Evidence map›Paper›PMID 30308952›Full record

ArticleJournal of clinical medicine2018

Use of Psychotropic Drugs among Children and Adolescents with Autism Spectrum Disorders in Denmark: A Nationwide Drug Utilization Study.

Lotte Rasmussen, Niels Bilenberg, Martin Thomsen Ernst, Sidsel Abitz Boysen, Anton Pottegård

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

5 authors.

Lotte RasmussenClinical Pharmacology and Pharmacy, Department of Public Health, University of Southern Denmark, 5000 Odense C, Denmark. lorasmussen@health.sdu.dk.
Niels BilenbergChild and Adolescent Psychiatric Department, Mental Health Hospital and University Clinic, Region of Southern Denmark, 5000 Odense C, Denmark. Niels.Bilenberg@rsyd.dk.ORCID 0000-0002-5838-556X
Martin Thomsen ErnstClinical Pharmacology and Pharmacy, Department of Public Health, University of Southern Denmark, 5000 Odense C, Denmark. mternst@health.sdu.dk.
Sidsel Abitz BoysenClinical Pharmacology and Pharmacy, Department of Public Health, University of Southern Denmark, 5000 Odense C, Denmark. Sidsel.abitz@gmail.com.
Anton PottegårdClinical Pharmacology and Pharmacy, Department of Public Health, University of Southern Denmark, 5000 Odense C, Denmark. apottegaard@health.sdu.dk.

Funding

Jascha Fonden 6210
6 · The paper itself

Abstract

Children with autism spectrum disorder (ASD) have a considerable use of psychotropics. Leveraging nationwide registry data, we aimed to describe the use of psychotropics among children and adolescents with ASD in Denmark. Use of melatonin and attention-deficit/hyperactivity disorder (ADHD) medication increased from 2010 to 2017, while there were limited changes in use of antidepressants and antipsychotics. Thirty percent of the identified children used psychotropics in 2017 most commonly ADHD medication (17%) and melatonin (13%). Methylphenidate, sertraline and risperidone were most often prescribed. Most children filled more than one prescription and, across drug classes, at least 38% received treatment two years after treatment initiation. Use of psychotropics followed psychiatric comorbidities. Comorbidities did not affect age at treatment initiation. Use of psychotropics varied according to age and sex with limited use in the youngest children. In summary, psychotropic drug use has increased in children with ASD mainly due to an increase in the use of ADHD medication and melatonin. In accordance with previous studies, use seems to follow comorbidities. The long treatment duration underlines the need to investigate long-term effects of psychotropic drug use in children with ASD.

Indexed as

adolescentautism spectrum disordercentral nervous system stimulantschildDenmarkdrug utilizationprevalencepsychotropic drugs

Identifiers

PMID30308952
PMCPMC6211111

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.