Author/Editor     Franić, Damir; Fuerst, Jurij
Title     Uporaba hormonskih pripravkov v perimenopavzi v Sloveniji
Translated title     The use of hormones during the perimenopausal period in Slovenia
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 72, št. Suppl 2
Publication year     2003
Volume     str. II-3-8
Language     slo
Abstract     Background. We want to collect data on the use of hormone therapy (HT) in perimenopausal women in Slovenia. These data were to serve as the basis for evaluation of the most frequently prescribed HT, and of the distribution of prescriptions by Slovene health regions. Consequently, the percent of women aged 40-65 years, current hormone replacement therapy (HRT) users was to be assessed. Methods. The analysis was made on the basis of the data collected by the automatic processing of prescriptions (AOR). Reliability of the data has been excellent since the introduction of the health insurance card. The data on drug use are expressed as defined daily doses (DDD) per 1000 inhabitants aged 40-65 years. The information on the number of women in a certain age group and their number in a certain medical region was obtained from the Statistical Institute of Slovenia and from the database of the Institute of Health Insurance of Slovenia. DDD is a tehnical unit, by means of which drug use can be compared. DDD is a mean daily dose of the drug prescribed for the main indication in adults, the unit being 1 gram of the active substance. The AOR data have become reliable after 2001, therefore our analysis comparised the years 2001 and 2002. Comparison of the data was done using the list of drugs prepared according to the Anatomical Therapeutic Chemical classification (ATC) for coding drugs. Results. HRT (at least one pack) was found to be used by 12.5% of women in 2001 and 12.4% in 2002. The estimated percent of women in 2001 and 12.4% in 2002. The estimated percent of women in 2001 and 12.4% in 2002. The estimated percent of women receiving HRT for at least 6 months was 6.5% in 2001 and 6.4% in 2002. (Abstract truncated at 2000 characters).
Summary     Izhodišča. Želeli smo pridobiti podatke o uporabi hormonske terapije (HT) v perimenopavzi v Sloveniji. S pomočjo podatkov smo želeli oceniti, kaj se predpisuje največ in kako je predpisovanje porazdeljeno po zdravstvenih regijah Slovenije. Temeljni cilj je s pomočjo dobljenih podatkov oceniti odstotek žensk, starih med 40-65 let, ki trenutno v Sloveniji uporablja nadomestno hormonsko zdravljenje (NHZ). Metode. Analiza je narejena na osnovi podatkov avtomatske obdelave receptov (AOR). Zanesljivost podatkov je z uvedbo kartice zdravstvenega zavarovanja odlična. Podatki o porabi zdravil so podani v definiranih dnevnih odmerkih (DDD) na 1000 prebivalk v starostni skupini 40-65 let na dan. Podatek o številu žensk v starostnih obdobjih in njihovo število v območnih enotah smo dobili iz baz Statističnega urada Slovenije in baze zavarovancev Zavoda za zdravstveno zavarovanje Slovenije. DDD je tehnična enota, ki omogoča primerjavo porabe zdravil. DDD je povprečni dnevni terapevtski odmerek zdravila za glavno indikacijo pri odraslih. Enota je gram učinkovine. Podatki AOR so najzahtevnejši od leta 2001 dalje, zato smo natančneje analizirali le leti 2001 in 2002. Za pripravo podatkov smo uporabili seznam zdravil po anatomsko-terapevtsko-kemični klasifikaciji (ATC). Rezultati. Ugotovili smo da je poraba NHZ pri ženskah, ki so prejele vsaj eno pakiranje zdravil, 12,5% v letu 2001 in 12,4% v letu 2002. Ocenjeno število zavarovank, ki so prejemale NHZ vasj 6 mesecev, je 6,6% za leto 2001 oziroma 6,4% za leto 2002. Glede na DDD se največ predpisujejo estrogeni in enofazni estrogeni + progestageni, in sicer v starostni skupini 45-55 let. Potem uporaba HT upada. Najmanj se predpisuje konjugirani konjski estrogen in sntiandrogeni v kombinaciji z estrogeni. (Izvleček prekinjen pri 2000 znakih).
Descriptors     CLIMACTERIC
ESTROGEN REPLACEMENT THERAPY
ADULT
MIDDLE AGE
SLOVENIA
PRESCRIPTIONS, DRUG
DRUG UTILIZATION
ESTRADIOL
PROGESTATIONAL HORMONES