Evidence map›Paper›PMID 34351100›Full record

ArticleJournal of public health research2021

Review of medicine utilization for Parkinson's disease management: the Bulgarian perspective.

Zornitsa Mitkova, Maria Kamusheva, Dobrinka Kalpachka, Desislava Ignatova, Konstantin Tachkov, Guenka Petrova

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Article in Journal of public health research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Zornitsa MitkovaDepartment of Organisation and Economy of Pharmacy, Faculty of Pharmacy, Medical University of Sofia. sppmitkova@mail.bg.
Maria KamushevaDepartment of Organisation and Economy of Pharmacy, Faculty of Pharmacy, Medical University of Sofia. mkamusheva@pharmfac.mu-sofia.bg.
Dobrinka KalpachkaDepartment of Neurology, "Saint Anna" Hospital, Sofia . ina_kalpachka@abv.bg.
Desislava IgnatovaDepartment of Psychiatry and Medical Psychology, Medical University of Sofia. d.a.ignatova@gmail.com.
Konstantin TachkovDepartment of Organisation and Economy of Pharmacy, Faculty of Pharmacy, Medical University of Sofia. tachkov@outlook.com.
Guenka PetrovaDepartment of Organisation and Economy of Pharmacy, Faculty of Pharmacy, Medical University of Sofia. gpetrova@pharmfac.mu-sofia.bg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParkinson's disease (PD), which occurs in 1% of the population, is the second most common neurodegenerative disorder. Despite the broad spectrum of PD manifestations and high disease prevalence, there are insufficient data on medicine utilization and prescription strategies. The purpose of the current study was to analyze published data concerning treatment approaches and to compare them with Bulgarian therapeutic practice. DESIGN AND

methodsWe conducted a systematic review of the PubMed and Google Scholar databases, and we calculated medicine utilization in Bulgaria during 2018 and 2019 using the WHO methodology.

resultsThe literature search identified a total of 311 publications, but only 12 met the inclusion criteria. Eleven studies pointed out that levodopa-containing medicine are the most frequently used, followed by dopamine agonists. The highest rate was found for levodopa-containing products and decarboxylase inhibitor (1.06 and 1.33 DDD/1000 inh/day), followed by anticholinergic Biperiden (0.494 and 0.455 DDD/1000 inh/day) during 2018 and 2019 in Bulgaria.

conclusionOverall, the treatment approaches used in the last decade comply with guideline recommendations, despite variations in levodopa and dopamine agonist utilization. Even though new medicines have been approved for PD management, levodopa-containing products are still most often prescribed and used worldwide.

Identifiers

PMID34351100
PMCPMC8744085

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