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Rev Med Interne ; 39(10): 777-781, 2018 Oct.
Artículo en Francés | MEDLINE | ID: mdl-29801710

RESUMEN

BACKGROUND: There is very little epidemiologic data available in the literature concerning long-term corticosteroid prescriptions in France. METHODS: The information was collected from a national public health-insurance database in our geographic area of Provence-Alpes-Côte-d'Azur and Corsica. We included in the analysis, patients using a daily glucocorticoid above 7,5 milligrams for a period exceeding 90 days. RESULTS: Among the patients, 4,1 million were included in the analysis. The prevalence of glucocorticoids was around 0.8% and the incidence was 2.3/1000 inhabitants/year. The mean age of the patients was 57.6±18.8 years old. The median prednisone-equivalent dose was 11.9mg/day (Interquartile range: 8.6-20.0). The average treatment duration was 206 days (CI 95% 202-210). Most prescriptions (72,0%) were started by general practitioners. CONCLUSION: Long-term corticosteroid therapy is frequent in France. Its description is close to what is already known in Europe.


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Bases de Datos Factuales , Glucocorticoides/administración & dosificación , Administración Oral , Reclamos Administrativos en el Cuidado de la Salud/estadística & datos numéricos , Adulto , Anciano , Bases de Datos Factuales/estadística & datos numéricos , Femenino , Francia/epidemiología , Glucocorticoides/efectos adversos , Humanos , Seguro de Salud/estadística & datos numéricos , Masculino , Persona de Mediana Edad , Farmacoepidemiología , Factores de Tiempo
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