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Decision analysis applied to the selection of angiotensin-converting enzyme inhibitors.
Santos Ramos, B; Piña Vera, M J; Carvajal Gragera, E; Atienza Fernández, M.
Afiliación
  • Santos Ramos B; Servicio de Farmacia, Hospital Vírgen del Rocío, Sevilla, Spain.
Pharm World Sci ; 15(5): 219-24, 1993 Oct 15.
Article en En | MEDLINE | ID: mdl-8257959
Decision analysis is applied to the group of angiotensin-converting enzyme inhibitors, in order to select those which should be included in the hospital formulary and to establish a research method which allows the reproduction of the process with new, related drugs. Captopril, enalapril and lisinopril were the alternatives considered. Evaluation criteria were efficacy, clinical experience, safety, dosage interval, hepatic bioactivation, interactions, dosage forms and cost. A relative weight was assigned through a survey among the hospital's staff. Each alternative was evaluated in relation to all criteria. Sensitivity analysis was applied to validate the method. Enalapril obtained the highest score, followed by lisinopril and captopril. The sensitivity analysis confirms this result. Enalapril is selected for the hospital formulary due to its higher score, although the differences between the three are very small.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inhibidores de la Enzima Convertidora de Angiotensina / Técnicas de Apoyo para la Decisión Tipo de estudio: Health_economic_evaluation / Prognostic_studies Límite: Humans Idioma: En Revista: Pharm World Sci Asunto de la revista: FARMACIA / TERAPIA POR MEDICAMENTOS Año: 1993 Tipo del documento: Article País de afiliación: España Pais de publicación: Alemania
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Inhibidores de la Enzima Convertidora de Angiotensina / Técnicas de Apoyo para la Decisión Tipo de estudio: Health_economic_evaluation / Prognostic_studies Límite: Humans Idioma: En Revista: Pharm World Sci Asunto de la revista: FARMACIA / TERAPIA POR MEDICAMENTOS Año: 1993 Tipo del documento: Article País de afiliación: España Pais de publicación: Alemania