese ophthalmologists worldwide. JJO remains the only Japanese ophthalmology journal published in English. In 1997, the Japanese Ophthalmological Society assumed the responsibility for publishing the Japanese Journal of Ophthalmology as its official English-language publication. Currently the journal is published bimonthly and accepts papers from authors worldwide. JJO has become an international interdisciplinary forum for the publication of basic science and clinical research papers.
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