lunedì 14 maggio 2007

Farmaci antipsicotici nei bambini e negli adolescenti



Da alcuni anni viene registrato un incremento dell'uso di farmaci antipsicotici per bambini e adolescenti, fino a 10 volte negli ultimi 6 anni. L'articolo del New York Times che vi propongo riporta una storia che fa riflettere, racconta come all'incremento delle prescrizioni sia presente una forte presenza dell'industria farmaceutica nell'attività privata dei Medici (conferenze etc.), elemento che suscita perplessità sull'aderenza delle prescrizioni a linee guida o a conoscenze scientifiche consolidate. La storia riportata è accaduta in Minnesota che curiosamente è lo stato in cui gli psichiatri hanno ricevuto il maggior numero di remunerazioni economiche per attività non clinica rispetto ad altre specialità.
Da rifletterci.
Questo il link.

Link Between Industry Payments and Use of Antipsychotics in Children Probed

Industry payments to Minnesota psychiatrists for speaking engagements and other activities rose sixfold from 2000 to 2005, while prescriptions of antipsychotics to children in the state's Medicaid program rose ninefold, the New York Times reports.

The story examines general trends in the use, often off-label, of atypical antipsychotics in children, and it focuses on Medicaid data from Minnesota between 2000 and 2005 because it's the one state that requires disclosure of industry payments to physicians.

Among the Times' findings:

--Psychiatrists who received $5000 or more from manufacturers of atypical antipsychotics on average wrote three times as many prescriptions for those drugs in children as those who received under that amount.

--Psychiatrists received a median of $1750 each from industry from 2000 to 2005, more than any other medical specialty in Minnesota.

--The cost to the state of antipsychotic drugs used in children increased 14-fold from 2000 to 2005, from $521,000 to $7.1 million.

The Times quotes Steven Hyman, former director of NIMH: "There's an irony that psychiatrists ask patients to have insights into themselves, but we don't connect the wires in our own lives about how money is affecting our profession and putting our patients at risk."

鏈接在產業對Antipsychotics 的付款和用途之間對於兒童被探查 產業付款對明尼蘇達精神病醫生為講的訂婚和其它活動玫瑰sixfold 從2000 年到2005 年, 當antipsychotics 的處方對孩子在state's Medicaid 節目玫瑰ninefold, 紐約時代週刊報告。