Evidence map›Paper›PMID 27059520›Full record

ArticleBritish journal of clinical pharmacology2016

Usage patterns of paracetamol in France.

Mai Duong, Sinem Ezgi Gulmez, Francesco Salvo, Abdelilah Abouelfath, Régis Lassalle, Cécile Droz, Patrick Blin, Nicholas Moore

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.5field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
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  6. Impact of acetaminophen product labelling changes in Canada on hospital admissions for accidental acetaminophen overdose: a population-based study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
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  19. Usage patterns of paracetamol in France.British journal of clinical pharmacology · 2016
    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

8 authors at 1 institution in 1 country.

Mai DuongBordeaux Pharmacoepi, Université de Bordeaux, BP 40 33076 cedex, Bordeaux, France.
Sinem Ezgi GulmezBordeaux Pharmacoepi, Université de Bordeaux, BP 40 33076 cedex, Bordeaux, France.ORCID 0000-0001-8815-9128
Francesco SalvoINSERM U1219, Université de Bordeaux, BP 36 33076 cedex, Bordeaux, France.
Abdelilah AbouelfathBordeaux Pharmacoepi, Université de Bordeaux, BP 40 33076 cedex, Bordeaux, France.
Régis LassalleBordeaux Pharmacoepi, Université de Bordeaux, BP 40 33076 cedex, Bordeaux, France.
Cécile DrozBordeaux Pharmacoepi, Université de Bordeaux, BP 40 33076 cedex, Bordeaux, France.
Patrick BlinBordeaux Pharmacoepi, Université de Bordeaux, BP 40 33076 cedex, Bordeaux, France.
Nicholas MooreBordeaux Pharmacoepi, Université de Bordeaux, BP 40 33076 cedex, Bordeaux, France.ORCID 0000-0003-1212-2817
Université de Bordeaux · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aim of the present study was to describe the real-life usage patterns of paracetamol.

methodsThe Echantillon Généraliste de Bénéficiaires (EGB) database, the permanent 1/97 representative sample from the French national healthcare insurance system, was searched in 2011 to identify usage patterns, concomitant chronic diseases and use of cardiovascular medication in users prescribed single-ingredient (SP) and combination (CP) paracetamol, representing 85% of all sales.

resultsOf 526 108 subjects aged ≥15 years in the EGB, 268 725 (51%) had paracetamol dispensed on ≥1 occasion; of these, 207 707 (77%) were dispensed only SP and 61 018 (23%) received CP with or without SP. SP users were younger (48.3 years vs. 50.5 years), and 57% of SP users vs. 58% of CP users were female. Chronic comorbidities were more common in CP than SP users. SP users had, on average, 3.4 dispensings per year vs. 5.0 for CP users, for 36 defined daily doses (DDD, 3 g) of SP vs. 53 DDD per year for CP; 49% SP users bought 14 DDD or fewer; 15% bought >60 DDD. Use of paracetamol increased with age from about 16 DDD per year in 15-30-year-olds to over 90 DDD per year in patients above the age of 75; 53% of patients ≤60 years bought fewer than 14 DDD per year, whereas 55% of those >60 bought more than 30 DDD per year. More than half the dispensings exceeded the legal per-box limit of 8 g.

conclusionsOver 50% of the French adult population were dispensed paracetamol at least once over the course of a year, generally for short-term use. Considering recent misgivings on the real efficacy and safety of paracetamol, such widespread use might have important public health consequences.

Indexed as

AcetaminophenAdolescentAdultAgedAnalgesics, Non-NarcoticComorbidityDatabases, FactualDrug UtilizationFranceHumansMaleMiddle AgedPractice Patterns, Physicians'Young AdultAcetaminophenAnalgesics, Non-Narcoticadultsdrug utilizationparacetamolrisk factors

Identifiers

PMID27059520
PMCPMC4972166
OpenAlexW2481135978

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.