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模型引导的华法林精准用药:中国专家共识(2022版)
引用本文:张进华,刘茂柏,蔡铭智,郑英丽,劳海燕,向倩,都丽萍,朱珠,董婧,左笑丛,李新刚,尚德为,陈 冰,叶岩荣,王玉珠,高建军,张健,陈万生,谢海棠,焦正.模型引导的华法林精准用药:中国专家共识(2022版)[J].金属学报,2022,27(11):1201-1212.
作者姓名:张进华  刘茂柏  蔡铭智  郑英丽  劳海燕  向倩  都丽萍  朱珠  董婧  左笑丛  李新刚  尚德为  陈 冰  叶岩荣  王玉珠  高建军  张健  陈万生  谢海棠  焦正
摘    要:模型引导的华法林精准用药是基于定量药理理论,通过数学建模与模拟技术,将患者信息、疾病和华法林药动学/药效学特征等相关信息进行整合,实现个体化用药的方法。相较于经验用药,该法可提高华法林治疗的安全、有效、经济和可依从性。本专家共识介绍了华法林的常用建模和模拟技术、以及基于模型在制订和调整华法林的给药方案、提高和改善治疗的依从性和经济性方面的应用。此外,本文还重点阐述了华法林药学服务路径中的具体实施步骤,以期推动模型引导的华法林精准用药的普及和发展。

收稿时间:2022-10-12

Model informed precision dosing of warfarin: China expert consensus report (2022 version)
ZHANG Jinhua,LIU Maobai,CAI Mingzhi,ZHENG Yingli,LAO Haiyan,XIANG Qian,DU Liping,ZHU Zhu,DONG Jing,ZUO Xiaocong,LI Xingang,SHANG Dewei,CHEN Bing,YE Yanrong,WANG Yuzhu,GAO Jianjun,ZHANG Jian,CHEN Wansheng,XIE Haitang,JIAO Zheng.Model informed precision dosing of warfarin: China expert consensus report (2022 version)[J].Acta Metallurgica Sinica,2022,27(11):1201-1212.
Authors:ZHANG Jinhua  LIU Maobai  CAI Mingzhi  ZHENG Yingli  LAO Haiyan  XIANG Qian  DU Liping  ZHU Zhu  DONG Jing  ZUO Xiaocong  LI Xingang  SHANG Dewei  CHEN Bing  YE Yanrong  WANG Yuzhu  GAO Jianjun  ZHANG Jian  CHEN Wansheng  XIE Haitang  JIAO Zheng
Abstract:Model informed precision dosing for warfarin is to provide individualized dosing by integrating information related to patient characteristics, disease status and pharmacokinetics /pharmacodynamics of warfarin, through mathematical modeling and simulation techniques based on the quantitative pharmacology. Compared with empirical dosing, it can improve the safety, effectiveness, economy, and adherence of pharmacotherapy of warfarin. This consensus report describes the commonly used modeling and simulation techniques for warfarin, their application in developing and adjusting dosing regimens, medication adherence and economy. Moreover, this consensus also elaborates the detailed procedures for the implementation in the warfarin pharmacy service pathway to facilitate the development and application of model informed precision dosing for warfarin.
Keywords:warfarin  modeling and simulation  precision dosing  pharmacokinetics and pharmacodynamics  clinical decision supporting system  consensus  
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