| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2024-08-28 |
| タイトル |
|
|
タイトル |
Efficacy, Safety, and Continuation of Biological Therapy in Older Patients with Asthma in a Real-World Setting: A Retrospective Observational Study |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題 |
asthma |
| キーワード |
|
|
言語 |
en |
|
主題 |
biological therapy |
| キーワード |
|
|
言語 |
en |
|
主題 |
continuation |
| キーワード |
|
|
言語 |
en |
|
主題 |
exacerbations |
| キーワード |
|
|
言語 |
en |
|
主題 |
older patients |
| 資源タイプ |
|
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
| 著者 |
岡崎,亮太
原田,智也
舟木,佳弘
森田,正人
高田,美樹
Kohno,Hiroki
Ishikawa,Hiroki
Inui,Genki
Nishigami,Miyu
Yamamoto,Mitsuhiro
Listyoko,Aditya Sri
山崎,章
|
| 著者所属(英) |
|
|
言語 |
en |
|
値 |
Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University |
| 著者所属(英) |
|
|
言語 |
en |
|
値 |
Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University |
| 著者所属(英) |
|
|
言語 |
en |
|
値 |
Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University |
| 著者所属(英) |
|
|
言語 |
en |
|
値 |
Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University |
| 著者所属(英) |
|
|
言語 |
en |
|
値 |
Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University |
| 著者所属(英) |
|
|
言語 |
en |
|
値 |
Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University |
| 著者所属(英) |
|
|
言語 |
en |
|
値 |
Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University |
| 著者所属(英) |
|
|
言語 |
en |
|
値 |
Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University |
| 著者所属(英) |
|
|
言語 |
en |
|
値 |
Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University |
| 著者所属(英) |
|
|
言語 |
en |
|
値 |
Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University |
| 著者所属(英) |
|
|
言語 |
en |
|
値 |
Division of Respiratory Medicine and Rheumatology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University / Pulmonary and Respiratory Medicine Department, Faculty of Medicine, Brawijaya University-Dr. Saiful Anwar General Hospital |
| 抄録 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
Background: Major randomized clinical trials have shown that biological therapy can reduce the exacerbation rate and oral corticosteroid (OCS) dosage in patients with severe eosinophilic asthma. However, data on the continuation, efficacy, and safety of biological therapy in older patients with asthma are limited. Therefore, the aim of this study was to evaluate the differences in the continuation rate, efficacy, and safety of biological therapy between older (≥ 65 years) and younger (< 65 years) patients with asthma. Methods: In this single-center retrospective observational study, we collected clinical data of patients with asthma who were administered biological drugs such as omalizumab, mepolizumab, benralizumab, and dupilumab between April 2009 and August 2022. We comparatively analyzed the continuation, efficacy, and safety of biological therapy between older (age ≥ 65 years) and younger patient (age < 65 years) groups. The reasons for discontinuation or switching of biological drugs were also evaluated. Results: Sixty-two (31 older and 31 younger) patients were treated with 91 biologics during the observational period. The mean age of older patients was 74.3 ± 5.1 years and that of younger patients was 48.0 ± 14.0 years. The continuation rate of biological therapy was not significantly different between the groups. Social background was the most common reason for discontinuation of biological therapy in both groups, and insufficient effect was the most common reason for switching to biological drugs. Asthma exacerbations decreased in both groups within the first 12 months of biologic therapy. The dosage of OCS tended to decrease in the older group and significantly decrease in the younger group. Conclusion: Biologic therapy for older patients with asthma can be continued, with efficacy and safety similar to those in younger patients with asthma. |
|
言語 |
en |
| 書誌情報 |
en : Yonago Acta Medica
巻 67,
号 2,
p. 114-123,
ページ数 10,
発行日 2024-05-28
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| 出版者 |
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|
出版者 |
Tottori University Medical Press |
|
言語 |
en |
| ISSN |
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|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
05135710 |
| ISSN |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
13468049 |
| 書誌レコードID |
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収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA00892882 |
| 権利 |
|
|
言語 |
en |
|
権利情報 |
(C)2024 Tottori University Medical Press |
| 情報源 |
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関連名称 |
Yonago Acta Medica. 2024, 67(2), 114-123. |
| 関連サイト |
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|
識別子タイプ |
URI |
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|
関連識別子 |
https://www.lib.tottori-u.ac.jp/yam/yam/yam67-2/67-2contents.html |
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|
関連名称 |
https://www.lib.tottori-u.ac.jp/yam/yam/yam67-2/67-2contents.html |
| 関連サイト |
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|
関連タイプ |
isVersionOf |
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|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.33160/yam.2024.05.003 |
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|
関連名称 |
https://doi.org/10.33160/yam.2024.05.003 |
| 著者版フラグ |
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|
出版タイプ |
VoR |