Evidence map›Paper›PMID 31471972›Full record

ReviewBritish journal of clinical pharmacology2019

A review of the prescribing trend of thiazide-type and thiazide-like diuretics in hypertension: A UK perspective.

Ryan J McNally, Franca Morselli, Bushra Farukh, Philip J Chowienczyk, Luca Faconti

Open access · greenAbstract readReview
In one paragraph

Review 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 29 citations in OpenAlex.

  1. Pitfalls in the pharmacotherapy of hypertension.Clinical medicine (London, England) · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Perindopril/Indapamide/Amlodipine in Hypertension: A Profile of Its Use.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2022
    Review
  10. Association between thiazide diuretics and skin cancer: still nebulous.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  11. Article
  12. Review
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 at 1 institution in 1 country.

Ryan J McNallyBritish Heart Foundation Centre, King's College London, London, UK.ORCID 0000-0003-2395-183X
Franca MorselliBritish Heart Foundation Centre, King's College London, London, UK.
Bushra FarukhBritish Heart Foundation Centre, King's College London, London, UK.
Philip J ChowienczykBritish Heart Foundation Centre, King's College London, London, UK.
Luca FacontiBritish Heart Foundation Centre, King's College London, London, UK.
King's College London · GB

Funding

British Heart Foundation SP/14/8/31352Medical Research Council MR/M016560/1
6 · The paper itself

Abstract

Thiazide diuretics have been the cornerstone of hypertension treatment for >5 decades. Most recent European and American guidelines recommend both thiazide-type and thiazide-like diuretics as first-line drugs for all patients with hypertension. In contrast, diuretics are not regarded as first-line treatment in the UK and in patients who are to be initiated on a diuretic treatment, thiazide-like molecules, such as chlortalidone and indapamide are the preferred option. This review examines the prescribing trend of the 4 most commonly prescribed thiazide diuretics for the treatment of hypertension in the UK. Prescription cost analysis data were obtained for both 2010 and 2016/2017 for each region of the UK to analyse the impact of the 2011 National Institute for Health and Care Excellence hypertension guidelines on the trend in thiazide diuretic prescribing. Overall, the prescriptions of thiazide diuretics declined over the years. Bendroflumethiazide is the most commonly prescribed diuretic in the UK and despite some geographical differences, thiazide-type diuretics are more widely used than thiazide-like. The use of indapamide increased significantly between 2010 and 2016/2017 while chlortalidone was rarely employed. Of the many factors affecting trends in prescriptions, clinical inertia, treatment adherence, availability of the products and the lack of fixed dose combinations may play a role.

Indexed as

Antihypertensive AgentsBendroflumethiazideBlood PressureDrug PrescriptionsDrug UtilizationHumansHypertensionIndapamidePractice Guidelines as TopicSodium Chloride Symporter InhibitorsAntihypertensive AgentsBendroflumethiazideIndapamideSodium Chloride Symporter Inhibitorsdiuretichypertensionprescribingthiazide

Identifiers

PMID31471972
PMCPMC6955404
OpenAlexW2970794426

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.