[ANMCO 关于二级预防中的联合疗法和多丸剂的科学声明]。

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Giornale italiano di cardiologia Pub Date : 2024-05-01 DOI:10.1714/4252.42301
Leonardo De Luca, Stefania Angela Di Fusco, Gianmarco Iannopollo, Raffaella Mistrulli, Vittoria Rizzello, Alberto Aimo, Alessandro Navazio, Claudio Bilato, Marco Corda, Massimo Di Marco, Giovanna Geraci, Attilio Iacovoni, Massimo Milli, Vittorio Pascale, Carmine Riccio, Pietro Scicchitano, Emanuele Tizzani, Domenico Gabrielli, Massimo Grimaldi, Furio Colivicchi, Fabrizio Oliva
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引用次数: 0

摘要

在心血管疾病二级预防过程中,药物治疗方案的依从性不理想是改善患者预后的一大障碍。为解决这一问题,有人提出了使用药物组合,特别是单药组合(SPC)和多药组合,作为简化治疗方案的一种策略。这种方法旨在提高治疗的可及性、可负担性和依从性,从而降低医疗成本并改善患者健康。该文件是 ANMCO 关于简化心血管疾病二级预防药物治疗方案的科学声明。它讨论了尽管有可用、有效和可获得的治疗方案,但治疗方案使用不足的问题,强调了不同社会经济地位和国家在二级预防方面存在的巨大差距。声明探讨了实施循证治疗的障碍,包括与患者、医疗服务提供者和系统相关的挑战。本文还回顾了国际指南、SPCs 和多丸剂在临床实践中的作用及其经济影响,倡导在二级预防中使用它们,以改善患者的治疗效果和依从性。
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[ANMCO Scientific statement on combination therapies and polypill in secondary prevention].

The issue of suboptimal drug regimen adherence in secondary cardiovascular prevention presents a significant barrier to improving patient outcomes. To address this, the utilization of drug combinations, specifically single pill combinations (SPCs) and polypills, was proposed as a strategy to simplify treatment regimens. This approach aims to enhance treatment accessibility, affordability, and adherence, thereby reducing healthcare costs and improving patient health. The document is an ANMCO scientific statement on simplifying drug regimens for secondary cardiovascular prevention. It discusses the underuse of treatments despite available, effective, and accessible options, highlighting a significant gap in secondary prevention across different socioeconomic statuses and countries. The statement explores barriers to implementing evidence-based treatments, including patient, healthcare provider, and system-related challenges. The paper also reviews international guidelines, the role of SPCs and polypills in clinical practice, and their economic impact, advocating for their use in secondary prevention to improve patient outcomes and adherence.

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Giornale italiano di cardiologia
Giornale italiano di cardiologia CARDIAC & CARDIOVASCULAR SYSTEMS-
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