Evidence map›Paper›PMID 32764390›Full record

ArticleInternational journal of environmental research and public health2020

Dispensing Practices of Fixed Dose Combination Controller Therapy for Asthma in Australian Children and Adolescents.

Nusrat Homaira, Benjamin Daniels, Sallie Pearson, Adam Jaffe

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 52% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 1 institution in 1 country.

Nusrat HomairaDiscipline of Paediatrics, School of Women's and Children's Health, Faculty of Medicine, The University of New South Wales, Sydney 2052, Australia.ORCID 0000-0003-3341-7964
Benjamin DanielsMedicines Policy Research Unit, Centre for Big Data Research in Health, Sydney 2052, Australia.
Sallie PearsonMedicines Policy Research Unit, Centre for Big Data Research in Health, Sydney 2052, Australia.ORCID 0000-0001-7137-6855
Adam JaffeDiscipline of Paediatrics, School of Women's and Children's Health, Faculty of Medicine, The University of New South Wales, Sydney 2052, Australia.ORCID 0000-0002-1963-5415
UNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Australian Asthma Handbook does not recommend use of fixed dose combination (FDC) controller medicines for asthma in children aged ≤5 years. FDCs are only recommended in children and adolescents (aged 6-18 years) not responding to initial inhaled corticosteroid (ICS) therapy. Using Pharmaceutical Benefits Scheme dispensing claims from 2013-2018, we examined the annual incident FDC dispensing and the incident FDC dispensing without prior ICS up to 365 days. We also determined cost of FDCs to government and patients. During 2013-2018, there were 35,635 FDC initiations and 31,368 (88%) did not have a preceding ICS dispensing. The annual incidence of FDC dispensing declined from 14.7 to 7.2/1000 children. Incidence of FDC dispensing/1000 children without a preceding ICS declined from 2.1 to 0.5 in children aged 1-2 years, 7.2 to 1.7 in 3-5 years, 14.8 to 5.1 in 6-11 years, and 18.6 to 11.9 in ≥12years. The cost of FDCs was 7.8 million Australian dollars (AUD); of which 4.4 million AUD was to government and 3.3 million AUD was to patient. Despite inappropriate dispensing of FDCs in children aged ≤5 years, incidence of FDC dispensing and more importantly incidence without a preceding ICS is declining in Australia.

Indexed as

Adrenal Cortex HormonesAsthmaPractice Patterns, Physicians'Administration, InhalationAdolescentAustraliaChildChild, PreschoolDrug CombinationsHumansInfantAdrenal Cortex HormonesDrug Combinationsasthma controllerchildrendispensing pattern

Identifiers

PMID32764390
PMCPMC7460523
OpenAlexW3047543971

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.