Evidence map›Paper›PMID 28875615›Full record

ArticleJournal of Korean medical science2017

Prescription Trends of Psychotropics in Children and Adolescents with Autism Based on Nationwide Health Insurance Data.

Minha Hong, Seung Yup Lee, Juhee Han, Jin Cheol Park, Yeon Jung Lee, Ram Hwangbo, Hyejung Chang, Seong Woo Cho, Soo Young Bhang, Bongseog Kim and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

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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

12 authors at 8 institutions in 1 country.

Minha Hong *Department of Psychiatry, Seonam University College of Medicine, Myongji Hospital, Goyang, Korea.ORCID https://orcid.org/0000-0003-4924-1107
Seung Yup Lee *Department of Psychiatry, Kyung Hee University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-4120-5603
Juhee HanDepartment of Psychiatry, Kyung Hee University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-1400-3600
Jin Cheol ParkDepartment of Psychiatry, Silver Heals Hospital, Namyangju, Korea.ORCID https://orcid.org/0000-0003-1426-1263
Yeon Jung LeeDepartment of Psychiatry, Soonchunhyang University College of Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-5624-0447
Ram HwangboGraduate School of Medicine, Kyung Hee University, Seoul, Korea.ORCID https://orcid.org/0000-0003-2613-0404
Hyejung ChangSchool of Business, Kyung Hee University, Seoul, Korea.ORCID https://orcid.org/0000-0002-5666-1305
Seong Woo ChoDepartment of Psychiatry, Kyung Hee University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-1743-7570
Soo Young BhangDepartment of Psychiatry, Eulji University School of Medicine, Eulji University Eulji Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-5254-0314
Bongseog KimDepartment of Psychiatry, Inje University Sanggyepaik Hospital, School of Medicine, Inje University, Seoul, Korea.ORCID https://orcid.org/0000-0002-2534-6986
Jun Won HwangDepartment of Psychiatry, Kangwon National University School of Medicine, Chuncheon, Korea.ORCID https://orcid.org/0000-0001-5407-8514
Geon Ho BahnDepartment of Psychiatry, Kyung Hee University School of Medicine, Seoul, Korea. mompeian@khu.ac.kr.ORCID https://orcid.org/0000-0002-3550-0422
Kyung Hee University · KRKyung Hee University Dental Hospital · KREulji University · KRInje University Sanggye Paik Hospital · KRKangwon National University · KRSeonam University · KRSoonchunhyang University Hospital Seoul · KRYang Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Children with autism are often medicated to manage emotional and behavioral symptoms; yet, data on such pharmacotherapy is insufficient. In this study, we investigated the Korean National Health Insurance Claims Database (NHICD) information related to autism incidence and psychotropic medication use. From the 2010-2012 NHICD, we selected a total of 31,919,732 subjects under 19 years old. To examine the diagnostic incidence, we selected patients who had at least one medical claim containing an 10th revision of International Statistical Classification of Diseases and Related Health Problems (ICD-10) code for pervasive developmental disorder, F84, not diagnosed in the previous 360 days. Psychotropics were categorized into seven classes. Then, we analyzed the data to determine the mean annual diagnostic incidence and psychotropic prescription trends. Diagnostic incidence was 17,606 for the 3 years, with a mean annual incidence per 10,000 population of 5.52. Among them, 5,348 patients were prescribed psychotropics. Atypical antipsychotics were the most commonly used, followed by antidepressants. An older age, male sex, and the availability of medical aid were associated with a higher rate of prescription than observed for a younger age, female sex, and the availability of health insurance. Psychotropic drugs were used for less than one-third of patients newly diagnosed with autism, and prescription differed by sex and age. Increased diagnostic incidence is associated with an increased prescription of psychotropic drugs. Therefore, medication-related safety data and policies for psychotropic drugs in autism should be prepared.

Indexed as

AdolescentAge FactorsAutistic DisorderChildChild, PreschoolDatabases, FactualDrug PrescriptionsFemaleHumansIncidenceInfantMaleNational Health ProgramsPsychotropic DrugsSex FactorsPsychotropic DrugsAdolescentAntipsychotic AgentsAutistic Spectrum DisorderCentral Nervous System StimulantsChildDrug UtilizationIncidence

Identifiers

PMID28875615
PMCPMC5592185
OpenAlexW2751111845

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.