Evidence map›Paper›PMID 25706152›Full record

ArticlePloS one2015

Time trends of period prevalence rates of patients with inhaled long-acting beta-2-agonists-containing prescriptions: a European comparative database study.

Marietta Rottenkolber, Eef Voogd, Liset van Dijk, Paola Primatesta, Claudia Becker, Raymond Schlienger, Mark C H de Groot, Yolanda Alvarez, Julie Durand, Jim Slattery and 10 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Chronic βThe Journal of physiology · 2018
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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

20 authors at 9 institutions in 5 countries.

Marietta RottenkolberInstitute for Medical Information Sciences, Biometry, and Epidemiology, Ludwig-Maximilians-Universitaet Muenchen, Munich, Germany.
Eef VoogdUtrecht Institute for Pharmaceutical Sciences, Division Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, Utrecht, the Netherlands; Netherlands Institute for Health Services Research, Utrecht, the Netherlands.
Liset van DijkUtrecht Institute for Pharmaceutical Sciences, Division Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, Utrecht, the Netherlands; Netherlands Institute for Health Services Research, Utrecht, the Netherlands.
Paola PrimatestaNovartis Pharma AG, Basel, Switzerland.
Claudia BeckerDivision Clinical Pharmacy & Epidemiology, University of Basel, Basel, Switzerland.
Raymond SchliengerNovartis Pharma AG, Basel, Switzerland.
Mark C H de GrootUtrecht Institute for Pharmaceutical Sciences, Division Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, Utrecht, the Netherlands.
Yolanda AlvarezEuropean Medicines Agency, London, United Kingdom.
Julie DurandEuropean Medicines Agency, London, United Kingdom.
Jim SlatteryEuropean Medicines Agency, London, United Kingdom.
Ana AfonsoUtrecht Institute for Pharmaceutical Sciences, Division Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, Utrecht, the Netherlands.
Gema RequenaPharmacology Unit, Department of Biomedical Sciences II, School of Medicine and Health Sciences, University of Alcalá, Madrid, Spain.
Miguel GilBIFAP Unit, Division of Pharmacoepidemiology and Pharmacovigilance, Spanish Agency for Medicines and Medical Devices, Madrid, Spain.
Arturo AlvarezBIFAP Unit, Division of Pharmacoepidemiology and Pharmacovigilance, Spanish Agency for Medicines and Medical Devices, Madrid, Spain.
Ulrik HesseDanish Medicines Agency (Lægemiddelstyrelsen), Medicines Control Division, Copenhagen, Denmark.
Roman GerlachNational Association of Statutory Health Insurance Physicians of Bavaria, Munich, Germany.
Joerg HasfordInstitute for Medical Information Sciences, Biometry, and Epidemiology, Ludwig-Maximilians-Universitaet Muenchen, Munich, Germany.
Rainald FischerMedizinische Klinik und Poliklinik V, University Hospital, Ludwig-Maximilians-Universitaet Muenchen, Munich, Germany.
Olaf H KlungelUtrecht Institute for Pharmaceutical Sciences, Division Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, Utrecht, the Netherlands.
Sven SchmiedlDepartment of Clinical Pharmacology, School of Medicine, Faculty of Health, Witten/Herdecke University, Witten, Germany; Philipp Klee-Institute for Clinical Pharmacology, HELIOS Clinic Wuppertal, Wuppertal, Germany.
Utrecht University · NLLudwig-Maximilians-Universität München · DENovartis (Switzerland) · CHDanish Medicines Agency · DKHelios Universitätsklinikum Wuppertal · DENational Association of Statutory Health Insurance Physicians · DENetherlands Institute for Health Services Research · NLUniversidad de Alcalá · ESUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInhaled, long-acting beta-2-adrenoceptor agonists (LABA) have well-established roles in asthma and/or COPD treatment. Drug utilisation patterns for LABA have been described, but few studies have directly compared LABA use in different countries. We aimed to compare the prevalence of LABA-containing prescriptions in five European countries using a standardised methodology.

methodsA common study protocol was applied to seven European healthcare record databases (Denmark, Germany, Spain, the Netherlands (2), and the UK (2)) to calculate crude and age- and sex-standardised annual period prevalence rates (PPRs) of LABA-containing prescriptions from 2002-2009. Annual PPRs were stratified by sex, age, and indication (asthma, COPD, asthma and COPD).

resultsFrom 2002-2009, age- and sex-standardised PPRs of patients with LABA-containing medications increased in all databases (58.2%-185.1%). Highest PPRs were found in men ≥ 80 years old and women 70-79 years old. Regarding the three indications, the highest age- and sex-standardised PPRs in all databases were found in patients with "asthma and COPD" but with large inter-country variation. In those with asthma or COPD, lower PPRs and smaller inter-country variations were found. For all three indications, PPRs for LABA-containing prescriptions increased with age.

conclusionsUsing a standardised protocol that allowed direct inter-country comparisons, we found highest rates of LABA-containing prescriptions in elderly patients and distinct differences in the increased utilisation of LABA-containing prescriptions within the study period throughout the five European countries.

Indexed as

Administration, InhalationAdolescentAdrenergic beta-2 Receptor AgonistsAdultAgedAged, 80 and overAsthmaChildChild, PreschoolDatabases, FactualEuropeFemaleHumansInfantInfant, NewbornMaleAdrenergic beta-2 Receptor AgonistsPrescription DrugsReceptors, Adrenergic, beta-2

Identifiers

PMID25706152
PMCPMC4338187
OpenAlexW1990449140

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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.