Chimeric Antigen Receptor T Cells (CAR-T) 세포 치료에서 병원약사의 역할 : 문헌고찰 연구
The Role of Hospital Pharmacists in Chimeric Antigen Receptor T Cell Therapy Based on Literature Review
Chimeric antigen receptor (CAR)-T cell therapy, a cell based gene therapy, has been covered as a condition of the performance- based refund under national health insurance system since April 2022. Accordingly, the effectiveness and adverse drug reaction of CAR-T cell therapy should be reported to the Health Insurance Review and Assessment. (HIRA). Hospital pharmacists are expected to be responsible for monitoring the CAR-T cell therapy. Thus, literature review was conducted to determine the role of hospital pharmacists in the CAR-T cell therapy. There were no related articles in searching the domestic database, and seven articles were selected from PubMED database. Most of them were review-type papers describing the role of pharmacists, and one of them developed practical guidelines for hospital pharmacies. The roles of pharmacists were summarized into nineteen categories. Critical roles include developing standard operating procedures, training staff and patients, managing T cell collection, preparing and storing CAR-T cell, and monitoring and managing adverse drug reaction. The participation of hospital pharmacists in the process of CAR-T cell therapy can improve the effectiveness and safety of patients, and the responsibilities of hospital pharmacists should be standardized within a multidisciplinary team.
목차
Abstract 서론 연구방법 연구결과 1. 치료제 예산 관리 2. 병원의 공인 대리인으로 활동 3. 관련지침 개발 4. EMR(전자의무기록) 설계 5. 환자 선정 6. 직원교육 7. T세포 채취 관리 8. 치료제 승인 9. 치료제 구매 10. 치료제 수령 11. 치료제 보관 12. 처방 검토 13. 치료제 조제 14. 토실리주맙 확보 및 보관 15. 치료제 투여시 관리 16. 환자 교육과 Patient Wallet Card 제공 17. 품질추적 18. 결과 평가 및 기록 고찰 및 결론 참고문헌
키워드
Chimeric antigen receptor T cells (CAR-T)hospital pharmacistliterature review
저자
설정은 [ Jung-Een Sul | 경북대학교 약학대학/약학연구소/ BK21사업 지역밀착형 지능형 혁신신약 개발 교육연구단 ]
한국보건사회약료경영학회 [Korean Academy of Social & Managed Care Phemacy]
설립연도
2009
분야
의약학>약학
소개
본 학회는 비영리 학술단체로서 환자의 삶의 질 향상을 위한 약료(pharmaceutical care)가 보장될 수 있도록 약료경영약학(managed care pharmacy)을 발전시키는 데 궁극 목적을 두고 다음과 같은 활동을 전개하여 사회에 기여하며 회원 상호간의 친목을 도모한다.
간행물
간행물명
한국보건사회약료경영학회지 [Journal of Korean Academy of Managed Care Pharmacy]