Evidence map›Paper›PMID 35791700›Full record

ArticlePharmacoepidemiology and drug safety2022

Comparison of drug prescribing before and during the COVID-19 pandemic: A cross-national European study.

Iva Selke Krulichová, Gisbert W Selke, Marion Bennie, Mohammadhossein Hajiebrahimi, Fredrik Nyberg, Jurij Fürst, Kristina Garuolienė, Elisabetta Poluzzi, Juraj Slabý, Corinne Zara Yahni and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in Pharmacoepidemiology and drug safety, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
8.6field-weighted citation impact, top 1% 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

21 citing papers in PubMed, 46 citations in OpenAlex.

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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

20 authors at 13 institutions in 8 countries.

Iva Selke KrulichováDepartment of Medical Biophysics, Faculty of Medicine in Hradec Králové, Charles University, Hradec Králové, Czech Republic.ORCID 0000-0002-6815-0780
Gisbert W SelkePharmaceuticals Information Systems and Analyses, AOK Research Institute (WIdO), Berlin, Germany.ORCID 0000-0002-9614-9875
Marion BennieStrathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow, UK.ORCID 0000-0002-4046-629X
Mohammadhossein HajiebrahimiDepartment of Pharmacy, Uppsala University, Uppsala, Sweden.ORCID 0000-0001-8118-4988
Fredrik NybergSchool of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.ORCID 0000-0003-0892-5668
Jurij FürstDepartment of Medicinal Products, Health Insurance Institute of Slovenia, Ljubljana, Slovenia.
Kristina GaruolienėDepartment of Pathology, Forensic Medicine and Pharmacology, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.ORCID 0000-0001-7910-0108
Elisabetta PoluzziDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.ORCID 0000-0002-7209-0426
Juraj SlabýSection of Pricing and Reimbursement Regulation, State Institute for Drug Control, Praha, Czech Republic.
Corinne Zara YahniDrug Department, Catalan Health Service, Barcelona, Spain.ORCID 0000-0002-6831-2233
Mattia AltiniHealthcare Administration, Azienda Unità Sanitaria Locale della Romagna, Ravenna, Italy.ORCID 0000-0002-1809-184X
Maria Pia FantiniDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.ORCID 0000-0002-3257-6552
Václav KočíSection of Pricing and Reimbursement Regulation, State Institute for Drug Control, Praha, Czech Republic.
Stuart McTaggartPublic Health and Intelligence, Public Health Scotland, Edinburgh, UK.ORCID 0000-0001-6060-9019
Caridad PontesDrug Department, Catalan Health Service, Barcelona, Spain.ORCID 0000-0002-3274-6048
Chiara RenoDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.ORCID 0000-0002-7933-2141
Simona RosaDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Marta Turu PedrolaDrug Department, Catalan Health Service, Barcelona, Spain.ORCID 0000-0001-6957-3155
Mitja UdovičDepartment of Medicinal Products, Health Insurance Institute of Slovenia, Ljubljana, Slovenia.
Björn WettermarkDepartment of Pharmacy, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-0531-2516
University of Bologna · ITCatalan Society of Family and Community Medicine · ESHealth Insurance Institute of Slovenia · SIState Institute for Drug Control · CZUppsala University · SEAzienda Unità Sanitaria Locale Della Romagna · ITCharles University · CZPublic Health Scotland · GBUniversitat Autònoma de Barcelona · ESUniversity of Gothenburg · SEUniversity of Strathclyde · GBVilnius University · LTWissenschaftliches Institut der AOK · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe COVID-19 pandemic had an impact on health care, with disruption to routine clinical care. Our aim was to describe changes in prescription drugs dispensing in the primary and outpatient sectors during the first year of the pandemic across Europe.

methodsWe used routine administrative data on dispensed medicines in eight European countries (five whole countries, three represented by one region each) from January 2017 to March 2021 to compare the first year of the COVID-19 pandemic with the preceding 3 years.

resultsIn the 10 therapeutic subgroups with the highest dispensed volumes across all countries/regions the relative changes between the COVID-19 period and the year before were mostly of a magnitude similar to changes between previous periods. However, for drugs for obstructive airway diseases the changes in the COVID-19 period were stronger in several countries/regions. In all countries/regions a decrease in dispensed DDDs of antibiotics for systemic use (from -39.4% in Romagna to -14.2% in Scotland) and nasal preparations (from -34.4% in Lithuania to -5.7% in Sweden) was observed. We observed a stockpiling effect in the total market in March 2020 in six countries/regions. In Czechia the observed increase was not significant and in Slovenia volumes increased only after the end of the first lockdown. We found an increase in average therapeutic quantity per pack dispensed, which, however, exceeded 5% only in Slovenia, Germany, and Czechia.

conclusionsThe findings from this first European cross-national comparison show a substantial decrease in dispensed volumes of antibiotics for systemic use in all countries/regions. The results also indicate that the provision of medicines for common chronic conditions was mostly resilient to challenges faced during the pandemic. However, there were notable differences between the countries/regions for some therapeutic areas.

Indexed as

COVID-19Anti-Bacterial AgentsCommunicable Disease ControlDrug PrescriptionsHumansPandemicsPractice Patterns, Physicians'Anti-Bacterial AgentsCOVID-19cross-national comparisonDDD volumedrug utilizationpandemicpharmacoepidemiologystockpiling

Identifiers

PMID35791700
PMCPMC9350215
OpenAlexW4283836156

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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.