Trends and prescribing patterns of oral anti-neoplastic drugs: a retrospective longitudinal study
BackgroundCancer as a global public health problem, imposes a heavy disease burden. With the rapid development of oral anti-neoplastic drugs, there has been a paradigm shift in the treatment of cancer from intravenous to oral administration.ObjectiveThis study was conducted to investigate the trends...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-11-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1294126/full |
| _version_ | 1797493235764953088 |
|---|---|
| author | Xiaoqun Lv Weifang Ren Shan Ran Yuhan Zhao Jihong Zhang Jun Chen Ning Zhang |
| author_facet | Xiaoqun Lv Weifang Ren Shan Ran Yuhan Zhao Jihong Zhang Jun Chen Ning Zhang |
| author_sort | Xiaoqun Lv |
| collection | DOAJ |
| description | BackgroundCancer as a global public health problem, imposes a heavy disease burden. With the rapid development of oral anti-neoplastic drugs, there has been a paradigm shift in the treatment of cancer from intravenous to oral administration.ObjectiveThis study was conducted to investigate the trends and prescribing patterns of oral anti-neoplastic drugs in an academic tertiary hospital in China.MethodsA single-center and retrospective analysis was performed based on the prescriptions of outpatients treated with oral anti-neoplastic drugs from 2017 to 2022. Yearly prescriptions and expenditure were calculated according to their pharmacological classes, and trends were further analyzed. Defined daily doses (DDDs) and defined daily cost (DDC) of oral targeted anti-neoplastic drugs were also determined.ResultsBoth the number of prescriptions and expenditure of oral anti-neoplastic drugs increased progressively. There was a significant upward trend in the number and proportion of prescriptions for the older adult group, male group, and patients with gynecologic/genitourinary and respiratory cancer. Hormonal therapy agents accounted for the highest proportion of prescriptions, and letrozole was initially the most frequently prescribed drug. The number of DDDs of total oral targeted anti-neoplastic drugs showed a continuously ascending trend, primarily driven by the usage of epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) and BCR-ABL TKIs.ConclusionThe prescriptions and expenditure of oral anti-neoplastic drugs, and the number of DDDs of oral targeted anti-neoplastic drugs all showed a progressively ascending trend. Further studies are needed to evaluate the long-term health and financial outcomes, and the factors influencing these prescribing patterns. |
| first_indexed | 2024-03-10T01:17:07Z |
| format | Article |
| id | doaj.art-6ed9632d1dff473985597d27732aa7e6 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-10T01:17:07Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-6ed9632d1dff473985597d27732aa7e62023-11-23T14:07:18ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-11-011110.3389/fpubh.2023.12941261294126Trends and prescribing patterns of oral anti-neoplastic drugs: a retrospective longitudinal studyXiaoqun Lv0Weifang Ren1Shan Ran2Yuhan Zhao3Jihong Zhang4Jun Chen5Ning Zhang6Department of Pharmacy, Jinshan Hospital, Fudan University, Shanghai, ChinaDepartment of Pharmacy, Jinshan Hospital, Fudan University, Shanghai, ChinaDepartment of Pharmacy, Jinshan Hospital, Fudan University, Shanghai, ChinaDepartment of Pharmacy, Jinshan Hospital, Fudan University, Shanghai, ChinaResearch Center for Clinical Medicine, Jinshan Hospital, Fudan University, Shanghai, ChinaDepartment of Pharmacy, Jinshan Hospital, Fudan University, Shanghai, ChinaDepartment of Pharmacy, Jinshan Hospital, Fudan University, Shanghai, ChinaBackgroundCancer as a global public health problem, imposes a heavy disease burden. With the rapid development of oral anti-neoplastic drugs, there has been a paradigm shift in the treatment of cancer from intravenous to oral administration.ObjectiveThis study was conducted to investigate the trends and prescribing patterns of oral anti-neoplastic drugs in an academic tertiary hospital in China.MethodsA single-center and retrospective analysis was performed based on the prescriptions of outpatients treated with oral anti-neoplastic drugs from 2017 to 2022. Yearly prescriptions and expenditure were calculated according to their pharmacological classes, and trends were further analyzed. Defined daily doses (DDDs) and defined daily cost (DDC) of oral targeted anti-neoplastic drugs were also determined.ResultsBoth the number of prescriptions and expenditure of oral anti-neoplastic drugs increased progressively. There was a significant upward trend in the number and proportion of prescriptions for the older adult group, male group, and patients with gynecologic/genitourinary and respiratory cancer. Hormonal therapy agents accounted for the highest proportion of prescriptions, and letrozole was initially the most frequently prescribed drug. The number of DDDs of total oral targeted anti-neoplastic drugs showed a continuously ascending trend, primarily driven by the usage of epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) and BCR-ABL TKIs.ConclusionThe prescriptions and expenditure of oral anti-neoplastic drugs, and the number of DDDs of oral targeted anti-neoplastic drugs all showed a progressively ascending trend. Further studies are needed to evaluate the long-term health and financial outcomes, and the factors influencing these prescribing patterns.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1294126/fullprescribing patternsoral anti-neoplastic drugsoutpatientsDDDsDDCEGFR-TKI |
| spellingShingle | Xiaoqun Lv Weifang Ren Shan Ran Yuhan Zhao Jihong Zhang Jun Chen Ning Zhang Trends and prescribing patterns of oral anti-neoplastic drugs: a retrospective longitudinal study Frontiers in Public Health prescribing patterns oral anti-neoplastic drugs outpatients DDDs DDC EGFR-TKI |
| title | Trends and prescribing patterns of oral anti-neoplastic drugs: a retrospective longitudinal study |
| title_full | Trends and prescribing patterns of oral anti-neoplastic drugs: a retrospective longitudinal study |
| title_fullStr | Trends and prescribing patterns of oral anti-neoplastic drugs: a retrospective longitudinal study |
| title_full_unstemmed | Trends and prescribing patterns of oral anti-neoplastic drugs: a retrospective longitudinal study |
| title_short | Trends and prescribing patterns of oral anti-neoplastic drugs: a retrospective longitudinal study |
| title_sort | trends and prescribing patterns of oral anti neoplastic drugs a retrospective longitudinal study |
| topic | prescribing patterns oral anti-neoplastic drugs outpatients DDDs DDC EGFR-TKI |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1294126/full |
| work_keys_str_mv | AT xiaoqunlv trendsandprescribingpatternsoforalantineoplasticdrugsaretrospectivelongitudinalstudy AT weifangren trendsandprescribingpatternsoforalantineoplasticdrugsaretrospectivelongitudinalstudy AT shanran trendsandprescribingpatternsoforalantineoplasticdrugsaretrospectivelongitudinalstudy AT yuhanzhao trendsandprescribingpatternsoforalantineoplasticdrugsaretrospectivelongitudinalstudy AT jihongzhang trendsandprescribingpatternsoforalantineoplasticdrugsaretrospectivelongitudinalstudy AT junchen trendsandprescribingpatternsoforalantineoplasticdrugsaretrospectivelongitudinalstudy AT ningzhang trendsandprescribingpatternsoforalantineoplasticdrugsaretrospectivelongitudinalstudy |