Evidence map›Paper›PMID 30271512›Full record

ArticleCanadian geriatrics journal : CGJ2018

Interprovincial Variation of Psychotropic Prescriptions Dispensed to Older Canadian Adults.

Cody D Black, Lisa McCarthy, Tara Gomes, Muhammad Mamdani, David Juurlink, Mina Tadrous

Abstract read
In one paragraph

Article in Canadian geriatrics journal : CGJ, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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.

Cody D BlackSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada.
Lisa McCarthyLeslie Dan Faculty of Pharmacy, University of Toronto, ON, Canada.
Tara GomesLeslie Dan Faculty of Pharmacy, University of Toronto, ON, Canada.
Muhammad MamdaniLeslie Dan Faculty of Pharmacy, University of Toronto, ON, Canada.
David JuurlinkInstitute for Clinical Evaluative Sciences, Toronto, ON, Canada.
Mina TadrousLeslie Dan Faculty of Pharmacy, University of Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUtilization of psychotropic medications among the elderly has garnered attention due to concerns about safety and degree of efficacy, but may be used differently across regions.

methodsWe conducted a cross-sectional study of all antipsychotic, benzodiazepine, and trazodone prescriptions dispensed to seniors ( ≥ 65 years) leveraging IQVIA (Durham, NC) GPM data in 2013. We report the units dispensed (per 100 seniors) by province.

resultsNationally, on average, 26,210 units of antipsychotics, 24,257 of benzodiazepines, and 7,519 of trazodone were dispensed in 2013 for every 100 seniors; reports varied across Canada. The rate of antipsychotic and benzodiazepine prescribing was highest in New Brunswick (AP: 35,375 units per 100, BZD: 43,989 units per 100), and lowest in Newfoundland & Labrador for antipsychotics (20,974 per 100) and Saskatchewan for benzodiazepines (12,692 per 100). Trazodone unit dispensation rates were highest in Nova Scotia (9,164 per 100) and lowest in Newfoundland & Labrador (2,968 per 100).

conclusionsThere is considerable geographic variation in the prescribing patterns of antipsychotics, benzodiazepine, and trazodone. This study serves as the first step in understanding these differences, while future work is needed to develop region-specific strategies to optimize the prescribing of psychotropic medications to older Canadian adults.

Indexed as

antipsychoticsbenzodiazepinespotentially inappropriate prescribingpsychotropicstrazodone

Identifiers

PMID30271512
PMCPMC6136906

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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.