Evidence map›Paper›PMID 29273972›Full record

ArticleInfection2018

The first report of Japanese antimicrobial use measured by national database based on health insurance claims data (2011-2013): comparison with sales data, and trend analysis stratified by antimicrobial category and age group.

Daisuke Yamasaki, Masaki Tanabe, Yuichi Muraki, Genta Kato, Norio Ohmagari, Tetsuya Yagi

Abstract read
In one paragraph

Article in Infection, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
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

31 citing papers in PubMed.

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  10. Prescribed daily-dose-based metrics of oral antibiotic use for hospitalized children in Japan.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2023
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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

6 authors.

Daisuke YamasakiDepartment of Infection Control and Prevention, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.
Masaki TanabeDepartment of Infection Control and Prevention, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan. m-tanabe@clin.medic.mie-u.ac.jp.ORCID http://orcid.org/0000-0002-6398-5965
Yuichi MurakiDepartment of Clinical Pharmacoepidemiology, Kyoto Pharmaceutical University, Kyoto, Kyoto, Japan.
Genta KatoSolutions Center for Health Insurance Claims, Kyoto University Hospital, Kyoto, Kyoto, Japan.
Norio OhmagariDisease Control and Prevention Center, National Center for Global Health and Medicine, Shinjuku-ku, Tokyo, Japan.
Tetsuya YagiDepartment of infectious Diseases, Nagoya University Hospital, Nagoya, Aichi, Japan.

Funding

Health Labour Sciences Research H25-Shinkou-Wakate-002Health Labour Sciences Research H28-Shinkougyousei-Ippan-004JSPS KAKENHI 15K08843
6 · The paper itself

Abstract

purposeOur objective was to evaluate the utility of the national database (NDB) based on health insurance claims data for antimicrobial use (AMU) surveillance in medical institutions in Japan.

methodsThe population-weighted total AMU expressed as defined daily doses (DDDs) per 1000 inhabitants per day (DID) was measured by the NDB. The data were compared with our previous study measured by the sales data. Trend analysis of DID from 2011 to 2013 and subgroup analysis stratified by antimicrobial category and age group were performed.

resultsThere was a significant linear correlation between the AMUs measured by the sales data and the NDB. Total oral and parenteral AMUs (expressed in DID) were 1.04-fold from 12.654 in 2011 to 13.202 in 2013 and 1.13-fold from 0.734 to 0.829, respectively. Percentage of oral form among total AMU was high with more than 94% during the study period. AMU in the children group (0-14 years) decreased from 2011 to 2013 regardless of dosage form, although the working age group (15-64 years) and elderly group (65 and above years) increased. Oral AMU in the working age group was approximately two-thirds of those in the other age groups. In contrast, parenteral AMU in the elderly group was extremely high compared to the other age groups.

conclusionsThe trend of AMU stratified by antimicrobial category and age group were successfully measured using the NDB, which can be a tool to monitor outcome indices for the national action plan on antimicrobial resistance.

Indexed as

AdolescentAdultAgedAnti-Bacterial AgentsBacterial InfectionsChildChild, PreschoolDatabases, FactualDrug PrescriptionsDrug UtilizationHumansInfantInfant, NewbornInsurance, HealthJapanLinear ModelsAnti-Bacterial AgentsAntimicrobial useJapanMonitoringNational database

Identifiers

PMID29273972
PMCPMC5871632

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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.