The Awareness of and Adherence to the Pregnancy Prevention Program for Oral Retinoids: A Questionnaire Survey in Denmark.

IF 2.4 4区 医学 Q3 PHARMACOLOGY & PHARMACY
Dana Backran, Sophia Ahmad, Johanne M Hansen, Anna Birna Almarsdóttir, Ramune Jacobsen
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Abstract

Purpose: We aimed to investigate the awareness of oral retinoid teratogenicity and the adherence to the pregnancy prevention program (PPP) related to oral retinoid use by physicians, pharmacists, and patients in Denmark.

Methods: As part of the multi-country survey, web-based questionnaires were distributed among Danish dermatologists, general practitioners, community pharmacists, and women of childbearing age, who were using or had used oral retinoids within the past 5 years.

Results: A total of 62 physicians, 96 pharmacists, and 50 oral retinoid using women responded; 95%, 100%, and 98%, respectively, were aware of the teratogenic risks of oral retinoids. For physicians, the most applied PPP measures were the usage of the patient (44%) and the healthcare professional (19%) guides, while the least applied measure was signing medication risk awareness form (3%). Among the pharmacists, the warning sign on the outer medication package was the most used measure (45%). Among the women, a majority (90%) had read the patient information leaflet included in the medication package and 72% discussed the use of contraception with their healthcare provider, while risk awareness forms and patient cards were seen by only few.

Conclusions: In Denmark, physicians, pharmacists, and medicine users were aware about the teratogenic effects of oral retinoids. Adherence to pregnancy prevention measures varied, suggesting unwillingness to use the measures that require patients' signatures among physicians and a lack of awareness of pharmacy targeting measures. Accessibility of the latter measures need to be optimized to improve the safety of oral retinoid use.

对口服维甲酸预防妊娠计划的认识和遵守情况:丹麦问卷调查。
目的:我们旨在调查丹麦的医生、药剂师和患者对口服维甲酸致畸性的认识,以及对与口服维甲酸使用相关的妊娠预防计划(PPP)的遵守情况:作为多国调查的一部分,我们向丹麦的皮肤科医生、全科医生、社区药剂师和育龄妇女发放了网络问卷,这些人在过去5年内正在使用或曾经使用过口服维甲酸:共有 62 名医生、96 名药剂师和 50 名使用口服维甲酸的妇女做出了回复;分别有 95%、100% 和 98% 的人了解口服维甲酸的致畸风险。对于医生来说,应用最多的 PPP 措施是使用患者指南(44%)和医护人员指南(19%),而应用最少的措施是签署用药风险意识表(3%)。在药剂师中,药物外包装上的警告标志是使用最多的措施(45%)。在妇女中,大多数人(90%)都阅读过药物包装中的患者信息单,72%的妇女与她们的医疗保健提供者讨论过使用避孕药具的问题,而只有少数人看过风险意识表和患者卡:结论:在丹麦,医生、药剂师和药品使用者都了解口服维甲酸的致畸作用。对预防妊娠措施的遵守情况各不相同,这表明医生不愿意使用需要患者签名的措施,而药剂师则缺乏对针对性措施的认识。为了提高口服维甲酸的安全性,需要优化后一种措施的可及性。
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来源期刊
CiteScore
4.80
自引率
7.70%
发文量
173
审稿时长
3 months
期刊介绍: The aim of Pharmacoepidemiology and Drug Safety is to provide an international forum for the communication and evaluation of data, methods and opinion in the discipline of pharmacoepidemiology. The Journal publishes peer-reviewed reports of original research, invited reviews and a variety of guest editorials and commentaries embracing scientific, medical, statistical, legal and economic aspects of pharmacoepidemiology and post-marketing surveillance of drug safety. Appropriate material in these categories may also be considered for publication as a Brief Report. Particular areas of interest include: design, analysis, results, and interpretation of studies looking at the benefit or safety of specific pharmaceuticals, biologics, or medical devices, including studies in pharmacovigilance, postmarketing surveillance, pharmacoeconomics, patient safety, molecular pharmacoepidemiology, or any other study within the broad field of pharmacoepidemiology; comparative effectiveness research relating to pharmaceuticals, biologics, and medical devices. Comparative effectiveness research is the generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent, diagnose, treat, and monitor a clinical condition, as these methods are truly used in the real world; methodologic contributions of relevance to pharmacoepidemiology, whether original contributions, reviews of existing methods, or tutorials for how to apply the methods of pharmacoepidemiology; assessments of harm versus benefit in drug therapy; patterns of drug utilization; relationships between pharmacoepidemiology and the formulation and interpretation of regulatory guidelines; evaluations of risk management plans and programmes relating to pharmaceuticals, biologics and medical devices.
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