医生对拉帕替尼治疗患者肝功能检测监测指导的依从性评估

S. Landis, Clara C. Chen, J. Byrne, Stephen J. Jones, R. Dhanda, J. Nelson
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引用次数: 2

摘要

方法一项回顾性观察队列研究,包括396名在2007年3月1日至2010年6月30日期间开始使用拉帕替尼治疗的HER2转移性乳腺癌妇女。数据是从基于社区的肿瘤学实践的电子病历(EMR)中获取的。根据患者是否在标签更改之前或之后开始使用拉帕替尼进行分类;LFT监测采用标签前后对照研究设计进行评估。我们测量了拉帕替尼开始前30天内发生LFTs的患者比例,每6周治疗期间发生LFTs的患者比例,以及拉帕替尼在经历极端LFT升高后永久停药的患者比例。
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Assessment of physician compliance to liver function test monitoring guidance for patients treated with lapatinib
Methods A retrospective observational cohort study comprising 396 women with HER2 metastatic breast cancer who initiated lapatinib between March 1, 2007 and June 30, 2010. Data were captured from electronic medical records (EMR) of communitybased oncology practices. Patients were categorized by whether they initiated lapatinib before or after the label change; LFT monitoring was evaluated using a preversus post-label study design. We measured the proportion of patients who had LFTs within 30 days before lapatinib initiation, LFTs during each 6-week period of treatment, and lapatinib permanently withdrawn after experiencing an extreme LFT elevation.
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