Evidence map›Paper›PMID 28705243›Full record

ArticleBMC psychiatry2017

Trends in treatment with antipsychotic medication in relation to national directives, in people with dementia - a review of the Swedish context.

Staffan Karlsson, Ingalill Rahm Hallberg, Patrik Midlöv, Cecilia Fagerström

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

4 authors at 2 institutions in 1 country.

Staffan KarlssonDepartment of Health Sciences, Lund University, -221 00, Lund, SE, Sweden. staffan.karlsson@med.Lu.Se.
Ingalill Rahm HallbergPufendorf Institute, Lund University, -221 00, Lund, SE, Sweden.
Patrik MidlövDepartment of Clinical Sciences, Malmo, Lund University, -221 00, Lund, SE, Sweden.
Cecilia FagerströmBlekinge Centre of Competence, -371 81, Karlskrona, SE, Sweden.
Lund University · SELinnaeus University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to explore trends in treatment with antipsychotic medication in Swedish dementia care in nursing homes as reported in the most recent empirical studies on the topic, and to relate these trends to directives from the national authorities.

methodsThe study included two scoping review studies based on searches of electronic databases as well as the Swedish directives in the field.

resultsDuring the past decade, directives have been developed for antipsychotic medication in Sweden. These directives were generic at first, but have become increasingly specific and restrictive with time. The scoping review showed that treatment with antipsychotic drugs varied between 6% and 38%, and was higher in younger older persons and in those with moderate cognitive impairment and living in nursing homes for people with dementia. A decreasing trend in antipsychotic use has been seen over the last 15 years.

conclusionsDirectives from the authorities in Sweden may have had an impact on treatment with antipsychotic medication for people with dementia. Treatment with antipsychotic medication has decreased, while treatment with combinations of psychotropic medications is common. National directives may possibly be even more effective, if applied in combination with systematic follow-ups.

Indexed as

AgedAged, 80 and overAntipsychotic AgentsDementiaDrug UtilizationFemaleGuideline AdherenceHumansMaleNursing HomesSwedenAntipsychotic AgentsAntipsychotic medicationDementiaDirectiveDrug utilization

Identifiers

PMID28705243
PMCPMC5513361
OpenAlexW2736057655

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.