건강보험 자료를 이용한 만성신부전 환자의 신독성 약물사용 현황

• 영문명: Retrospective Drugs Utilization Review Study for Chronic Kidney Disease Using National Health Insurance Database
• 발행기관: 대한약학회
• 저자명: 김동숙(Dong Sook Kim) 이현정(Hyun Jeong Lee) 손인자(In Ja Son) 김귀숙(Gui Sook Kim) 신주영(Joo Young Shin) 이건세(Kun Sei Lee)
• 간행물 정보: 『약학회지』제53권 제3호 (2009년), 138~144쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.06.30

영문 초록

The purpose was to implement drug utilization review (DUR) for whom were diagnosed with chronic kidney disease (CKD) population using health insurance claim data. This study constructed drug utilization database using Health Insurance Review and Assessment Service (HIRA) database and selected contraindicated drugs with kidney based on previously developed drug utilization guide and reviewing other countries' examples. Main outcome measures were the proportion of prescription for 1 or more drugs of concern. The cohort included 115,948 subjects, who were diagnosed with chronic kidney disease. Inappropriate drugs with CKD patients was some used, and the most commonly prescribed classes were aluminum drugs. However it is difficult to find problems with inappropriate drug because claims data doesn’t have laboratory data. Based on the result of retrospective drug utilization review study, more studies should be analysed drug utilization patterns and monitoring system should be developed.

키워드

retrospective drug utilization review health insurance database chronic kidney disease