论文标题

英国生物库中的药物处方簇:对大型患者队列中药物相互作用和患者预后的评估

Drug prescription clusters in the UK Biobank: An assessment of drug-drug interactions and patient outcomes in a large patient cohort

论文作者

Schwarz, Kyriakos, Banos, Daniel Trejo, Rathmes, Giulia, Krauthammer, Michael

论文摘要

近几十年来,多药剂量增加,每位患者同时使用多种药物。研究表明,多药与不良患者结局有关,并且有兴趣阐明这一观察结果的确切原因。在本文中,我们正在研究药物处方,药物相互作用(DDI)与患者死亡率之间的关系。我们的重点不仅仅关注规定的药物的数量,这是多药研究中的典型指标,而是在导致DDI的药物的特定组合上。为了了解现实世界中药物组合的空间,我们首先评估了大型患者数据注册中英国生物库的药物处方景观。我们观察到由英国生物银行参与者的疾病状况驱动的不同药物星座模式。我们表明,这些药物处方簇在预期DDI的数量和类型方面很重要,并且可能解释了观察到的健康结果差异。

In recent decades, there has been an increase in polypharmacy, the concurrent administration of multiple drugs per patient. Studies have shown that polypharmacy is linked to adverse patient outcomes and there is interest in elucidating the exact causes behind this observation. In this paper, we are studying the relationship between drug prescriptions, drug-drug interactions (DDIs) and patient mortality. Our focus is not so much on the number of prescribed drugs, the typical metric in polypharmacy research, but rather on the specific combinations of drugs leading to a DDI. To learn the space of real-world drug combinations, we first assessed the drug prescription landscape of the UK Biobank, a large patient data registry. We observed distinct drug constellation patterns driven by the UK Biobank participants' disease status. We show that these drug prescription clusters matter in terms of the number and types of expected DDIs, and may possibly explain observed differences in health outcomes.

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