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     <dc:title xml:lang="fr">Interchangeabilité des gonadotrophines et leurs biosimilaires dans le cadre de l’assistance médicale à la procréation (AMP) : quels impacts pour le pharmacien d’officine ? </dc:title>
     <dcterms:alternative xml:lang="en">Interchangeability of gonadotropins and their biosimilars in the context of medically assisted reproduction (MAR): what impact for the community pharmacist?</dcterms:alternative>
     <dc:subject xml:lang="fr">Assistance médicale à la procréation</dc:subject><dc:subject xml:lang="fr">AMP</dc:subject><dc:subject xml:lang="fr">Protocoles de stimulation ovarienne</dc:subject><dc:subject xml:lang="fr">Gonadotrophines</dc:subject><dc:subject xml:lang="fr">Interchangeabilité</dc:subject><dc:subject xml:lang="fr">Substitution</dc:subject><dc:subject xml:lang="fr">Biosimilaires</dc:subject><dc:subject xml:lang="fr">follitropine alpha/alfa</dc:subject>
     <dc:subject xml:lang="en">Medically assisted procreation</dc:subject><dc:subject xml:lang="en">ART</dc:subject><dc:subject xml:lang="en">Ovarian stimulation protocols</dc:subject><dc:subject xml:lang="en">Gonadotropins</dc:subject><dc:subject xml:lang="en">Interchangeability</dc:subject><dc:subject xml:lang="en">Substitution</dc:subject><dc:subject xml:lang="en">Biosimilars</dc:subject><dc:subject xml:lang="en">follitropin alpha/alfa</dc:subject><tef:sujetRameau><tef:vedetteRameauNomCommun>
						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="027986489">Procréation médicalement assistée</tef:elementdEntree>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="027659402">Stimulation de l'ovulation </tef:elementdEntree>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="027228177">Gonadotrophines</tef:elementdEntree>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="147069289">Biosimilaires </tef:elementdEntree>
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						<tef:elementdEntree autoriteSource="Sudoc" autoriteExterne="034956506">Hormone folliculostimulante‎--Formes recombinées</tef:elementdEntree>
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     <dcterms:abstract xml:lang="fr">En France, l'Assistance Médicale à la Procréation (AMP) est entièrement prise en charge par l'Assurance Maladie, avec un coût élevé pour la Sécurité Sociale. Le rôle du pharmacien d’officine évolue, soulevant la question de la substitution par biosimilaires de la follitropine alpha, principale gonadotrophine prescrite. Une enquête a permis d’évaluer les connaissances des pharmaciens d’officine sur les traitements de stimulation ovarienne, d’étudier leurs perceptions sur la notion d’interchangeabilité ainsi que les difficultés que les pharmaciens peuvent rencontrer au comptoir lors de la délivrance de ces traitements spécifiques. </dcterms:abstract>
     <dcterms:abstract xml:lang="en">In France, assisted reproductive technology (ART) is fully covered by health insurance, with a high cost for Social Security. The role of the community pharmacist is evolving, raising the question of biosimilar substitution of follitropin alpha, the main prescribed gonadotropin. A survey assessed community pharmacists' knowledge of ovarian stimulation treatments, studied their perceptions of the concept of interchangeability, and the difficulties pharmacists may encounter at the counter when dispensing these specific treatments.</dcterms:abstract>
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       <tef:nom>Gankhuyag</tef:nom>
       <tef:prenom>Saran</tef:prenom>
       
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