Evidence map›Paper›PMID 36314353›Full record

ArticleBasic & clinical pharmacology & toxicology2023

Use of benzodiazepines and benzodiazepine-related drugs in the Nordic countries between 2000 and 2020.

Mikkel Højlund, Larus S Gudmundsson, Jacob H Andersen, Leena K Saastamoinen, Helga Zoega, Svetlana O Skurtveit, Jonas W Wastesson, Jesper Hallas, Anton Pottegård

Open access · hybridAbstract read
In one paragraph

Article in Basic & clinical pharmacology & toxicology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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  16. Long-term benzodiazepine use and risk of labor market marginalization in Finland: A cohort study with 5-year follow-up.European psychiatry : the journal of the Association of European Psychiatrists · 2024
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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

9 authors at 5 institutions in 6 countries.

Mikkel HøjlundDepartment of Public Health, Clinical Pharmacology, Pharmacy, and Environmental Medicine, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0002-5786-5203
Larus S GudmundssonFaculty of Pharmaceutical Sciences, University of Iceland, Reykjavik, Iceland.ORCID https://orcid.org/0000-0003-4660-1111
Jacob H AndersenDepartment of Public Health, Clinical Pharmacology, Pharmacy, and Environmental Medicine, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0003-0656-6905
Leena K SaastamoinenResearch Unit, The Social Insurance Institution of Finland (Kela), Helsinki, Finland.ORCID https://orcid.org/0000-0002-0887-0137
Helga ZoegaSchool of Population Health, Faculty of Medicine and Health, University of New South Wales, Sydney, Australia.ORCID https://orcid.org/0000-0003-0761-9028
Svetlana O SkurtveitDepartment of Mental Disorders, The Norwegian Institute of Public Health, Oslo, Norway.ORCID https://orcid.org/0000-0001-7525-9701
Jonas W WastessonAgeing Research Center, Karolinska Institutet & Stockholm University, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-7601-4319
Jesper HallasDepartment of Public Health, Clinical Pharmacology, Pharmacy, and Environmental Medicine, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0002-8097-8708
Anton PottegårdDepartment of Public Health, Clinical Pharmacology, Pharmacy, and Environmental Medicine, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0001-9314-5679
University of Southern Denmark · DKUniversity of Iceland · ISNorwegian Institute of Public Health · NOSocial Insurance Institution · FIStockholm University · SE

Funding

Mental Health Services in the Region of Southern Denmark A2957Riksbankens JubileumsfondUNSW Scientia Program Award
6 · The paper itself

Abstract

Use of benzodiazepines (BZ) and related drugs is subject to considerable debate due to problems with dependency and adverse events. We aimed to describe and compare their use across the Nordic countries. Data on the use of clonazepam, BZ-sedatives, BZ-hypnotics, and benzodiazepine-related drugs (BZRD) in adults (≥20 years) were obtained from nationwide registers in Denmark, Finland, Iceland, Norway, and Sweden, 2000-2020. Main measures were therapeutic intensity (TI:DDD/1000 inhabitants [inhab.]/day) and annual prevalence (users/1000 inhab./year). Overall, TI of BZ and related drugs decreased in all Nordic countries from 2004 to 2020. However, there were considerable differences between countries in TI. In 2020, the TI of BZ and related drugs ranged from 17 DDD/1000 inhab./day in Denmark to 93 DDD/1000 inhab./day in Iceland. BZRD accounted for 55-78% of BZ use in 2020, followed by BZ sedatives at 20-44%, BZ-hypnotics at <1-5%, and clonazepam at <1-2%. Annual prevalence of BZ use increased with age in all countries, and the highest annual prevalence was observed among people ≥80 years. Overall, the use of BZ and related drugs has decreased in all Nordic countries from 2004 to 2020, however, with considerable differences in their use between countries. The highest prevalence was observed among the oldest age groups-despite warnings against their use in this population.

Indexed as

BenzodiazepinesClonazepamAdultAged, 80 and overHumansHypnotics and SedativesScandinavian and Nordic CountriesSwedenBenzodiazepinesClonazepamHypnotics and Sedativesanxiolyticsbenzodiazepinesdrug utilizationhypnoticspharmacoepidemiologyZ-drugs

Identifiers

PMID36314353
PMCPMC10098719
OpenAlexW4307775467

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.