Evidence map›Paper›PMID 18451006›Full record

ArticlePsychiatric services (Washington, D.C.)2008

Who are the new users of antipsychotic medications?

Marisa Elena Domino, Marvin S Swartz

Abstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Most Second-Generation Antipsychotic Prescriptions in Community Practice Are Neither FDA-Approved nor Within Prescribing Guideline Recommendations.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2021
    Article
  7. Article
  8. Observational
  9. Review
  10. Dopamine DNPJ schizophrenia · 2017
    Article
  11. Patterns of Antipsychotic Prescribing by Physicians to Young Children.Psychiatric services (Washington, D.C.) · 2016
    Article
  12. Article
  13. Review
  14. Article
  15. Incident users of antipsychotics: who are they and how do they fare?Social psychiatry and psychiatric epidemiology · 2016
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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

2 authors.

Marisa Elena DominoDepartment of Health Policy and Administration, University of North Carolina, School of Public Health, Chapel Hill, NC 27599, USA. domino@unc.edu
Marvin S Swartz

Funding

PUBLIC EDUCATION CAMPAIGN ON DEPRESSION DARTN01MH090001 · NIMH · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · 1989 to 2003
$10.4M
STN/Three Individual Projects: COATS, METS, CRSTNN01MH90001 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI STROUP, SCOTT · 2007 to 2009
$6.7M
Influences of the Diffusion of Psychotropic MedicationsK01MH065639 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DOMINO, MARISA ELENA · 2004 to 2008
$738k
NIMH NIH HHS K01 MH 065639NIMH NIH HHS K01 MH065639NIMH NIH HHS N01 MH 90001
6 · The paper itself

Abstract

objectiveThis study examined changes in the prevalence of antipsychotic medication use and the characteristics of antipsychotic users in the U.S. population between 1996 and 2005.

methodsData from the Medical Expenditure Panel Survey from 1996-1997 and 2004-2005 were used to examine the rate of first- and second-generation antipsychotic medication use and changes in the characteristics of users of all ages. Trends were examined in the level of use by antipsychotic users, both in terms of defined daily dose units and number of prescriptions.

resultsThe rate of antipsychotic use has increased substantially between 1996-1997 and 2004-2005, but the average dose measured both by defined daily dose units and number of prescriptions has remained constant. The rapid diffusion of antipsychotic medications did not occur among individuals with schizophrenia, but rather it included substantial growth among those with newer on-label conditions (such as bipolar disorder) and a high, constant rate of off-label use. Demographic, financial, and insurance characteristics of users have remained fairly constant, with few exceptions. The average age of antipsychotic users declined during the study period, because more children were using these medications in 2004-2005. However, the gender, racial, ethnic, and insurance composition of users has been fairly stable over time.

conclusionsThe rapid diffusion of second-generation antipsychotic medications was achieved by large increases in the rate of use in certain subpopulations, most notably youths. Increasing understanding about the marginal efficacy and side-effect risks of newer and more expensive antipsychotic agents, even when prescribed as indicated, suggests that the dramatic increase in use warrants careful attention.

Indexed as

Bipolar DisorderSchizophreniaAdolescentAdultAntipsychotic AgentsAnxiety DisordersCost-Benefit AnalysisDrug PrescriptionsFemaleHealth Care CostsHumansInsurance, HealthMaleMedicaidMiddle AgedPrevalenceAntipsychotic Agents

Identifiers

PMID18451006
PMCPMC2739805

What OpenQuestion holds

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Read underepoch 390

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.