Analysis of the consumption volumes of antithrombotic drugs used for pharmacotherapy of atrial fibrillation in Saratov Region

Objective: To study the evolution of consumption of antithrombotic drugs used for the treatment of atrial fibrillation (AF) at the outpatient stage in the Saratov Region using the ATC/DDD (Anatomical Therapeutic Chemical Classification / Defined Daily Doses) and drug utilization 90% (DU90%) analysis...

Full description

Bibliographic Details
Main Authors: А. V. Sokolov, О. V. Reshet’ko
Format: Article
Language:Russian
Published: IRBIS LLC 2022-01-01
Series:Фармакоэкономика
Subjects:
Online Access:https://www.pharmacoeconomics.ru/jour/article/view/624
_version_ 1797878918905069568
author А. V. Sokolov
О. V. Reshet’ko
author_facet А. V. Sokolov
О. V. Reshet’ko
author_sort А. V. Sokolov
collection DOAJ
description Objective: To study the evolution of consumption of antithrombotic drugs used for the treatment of atrial fibrillation (AF) at the outpatient stage in the Saratov Region using the ATC/DDD (Anatomical Therapeutic Chemical Classification / Defined Daily Doses) and drug utilization 90% (DU90%) analysis.Material and methods. We analyzed the outpatient stage of treatment using the data reflected in 511 case histories of AF patients hospitalized in specialized cardiology departments of the Saratov Region in 2011–2018. The study of the consumption volumes of antithrombotic drugs was carried out using the ATC/DDD- and DU90%-analysis methodology. The consumption of drugs with proven efficacy in AF was expressed as the number of daily doses (NDDD) per 1000 AF patients per day.Results. In 2011, the number of prescribed DDD of oral anticoagulants (OACs) was 5.29 NDDD per 1000 AF patients per day, and all of them were represented by warfarin; in 2018, this indicator increased up to 277.51 NDDD per 1000 AF patients per day, of which direct OACs amounted to 237.06. The consumption of antiplatelet agents remained at a high level, and in 2018, was 582.53 NDDD per 1000 AF patients per day. Acetylsalicylic acid was included in the group of drugs accounting for 90% of all antithrombotic drugs at the outpatient stage – 99.02% in 2011, 93.08% in 2012, 58.55% in 2016, 60.27% in 2017, and 46.66% in 2018.Conclusion. The consumption volumes of OACs used at the outpatient stage of treatment of AF in the Saratov Region increased significantly in the period from 2011 to 2018, mainly due to direct OACs. At the same time, the consumption volumes of antiplatelet agents remained at a high level.
first_indexed 2024-04-10T02:39:38Z
format Article
id doaj.art-fe908b75ac7c47988c44aae13dffb65e
institution Directory Open Access Journal
issn 2070-4909
2070-4933
language Russian
last_indexed 2024-04-10T02:39:38Z
publishDate 2022-01-01
publisher IRBIS LLC
record_format Article
series Фармакоэкономика
spelling doaj.art-fe908b75ac7c47988c44aae13dffb65e2023-03-13T07:48:17ZrusIRBIS LLCФармакоэкономика2070-49092070-49332022-01-0114446246710.17749/2070-4909/farmakoekonomika.2021.090366Analysis of the consumption volumes of antithrombotic drugs used for pharmacotherapy of atrial fibrillation in Saratov RegionА. V. Sokolov0О. V. Reshet’ko1Saratov State Medical University named after V.I. RazumovskySaratov State Medical University named after V.I. RazumovskyObjective: To study the evolution of consumption of antithrombotic drugs used for the treatment of atrial fibrillation (AF) at the outpatient stage in the Saratov Region using the ATC/DDD (Anatomical Therapeutic Chemical Classification / Defined Daily Doses) and drug utilization 90% (DU90%) analysis.Material and methods. We analyzed the outpatient stage of treatment using the data reflected in 511 case histories of AF patients hospitalized in specialized cardiology departments of the Saratov Region in 2011–2018. The study of the consumption volumes of antithrombotic drugs was carried out using the ATC/DDD- and DU90%-analysis methodology. The consumption of drugs with proven efficacy in AF was expressed as the number of daily doses (NDDD) per 1000 AF patients per day.Results. In 2011, the number of prescribed DDD of oral anticoagulants (OACs) was 5.29 NDDD per 1000 AF patients per day, and all of them were represented by warfarin; in 2018, this indicator increased up to 277.51 NDDD per 1000 AF patients per day, of which direct OACs amounted to 237.06. The consumption of antiplatelet agents remained at a high level, and in 2018, was 582.53 NDDD per 1000 AF patients per day. Acetylsalicylic acid was included in the group of drugs accounting for 90% of all antithrombotic drugs at the outpatient stage – 99.02% in 2011, 93.08% in 2012, 58.55% in 2016, 60.27% in 2017, and 46.66% in 2018.Conclusion. The consumption volumes of OACs used at the outpatient stage of treatment of AF in the Saratov Region increased significantly in the period from 2011 to 2018, mainly due to direct OACs. At the same time, the consumption volumes of antiplatelet agents remained at a high level.https://www.pharmacoeconomics.ru/jour/article/view/624atrial fibrillationanticoagulantsantiplatelet agentsconsumption volumes
spellingShingle А. V. Sokolov
О. V. Reshet’ko
Analysis of the consumption volumes of antithrombotic drugs used for pharmacotherapy of atrial fibrillation in Saratov Region
Фармакоэкономика
atrial fibrillation
anticoagulants
antiplatelet agents
consumption volumes
title Analysis of the consumption volumes of antithrombotic drugs used for pharmacotherapy of atrial fibrillation in Saratov Region
title_full Analysis of the consumption volumes of antithrombotic drugs used for pharmacotherapy of atrial fibrillation in Saratov Region
title_fullStr Analysis of the consumption volumes of antithrombotic drugs used for pharmacotherapy of atrial fibrillation in Saratov Region
title_full_unstemmed Analysis of the consumption volumes of antithrombotic drugs used for pharmacotherapy of atrial fibrillation in Saratov Region
title_short Analysis of the consumption volumes of antithrombotic drugs used for pharmacotherapy of atrial fibrillation in Saratov Region
title_sort analysis of the consumption volumes of antithrombotic drugs used for pharmacotherapy of atrial fibrillation in saratov region
topic atrial fibrillation
anticoagulants
antiplatelet agents
consumption volumes
url https://www.pharmacoeconomics.ru/jour/article/view/624
work_keys_str_mv AT avsokolov analysisoftheconsumptionvolumesofantithromboticdrugsusedforpharmacotherapyofatrialfibrillationinsaratovregion
AT ovreshetko analysisoftheconsumptionvolumesofantithromboticdrugsusedforpharmacotherapyofatrialfibrillationinsaratovregion