Iranian Journal of Public Health (May 2013)

Off-Label and Off-NCCN Guidelines Uses of Antineoplastic Drugs in China.

  • Weilan Wang,
  • Man Zhu,
  • Daihong Guo,
  • Chao Chen,
  • Dongxiao Wang,
  • Fei Pei,
  • Liang Ma

Journal volume & issue
Vol. 42, no. 5

Abstract

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To evaluate off-label and off-NCCN guidelines uses of antineoplastic drugs in a major Chinese hospital.Totally 1122 patients were selected from July to December 2011. Then, the off-label and off-NCCN guidelines uses of antineoplastic drugs were analyzed.In 798 of 1122 patients (71.12%), drugs were used for off-label. In 317 of 1122 patients (28.25%), the drugs were prescribed for off-label and off-NCCN guidelines. 2591 medical orders for 1122 patients, 1051/2591 (40.56%) medical orders were off-label; 445/2591(17.17%) medical orders were off-label and off-NCCN guidelines. In 445 off-label and off-NCCN medical orders, 399 (89.66%) were unapproved indications, 38 (8.54%) were unapproved drug concentration and 12 (2.70%) were unapproved route of administration. Percentage of off-label and off-NCCN guidelines drug uses in male was higher than that in female (21.92% vs. 11.39%, P

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