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Treatment of acute reflux oesophagitis. Drug selection by means of the SOJA method

机译:治疗急性反流性食管炎。通过SOJA方法选择药物

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摘要

In this article drug selection for the treatment of acute gastro-oesophageal reflux disease is made by means of the System of Objectified Judgement Analysis (SOJA) method. In this formulary decision-making model, selection criteria for a given class of drugs are prospectively defined and weighted by a panel of experts. The following criteria were used (weighting factor): dosage forms (40), variability of pharmacokinetics (25), drug interactions (65), drug use in relation to food (40), endoscopic healing (140),clinical cure (195), general tolerability (105), serious adverse reactions (110), dosage frequency (100), acquisition cost (90) and documentation (90). The following drugs were included in the analysis: cimetidine, esomeprazole, famotidine, lansoprazole, nizatidine, omeprazole, pantoprazole, rabeprazole, ranitidine and sucralfate. In general, the PPIs are superior to other treatment modalities. Among them pantoprazole 40 mg and omeprazole 20 mg show the highest scores. In grade I oesophagitis ranitidine is a good alternative.
机译:在本文中,通过客观判断分析系统(SOJA)进行治疗急性胃食管反流病的药物选择。在这种处方决策模型中,将由专家组对给定类别药物的选择标准进行前瞻性定义和加权。使用以下标准(权重因子):剂型(40),药代动力学的变异性(25),药物相互作用(65),与食物有关的药物使用(40),内窥镜治疗(140),临床治愈(195) ,一般耐受性(105),严重不良反应(110),给药频率(100),购置成本(90)和文件记录(90)。分析中包括以下药物:西咪替丁,埃索美拉唑,法莫替丁,兰索拉唑,尼扎替丁,奥美拉唑,pan托拉唑,雷贝拉唑,雷尼替丁和硫糖铝。通常,PPI优于其他治疗方式。其中潘托拉唑40毫克和奥美拉唑20毫克得分最高。在I级食管炎雷尼替丁是一个很好的选择。

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