Evidence map›Paper›PMID 17455990›Full record

ArticlePLoS medicine2007

Characteristics and impact of drug detailing for gabapentin.

Michael A Steinman, G Michael Harper, Mary-Margaret Chren, C Seth Landefeld, Lisa A Bero

Abstract read
In one paragraph

Article in PLoS medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Review
  5. Article
  6. Article
  7. Article
  8. Sorrell v. IMS Health: issues and opportunities for informaticians.Journal of the American Medical Informatics Association : JAMIA · 2013
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  18. Unbalanced reporting of benefits and harms in abstracts on rofecoxib.European journal of clinical pharmacology · 2010
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Michael A SteinmanAffairs Medical Center, San Francisco, California, United States of America. mike.steinman@ucsf.edu
G Michael Harper
Mary-Margaret Chren
C Seth Landefeld
Lisa A Bero

Funding

Patient-Oriented Research in Skin DiseasesK24AR052667 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHREN, MARY-MARGARET · 2005 to 2014
$1.8M
Cytapheresis Of Volunteer Donors (MRI 2003-054)Z01AG000912 · NIA · NATIONAL INSTITUTE ON AGING · PI ERSHLER, WILLIAM · 2001 to 2008
$1.0M
DEVELOPMENT &INTEGRATION OF GERIATRICS RESEARCHK07AG000912 · NIA · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI LANDEFELD, C. SETH · 2000 to 2004
$540k
Intramural NIH HHS Z01 AG000912NIAMS NIH HHS K24 AR052667NIA NIH HHS K07 AG000912
6 · The paper itself

Abstract

backgroundSales visits by pharmaceutical representatives ("drug detailing") are common, but little is known about the content of these visits or about the impact of visit characteristics on prescribing behavior. In this study, we evaluated the content and impact of detail visits for gabapentin by analyzing market research forms completed by physicians after receiving a detail visit for this drug. METHODS AND

findingsMarket research forms that describe detail visits for gabapentin became available through litigation that alleged that gabapentin was promoted for "off-label" uses. Forms were available for 97 physicians reporting on 116 detail visits between 1995 and 1999. Three-quarters of recorded visits (91/116) occurred in 1996. Two-thirds of visits (72/107) were 5 minutes or less in duration, 65% (73/113) were rated of high informational value, and 39% (42/107) were accompanied by the delivery or promise of samples. During the period of this study, gabapentin was approved by the US Food and Drug Administration only for the adjunctive treatment of partial seizures, but in 38% of visits (44/115) the "main message" of the visit involved at least one off-label use. After receiving the detail visit, 46% (50/108) of physicians reported the intention to increase their prescribing or recommending of gabapentin in the future. In multivariable analysis, intent to increase future use or recommendation of gabapentin was associated with receiving the detail in a small group (versus one-on-one) setting and with low or absent baseline use of the drug, but not with other factors such as visit duration, discussion of "on-label" versus "off-label" content, and the perceived informational value of the presentation.

conclusionsDetail visits for gabapentin were of high perceived informational value and often involved messages about unapproved uses. Despite their short duration, detail visits were frequently followed by physician intentions to increase their future recommending or prescribing of the drug.

Indexed as

AminesCyclohexanecarboxylic Acidsgamma-Aminobutyric AcidDrug IndustryGabapentinHumansMarketingPhysiciansAminesCyclohexanecarboxylic AcidsGabapentingamma-Aminobutyric Acid

Identifiers

PMID17455990
PMCPMC1855692

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.