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2023 | OriginalPaper | Buchkapitel

9. Antithrombotische Therapie

verfasst von : Dr. med. Hans Wille

Erschienen in: Arzneiverordnungs-Report 2023

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Auf einen Blick

Trend Die Gesamtverordnungen der Thrombozytenaggregationshemmer sind 2022 gegenüber dem Vorjahr gering gesunken, die der oralen Antikoagulantien absolut im gleichen Maße wie im Vorjahr weiter angestiegen.. Die Verordnungen der Vitamin-K-Antagonisten nahmen auch 2022 weiter deutlich ab, während die der Thrombin- und Faktor Xa-Antagonisten gegenüber 2021 nochmals um knapp 10 % zugenommen haben. Der Verordnungsanteil der Vitamin-K-Antagonisten an allen oralen Antikoagulantien beträgt jetzt nur noch 13,6 %. Die Kosten aller Antithrombotika sind 2022 auf 3.004 Mio. € gestiegen. Der Anstieg gegenüber 2021 um 6,2 % ist auch diesmal allein durch die neuen direkten oralen Antikoagulantien bedingt. Bei den Antihämorrhagika sind die Faktor-VIII-Präparate die umsatzstärkste Gruppe. Modifizierte rekombinante Gerinnungsfaktoren sowie ein monoklonaler Antikörper (Emicizumab) als Faktor VIIIa-Mimetikum erweitern die Therapieoptionen bei Patienten mit angeborener Hämophilie A oder B.
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Metadaten
Titel
Antithrombotische Therapie
verfasst von
Dr. med. Hans Wille
Copyright-Jahr
2023
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-68371-2_9

Leitlinien kompakt für die Innere Medizin

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Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Echinokokkose medikamentös behandeln oder operieren?

06.05.2024 DCK 2024 Kongressbericht

Die Therapie von Echinokokkosen sollte immer in spezialisierten Zentren erfolgen. Eine symptomlose Echinokokkose kann – egal ob von Hunde- oder Fuchsbandwurm ausgelöst – konservativ erfolgen. Wenn eine Op. nötig ist, kann es sinnvoll sein, vorher Zysten zu leeren und zu desinfizieren. 

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Die „Zehn Gebote“ des Endokarditis-Managements

30.04.2024 Endokarditis Leitlinie kompakt

Worauf kommt es beim Management von Personen mit infektiöser Endokarditis an? Eine Kardiologin und ein Kardiologe fassen die zehn wichtigsten Punkte der neuen ESC-Leitlinie zusammen.

Update Innere Medizin

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