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Impact of Drug Shortages on Patient Treatment and Survival: The Case of Cytarabine and AML Leukemia

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서명/저자사항Impact of Drug Shortages on Patient Treatment and Survival: The Case of Cytarabine and AML Leukemia.
개인저자Hedlund, Nancy.
단체저자명University of Illinois at Chicago. Health Policy and Administration.
발행사항[S.l.]: University of Illinois at Chicago., 2017.
발행사항Ann Arbor: ProQuest Dissertations & Theses, 2017.
형태사항351 p.
기본자료 저록Dissertation Abstracts International 79-05B(E).
Dissertation Abstract International
ISBN9780355460339
학위논문주기Thesis (Ph.D.)--University of Illinois at Chicago, 2017.
일반주기 Source: Dissertation Abstracts International, Volume: 79-05(E), Section: B.
Adviser: Lisa Powell.
이용제한사항This item is not available from ProQuest Dissertations & Theses.
요약Introduction: Drug shortages of parenteral injectable medications reached an all time high in calendar year 2011. The focus of this research is to understand implications of a shortage of the chemotherapy drug cytarabine, for which there is no
요약Methods: The study population is patients presenting with an Acute Myelogenous Leukemia diagnosis (AML) between December 2010 and October 2011, during which the FDA determined the cytarabine drug supply to be compromised. Primary data sources w
요약Results: Odds for receipt of treatment within 14 days of diagnosis for persons diagnosed during a period of major shortage was reduced by almost 50% (OR=0.537, p < 0.05). Median days to first qualifying dose inpatient chemotherapy jumped from 7
요약Conclusion: Diagnosis during a period of major shortage was associated with reduced probability and prolonged time to treatment and a higher hazard for early death. Further study of imbalance between current market price and pharmaceutical manu
일반주제명Public health.
Economics.
Medicine.
언어영어
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