Real world drug treatment model for reproductive assistance patients in
China from 2016 to 2020: a cross-sectional analysis
Abstract
Objective: Infertility is a complex disease, which has a significant
impact on medicine, social psychology and economy. There is no unified
conclusion on the choice of drug treatment. Our goal is to investigate
the actual drug treatment mode of reproductive assistance patients in
China, focusing on the trend and rationality of sex hormone use in the
past five years. Method:We conducted a cross-sectional analysis of the
data from the hospital prescription analysis cooperation project
supervised by the China Medical Association during 2016 to 2020.
Results: Among the 225225 patients included in this study, the top three
cities were Guangzhou, Shanghai and Zhengzhou. In five years, the
average age is 32.99 years old. There were 11 kinds of main therapeutic
drugs used. The top five were urotropin for injection, different
progesterone preparations, chorionic gondotrophin for injection,
dydrogesterone and triptorelin for injection. Although the total dosage
of urotropin was the highest, it showed a downward trend. The dosage of
progesterone and didroxyprogesterone showed an upward trend, among which
progesterone showed the fastest upward trend. Conclusion: The average
age of patients has not increased significantly, while the opportunity
cost of women’s childbirth has increased, which seriously hinders the
realization of childbearing intention. The overall medication selection
is reasonable. The dosage of first-line urotropin and chorionic
gonadotropin recommended by the guidelines is also high in this study,
but the dosage of oral first-line treatment of ovarian stimulation in
unexplained infertility is low, and the dosage of progesterone is
gradually increasing.