Evidence map›Paper›PMID 29417079›Full record

ArticleJournal of research in pharmacy practice

Prescription Pattern Analysis of Nonsteroidal Anti-inflammatory Drugs in the Northeastern Iranian Population.

Majid Zeinali, Jamshid Tabeshpour, Seyed Vahid Maziar, Zhila Taherzadeh, Mohammad Reza Zirak, Danielle Sent, Kamal Razavi Azarkhiavi, Saeid Eslami

Open access · goldAbstract read
In one paragraph

Article in Journal of research in pharmacy practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 18 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

8 authors at 2 institutions in 2 countries.

Majid ZeinaliDepartment of Pharmacodynamics and Toxicology, Mashhad University of Medical Sciences, Mashhad, Iran.
Jamshid TabeshpourDepartment of Pharmacodynamics and Toxicology, Mashhad University of Medical Sciences, Mashhad, Iran.
Seyed Vahid MaziarTargeted Drug Delivery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Zhila TaherzadehDepartment of Pharmacodynamics and Toxicology, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohammad Reza ZirakDepartment of Pharmacodynamics and Toxicology, Mashhad University of Medical Sciences, Mashhad, Iran.
Danielle SentAcademic Medical Center, Department of Medical Informatics, University of Amsterdam, Amsterdam, The Netherlands.
Kamal Razavi AzarkhiaviDepartment of Pharmacodynamics and Toxicology, Mashhad University of Medical Sciences, Mashhad, Iran.
Saeid EslamiPharmaceutical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Mashhad University of Medical Sciences · IRUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInappropriate nonsteroidal anti-inflammatory drugs (NSAIDs) therapy is a common cause of actual and potential adverse effects, such as bleeding and gastrointestinal ulceration, which exacerbates the patient's medical condition and might even be life threatening. We aimed to evaluate and analyze the prescription pattern of NSAIDs in Northeastern Iranian population and also provide suggestions for a more rational prescription behavior for such drugs.

methodsIn this cross-sectional retrospective study, pattern of 1-year prescriptions was inspected based on 9.3 million prescriptions from two insurance companies. Type of NSAIDs, all dispensed doses and the number of NSAIDs ordered per prescription, and the route of administration for each patient were extracted from the databases. The prescription pattern of NSAIDs was analyzed seasonally.

findingsOut of 9,303,585 prescriptions, 19.3% contained at least one NSAID. Diclofenac was the most commonly prescribed NSAID (49.21%). At least two NSAIDs were simultaneously prescribed in 7% of prescriptions. General practitioners prescribed NSAIDs more frequently (67%) than specialists. Orthopedic surgeons and internists more frequently prescribed NSAIDs in comparison with other physicians (6% and 4%, respectively). Gastroprotective agents (GPAs) were coprescribed to only 7.62% of prescriptions.

conclusionThe frequency of NSAIDs prescription was relatively high in Northeast of Iran. A significant number of prescriptions were associated with irrational prescribing in both coadministration of NSAIDs and GPAs and NSAIDs combination. A strategy must be developed and implemented for prescribing and rational use of medications, e.g., continuing medical education regarding the potential risks of NSAIDs, importance of their appropriate and rational use, and necessity of appropriate prescription writing regarding both content and indication.

Indexed as

Irannonsteroidal anti-inflammatory drugsprescribing behaviorsrational prescription pattern

Identifiers

PMID29417079
PMCPMC5787905
OpenAlexW2782734549

What OpenQuestion holds

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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.