Evidence map›Paper›PMID 35606637›Full record

ArticleInternational journal of clinical pharmacy2022

Medicines prescribing for homeless persons: analysis of prescription data from specialist homelessness general practices.

Aleena Khan, Om Kurmi, Richard Lowrie, Saval Khanal, Vibhu Paudyal

Open access · hybridAbstract read
In one paragraph

Article in International journal of clinical pharmacy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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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

5 authors at 4 institutions in 2 countries.

Aleena KhanSchool of Pharmacy, College of Medical & Dental Sciences, University of Birmingham, B15 2TT, Edgbaston, Birmingham, UK.
Om KurmiFaculty of Health and Life Sciences, Coventry University, Coventry, UK.
Richard LowrieNHS Greater Glasgow and Clyde, Glasgow, UK.
Saval KhanalDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Vibhu PaudyalSchool of Pharmacy, College of Medical & Dental Sciences, University of Birmingham, B15 2TT, Edgbaston, Birmingham, UK. v.paudyal@bham.ac.uk.ORCID http://orcid.org/0000-0002-4173-6490
University of Birmingham · GBCoventry University · GBNHS Greater Glasgow and Clyde · GBUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpecialist homelessness practices remain the main primary care access point for many persons experiencing homelessness. Prescribing practices are poorly understood in this population.

objectiveThis study aims to investigate prescribing of medicines to homeless persons who present to specialist homelessness primary care practices and compares the data with the general population.

settingAnalyses of publicly available prescribing and demographics data pertaining to primary care in England.

methodsPrescribing data from 15 specialist homelessness practices in England were extracted for the period 04/2019-03/2020 and compared with data from (a) general populations, (b) the most deprived populations, and (c) the least deprived populations in England.

main outcome measurePrescribing rates, measured as the number of items/1000 population in key disease areas.

resultsData corresponding to 20,572 homeless persons was included. Marked disparity were observed in regards to prescribing rates of drugs for Central Nervous System disorders. For example, prescribing rates were 83-fold (mean (SD) 1296.7(1447.6) vs. 15.7(9.2) p = 0.033) items), and 12-fold (p = 0.018) higher amongst homeless populations for opioid dependence and psychosis disorders respectively compared to the general populations. Differences with populations in the least deprived populations were even higher. Prescribing medicines for other long-term conditions other than mental health and substance misuse was lower in the homeless than in the general population.

conclusionsMost of the prescribing activities in the homeless population relate to mental health conditions and substance misuse. It is possible that other long-term conditions that overlap with homelessness are under-diagnosed and under-managed. Wide variations in data across practices needs investigation.

Indexed as

Ill-Housed PersonsSubstance-Related DisordersEnglandHumansPrescriptionsHomelessnessinequalityprescribing

Identifiers

PMID35606637
PMCPMC9126241
OpenAlexW4281295176

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LicenceCC BY
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Registered trials

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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.