Evaluation on rational application of irinotecan based on weighted TOPSIS method
AIM To evaluate the rationality of irinotecan application based on weighted TOPSIS method.METHODS Based on the drug label of irinotecan,combined with relevant guidelines and literatures,weighted TOPSIS method was used to establish the evaluation criteria for the rationality of irinotecan clinical application,with"indications,contraindications,application and dosage,solvent selection,baseline examination,pretreatment,administration sequence,blood routine monitoring,dosage adjustment and ADR monitoring"as evaluation indicators.The archived medical records of inpatients who had used irinotecan in Binhu Hospital of Hefei from January 1,2022 to May 31,2023 were evaluated for the rationary of irinotecan administration.RESULTS Among the 10 evaluation indicators,the highest relative weighted index was indication(0.133 1),while the lowest was pretreatment(0.084 9).Among the included 97 cases,10 cases(10％)had relative proximity(Ci)≥0.8,with the evaluation result as rational drug application;79 cases(81％)had 0.6≤Ci＜0.8,with the evaluation result as basic rational drug application;8 cases(8％)had 0.4 ≤ C,＜0.6,with the evaluation result as irrational drug application.CONCLUSION The weighted TOPSIS method can be used to evaluate the rational usage of irinotecan.In our hospital,the use of irinotecan is basically reasonable,however,there are still some problems about baseline examination,blood routine monitoring and unreasonable indications.
weighted TOPSIS methodirinotecandrug utilization reviewrational use of drug
万方数据
维普
