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Legal demands of the tiotropium bromide for treatment of chronic obstructive pulmonary disease and their financial impact for the State of Paraná, Brazil.
Einstein (Sao Paulo) ; 18: eGS4442, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31576910


To analyze the legal demands of tiotropium bromide to treat chronic obstructive pulmonary disease.


We included secondary data from the pharmaceutical care management systems made available by the Paraná State Drug Center.


Public interest civil action and ordinary procedures, among others, were the most common used by the patients to obtain the medicine. Two Health Centers in Paraná (Londrina and Umuarama) concentrated more than 50% of the actions. The most common specialty of physicians who prescribed (33.8%) was pulmonology. There is a small financial impact of tiotropium bromide on general costs with medicines of the Paraná State Drug Center. However, a significant individual financial impact was observed because one unit of the medicine represents 38% of the Brazilian minimum wage.


Our study highlights the need of incorporating this medicine in the class of long-acting anticholinergic bronchodilator in the Brazilian public health system.





Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Broncodilatadores / Medicamentos Essenciais / Doença Pulmonar Obstrutiva Crônica / Função Jurisdicional / Brometo de Tiotrópio / Necessidades e Demandas de Serviços de Saúde Tipo de estudo: Avaliação econômica em saúde Limite: Humanos País/Região como assunto: América do Sul / Brasil Idioma: Inglês / Português Revista: Einstein (Sao Paulo) Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Brasil