Evidence map›Paper›PMID 34918876›Full record

ArticlePharmacology research & perspectives2022

Long-term benzodiazepines and z-drug prescribing in Australian general practice between 2011 and 2018: A national study.

Amelia Woods, Mumtaz Begum, David Gonzalez-Chica, Carla Bernardo, Elizabeth Hoon, Nigel Stocks

Open access · goldAbstract read
In one paragraph

Article in Pharmacology research & perspectives, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

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  11. [Private Prescriptions In East And West Germany - A Secondary Data Analysis].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023
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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

6 authors at 2 institutions in 1 country.

Amelia WoodsDiscipline of General Practice, Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.ORCID 0000-0003-1757-023X
Mumtaz BegumDiscipline of General Practice, Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.ORCID 0000-0001-6302-3697
David Gonzalez-ChicaDiscipline of General Practice, Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.
Carla BernardoDiscipline of General Practice, Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.
Elizabeth HoonDiscipline of General Practice, Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.
Nigel StocksDiscipline of General Practice, Adelaide Medical School, University of Adelaide, Adelaide, South Australia, Australia.
The University of Adelaide · AUFlinders University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite reducing benzodiazepine prescribing, benzodiazepine-involving deaths have substantially increased in Australia. This study aimed to explore patterns in long-term prescribing of medications (benzodiazepine and z-drugs [BZD]) used for sleep-issues/insomnia in Australia to better understand these changes. Open cohort study using de-identified electronic health records of 1 414 593 adult patients regularly attending 404 Australian general practices from 2011 to 2018 (MedicineInsight). We used logistic regression adjusted for patient and practice characteristics to; (1) estimate long-term BZD prescribing prevalence (≥3 prescriptions in 6 months) and the associated sociodemographic factors, and (2) Poisson regression to compute annual changes in prescribing rates. Long-term BZD prescribing changed from 4.4% in 2011 to 5.8% in 2015, remaining relatively stable until 2018 (annual increase +2.5% [95% CI +2.0%;+3.0%]). Long-term BZD prescribing in any year was up to six times more likely in elderly rather than in younger patients and 30%-43% more prevalent in females, or patients living in or attending a practice located in more disadvantaged areas. The increase was more pronounced among males, adults aged 35-49 years, and individuals living in advantaged areas. The median duration among incident cases decreased from 1183 to 322 days between 2011 and 2017, and was up to 197 days longer among elderly females than males. Despite a slight increase and recent stability in long-term BZD prescribing, the higher rates and durations among elderly patients, women, or those living in more disadvantaged areas are concerning and highlights the need for interventions that reduce the potential harms of long-term BZD use in vulnerable groups.

Indexed as

AdolescentAdultAgedAge FactorsAustraliaAzabicyclo CompoundsBenzodiazepinesCohort StudiesDrug PrescriptionsElectronic Health RecordsFemaleGeneral PracticeHumansHypnotics and SedativesMaleMiddle AgedAzabicyclo CompoundsBenzodiazepinesHypnotics and SedativesPiperazinesZolpidemzopiclonebenzodiazepineelectronic health recordslongitudinal datalong-termprimary carez-drugs

Identifiers

PMID34918876
PMCPMC8929365
OpenAlexW4200554642

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.