Evidence map›Paper›PMID 22811260›Full record

ArticleEuropean journal of clinical pharmacology2013

The use of medication against attention deficit/hyperactivity disorder in Denmark: a drug use study from a patient perspective.

Anton Pottegård, Bine Kjøller Bjerregaard, Dorte Glintborg, Lisbeth Sandal Kortegaard, Jesper Hallas, Søren Ilsøe Moreno

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Article in European journal of clinical pharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–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

26 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Combined Medication with Stimulants and Non-stimulants for Attention-deficit/hyperactivity Disorder.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2021
    Article
  5. Review
  6. Article
  7. The definition and measurement of heterogeneity.Translational psychiatry · 2020
    Review
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
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  15. Article
  16. Article
  17. Article
  18. Review
  19. 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

6 authors.

Anton PottegårdClinical Pharmacology, Institute of Public Health, University of Southern Denmark, Winsløwparken 19, 2, 5000 Odense C, Denmark. apottegaard@health.sdu.dk
Bine Kjøller Bjerregaard
Dorte Glintborg
Lisbeth Sandal Kortegaard
Jesper Hallas
Søren Ilsøe Moreno

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimOur aim was to characterize utilization patterns for drugs used to treat attention deficit/hyperactivity disorder (ADHD) on the level of the individual patient among Danish users, focusing on treatment duration, doses used, and concurrent use of ADHD and non-ADHD drugs.

methodsUsing the Danish Registry of Medicinal Product Statistics, we extracted data on 1,085,099 prescriptions for ADHD drugs issued to a total of 54,024 persons in the study period 1 January 1995 to 30 September 2011. For users in the final year of the study period, we further extracted 315,365 prescriptions for non-ADHD drugs. Drug utilization was characterized using descriptive statistics.

resultsThe mean duration of ADHD treatment was highest (3.6-4.2 years) for patients initiating therapy at a young age (age<13). Dropout rate after receiving only one prescription was highest among off-label users (age<6 and age >17). All age categories showed an increase in the average daily dosage of methylphenidate used from 2003 to 2010. Concomitant treatment with methylphenidate and atomoxetine was rare, as only 2 % of methylphenidate treatment overlapped with atomoxetine treatment. Nineteen percent of methylphenidate instant-release treatment overlapped with methylphenidate controlled-release treatment. Users of ADHD drugs across all age categories had an increased use of drugs related to the nervous system, especially antipsychotics [standardized morbidity rate (SMR), 6.4-19.5] and antiepileptics (SMR, 4.0-5.5).

conclusionWe found certain traits that warrant further investigation: the apparent increase in average daily doses, the low adherence to treatment among off-label users, and the increased use of other psychotropic medication.

Indexed as

Medication AdherenceAdolescentAdultAge FactorsAttention Deficit Disorder with HyperactivityCentral Nervous System StimulantsChildChild, PreschoolDenmarkDrug PrescriptionsDrug Therapy, CombinationDrug UtilizationDrug Utilization ReviewGuideline AdherenceHumansKaplan-Meier EstimateCentral Nervous System Stimulants

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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.