Evidence map›Paper›PMID 26965028›Full record

Observational studyThe British journal of general practice : the journal of the Royal College of General Practitioners2016

A 5-year follow-up study of users of benzodiazepine: starting with diazepam versus oxazepam.

Ingunn Fride Tvete, Trine Bjørner, Tor Skomedal

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. 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

3 authors at 2 institutions in 1 country.

Ingunn Fride TveteThe Norwegian Computing Center, Oslo, Norway.
Trine BjørnerDepartment of General Practice, Institute of Health and Society.
Tor SkomedalSpecialty Clinical Pharmacology, Department of Pharmacology, University of Oslo, Oslo, Norway.
Norwegian Computing Center · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDrug dependency may develop during long-term benzodiazepine use, indicated, for example, by dose escalation. The first benzodiazepine chosen may affect the risk of dose escalation.

aimTo detect possible differences in benzodiazepine use between new users of diazepam and oxazepam over time. DESIGN AND

settingThis 5-year prescription database study included 19 747 new benzodiazepine users, inhabitants of Norway, aged 30-60 years, with first redemption for diazepam or oxazepam.

methodIndividuals starting on diazepam versus oxazepam were analysed by logistic regression with sex, age, other drug redemptions, prescriber's specialty, household income, education level, type of work, and vocational rehabilitation support as background variables. Time to reach a daily average intake of ≥1 defined daily doses (DDD) over a 3-month period was analysed using a Cox proportional hazard regression model.

resultsNew users of oxazepam had a higher risk for dose escalation compared with new users of diazepam. This was true even when accounting for differences in sociodemographic status and previous drug use (hazard ratio [HR] 1.33, 95% confidence interval = 1.17 to 1.51).

conclusionMost doctors prescribed, according to recommendations, oxazepam to individuals they may have regarded as prone to and at risk of dependency. However, these individuals were at higher risk for dose escalation even when accounting for differences in sociodemographic status and previous drug use. Differences between the two user groups could be explained by different preferences for starting drug, DDD for oxazepam being possibly too low, and some unaccounted differences in illness.

Indexed as

AdultAnti-Anxiety AgentsAnxietyDepressionDiazepamDose-Response Relationship, DrugDrug PrescriptionsFemaleFollow-Up StudiesHumansMaleMiddle AgedNorwayOxazepamPrescription Drug MisusePrevalenceAnti-Anxiety AgentsDiazepamOxazepamanxietybenzodiazepinesCox modelsdiazepamgeneral practicelogistic modelsoxazepam

Identifiers

PMID26965028
PMCPMC4809707
OpenAlexW2295851554

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.