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Please use this identifier to cite or link to this item: http://hdl.handle.net/10481/33085

Title: Drug assessment by a Pharmacy and Therapeutics committee: from drug selection criteria to use in clinical practice
Authors: Lozano-Blázquez, Ana
Calvo-Pita, Cecilia
Carbajales-Álvarez, Mónica
Suárez-Gil, Patricio
Martínez-Martínez, Fernando
Calleja Hernández, Miguel Ángel
Issue Date: 2014
Abstract: Background: In Spain, hospital medicines are assessed and selected by local Pharmacy and Therapeutics committees (PTCs). Of all the drugs assessed, cancer drugs are particularly important because of their budgetary impact and the sometimes arguable added value with respect to existing alternatives. This study analyzed the PTC drug selection process and the main objective was to evaluate the degree of compliance of prescriptions for oncology drugs with their criteria for use. Methods: This was a retrospective observational study (May 2007 to April 2010) of PTC-assessed drugs. The variables measured to describe the committee's activity were number of drugs assessed per year and number of drugs included in any of these settings: without restrictions, with criteria for use, and not included in formulary. These drugs were also analyzed by therapeutic group. To assess the degree of compliance of prescriptions, a score was calculated to determine whether prescriptions for bevacizumab, cetuximab, trastuzumab, and bortezomib were issued in accordance with PTC drug use criteria. Results: The PTC received requests for inclusion of 40 drugs, of which 32 were included in the hospital formulary (80.0%). Criteria for use were established for 28 (87.5%) of the drugs included. In total, 293 patients were treated with the four cancer drugs in eight different therapeutic indications. The average prescription compliance scores were as follows: bevacizumab, 83% for metastatic colorectal cancer, 100% for metastatic breast cancer, and 82.3% for non-small-cell lung cancer; cetuximab, 62.0% for colorectal cancer and 50% for head and neck cancer; trastuzumab, 95.1% for early breast cancer and 82.4% for metastatic breast cancer; and bortezomib, 63.7% for multiple myeloma. Conclusion: The degree of compliance with criteria for use of cancer drugs was reasonably high. PTC functions need to be changed so that they can carry out more innovative tasks, such as monitoring conditions for drug use.
Publisher: Dove Press
Keywords: Decision-making
Drug selection
Drug utilization
Formulary
Neoplasm
Pharmacy and Therapeutics Commitee
URI: http://hdl.handle.net/10481/33085
ISSN: 1178-203X
Rights : Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License
Citation: Lozano-Blázquez, A.; et al. Drug assessment by a Pharmacy and Therapeutics committee: from drug selection criteria to use in clinical practice. Therapeutics and Clinical Risk Management, 10: 527-535 (2014). [http://hdl.handle.net/10481/33085]
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