Evidence map›Paper›PMID 30564718›Full record

ArticleBJGP open2018

Primary care for people with an intellectual disability - what is prescribed? An analysis of medication recommendations from the BEACH dataset.

Carmela Salomon, Helena Britt, Allan Pollack, Julian Trollor

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Clinical audit of psychotropic medication use at a South African intellectual disability hospital.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026
    Article
  4. Article
  5. Adults with intellectual disabilities and mental health disorders in primary care: a scoping review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  6. Article
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

4 authors at 2 institutions in 3 countries.

Carmela SalomonPostdoctoral Project Officer, Department of Developmental Disability Neuropsychiatry, School of Psychiatry, UNSW, Sydney, Australia.
Helena BrittProfessor of Primary Care Research and Director, Family Medicine Research Centre, School of Public Health, Faculty of Medicine, University of Sydney, Sydney, Australia.
Allan PollackResearch Analyst, Family Medicine Research Centre, School of Public Health, Faculty of Medicine, University of Sydney, Sydney, Australia.
Julian TrollorChair of Intellectual Disability Mental Health and Head of Department of Developmental Disability Neuropsychiatry, School of Psychiatry, UNSW, Sydney, Australia.
University of Sydney · AUDepartment of Behavioral Health and Intellectual Disability Services · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeople with intellectual disability (ID) experience a range of health disparities. Little is known about differential primary care prescribing patterns for people with and without ID.

aimTo compare medications recommended by GPs at encounters where ID is recorded versus other encounters. DESIGN &

settingAnalysis of national Australian GP medication data from the Bettering the Evaluation and Care of Health (BEACH) programme, January 2003-December 2012 inclusive.

methodMedication recommendations made at encounters where an ID-defining problem was recorded as a reason for encounter (RFE) and/or as a problem managed, were allocated to the 'ID group' (

resultsAntipsychotics and anticonvulsants were recommended more frequently at ID group encounters than at non-ID group encounters. Antidepressant and anxiolytic recommendation rates did not differ between groups. Narcotic analgesic and antihypertensive recommendations were significantly lower at ID group encounters.

conclusionHigher rates of epilepsy and mental illness, and off-label use of some antipsychotics and anticonvulsants for behaviour management in people with ID, may have contributed to medication recommendations observed in this analysis. Lower narcotic analgesic recommendations at ID group encounters may relate to complex presentations and the nature of problems managed, while lower antihypertensive recommendations may indicate some potential omission of routine blood pressure measurement.

Indexed as

antihypertensive agentsgeneral practiceintellectual disabilitynarcoticsprescriptionspsychotropic drugs

Identifiers

PMID30564718
PMCPMC6184100
OpenAlexW2807166930

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.