Evidence map›Paper›PMID 30927284›Full record

ArticleBritish journal of clinical pharmacology2019

Trends in utilization and dosing of antipsychotic drugs in Scandinavia: Comparison of 2006 and 2016.

Mikkel Højlund, Anton Pottegård, Erik Johnsen, Rune A Kroken, Johan Reutfors, Povl Munk-Jørgensen, Christoph U Correll

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Lurasidone versus typical antipsychotics for schizophrenia.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Mental Health and Serious Drug Crime: A Case-Control Study.Criminal behaviour and mental health : CBMH · 2026
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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

7 authors at 4 institutions in 5 countries.

Mikkel HøjlundDepartment of Psychiatry Aabenraa, Mental Health Services Region of Southern Denmark, Aabenraa, Denmark.ORCID 0000-0002-5786-5203
Anton PottegårdDepartment of Public Health, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-9314-5679
Erik JohnsenDivision of Psychiatry and NORMENT, Haukeland University Hospital, Bergen, Norway.
Rune A KrokenDivision of Psychiatry and NORMENT, Haukeland University Hospital, Bergen, Norway.
Johan ReutforsCentre for Pharmacoepidemiology, Department of Medicine Solna, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Povl Munk-JørgensenDepartment of Psychiatry Odense, Mental Health Services Region of Southern Denmark, Odense, Denmark.
Christoph U CorrellDepartment of Psychiatry, The Zucker Hillside Hospital, Glen Oaks, New York, USA.
University of Southern Denmark · DKHaukeland University Hospital · NOKarolinska University Hospital · SEZucker Hillside Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aim of this study was to investigate time trends in dosing and prevalence of antipsychotic prescriptions in Scandinavia.

methodsWe retrieved data on antipsychotic use between 2006 and 2016 from Danish, Norwegian and Swedish national prescription registers. For each antipsychotic, we calculated prevalence of use and mean doses, overall and for specific age groups (young, adults and elderly).

resultsAntipsychotic use in Scandinavia increased from 16.5 to 17.2 users/1000 inhabitants between 2006 and 2016 (+2.4%, annual change: 0.07 users/1000 inhabitants/year, 95% CI: 0.02-0.20, P = 0.02). In 2006, chlorprothixene and levomepromazine were the most commonly used antipsychotics. By 2016, quetiapine was the most used antipsychotic in all three countries and across all age groups, with an overall 1-year prevalence of 4.05-9.97 users/1000 inhabitants (annual change: 0.57 users/1000 inhabitants/year, 95% CI: 0.54-0.60, P < 0.001). Quetiapine showed a marked decrease in mean doses during the 11-year study period (0.46-0.28 defined daily doses (DDD)/user/day: 39.1%, -0.02 DDD/user/day/year, 95% CI: -0.020 to -0.015, P < 0.001). In 2016, the highest mean doses were seen for clozapine (0.90-1.07 DDD/user/day) and olanzapine (0.66-0.88 DDD/user/day).

conclusionsThere is an increased prevalence of antipsychotic prescriptions that coincides with low and/or decreasing mean doses of the majority of commonly used antipsychotics in Scandinavia. Of all antipsychotics, this development was most pronounced for quetiapine. Reasons for and consequences of increased antipsychotic use that lasts shorter periods of time requires further study.

Indexed as

AdolescentAdultAgedAge FactorsAntipsychotic AgentsChildDenmarkDose-Response Relationship, DrugHumansMiddle AgedNorwayPractice Patterns, Physicians'Quetiapine FumarateRegistriesSwedenYoung AdultAntipsychotic AgentsQuetiapine Fumarateantipsychoticsdrug utilizationpharmacoepidemiologypsychopharmacology

Identifiers

PMID30927284
PMCPMC6595354
OpenAlexW2934095449

What OpenQuestion holds

Textmetadata
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.