Evidence map›Paper›PMID 36414232›Full record

ArticleBasic & clinical pharmacology & toxicology2023

Incidence in pharmacoepidemiology: A conceptual framework for incidence of a single substance or group of substances with statins as an example.

Mikael Hoffmann, Henrik Støvring

Abstract 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

2 authors.

Mikael HoffmannHealth Care Analysis, Division of Society and Health, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0001-9420-3316
Henrik StøvringClinical Pharmacology, Pharmacy and Environmental Medicine, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0002-5821-2351

Funding

NEPI Foundation
6 · The paper itself

Abstract

A framework for analysing incidence in pharmacoepidemiology and drug statistics is suggested using statins as an example. A new case of statin use (first-ever use or recurrence of treatment) can be defined as new on the group (NoG), new on substance whether new on the group or not (NoS), new on substance and new on the group (NoS_and_NoG), new on substance and not new on the group (NoS_not_NoG).

methodIndividual-level dispensations of statins 2006-2019 for 1 017 058 individuals with at least one dispensation 2019 in Sweden.

resultsWith 12-month run-in, corresponding to at least 8 months without treatment, the incidence proportion of NoG was 13.39 new cases per 1000 inhabitants and 8.40 with 10-year run-in. Thus, 37% had first been treated with any statin between 12 months and 10 years before the index date. For atorvastatin, NoS was 10.69, NoS_and_NoG 9.99, and NoS_not_NoG 0.70 per 1000 inhabitants. 0.70 per 1000 inhabitants or 6.6% of new cases of atorvastatin represented a change from another statin during the run-in.

conclusionIt is essential to separate new cases that are new both on the substance and on the group from those that represent a change of therapy during the run-in.

Indexed as

Hydroxymethylglutaryl-CoA Reductase InhibitorsAtorvastatinHumansIncidencePharmacoepidemiologyPractice Patterns, Physicians'AtorvastatinHydroxymethylglutaryl-CoA Reductase Inhibitorsincidencemisclassificationpharmacoepidemiologyrun-instatins

Identifiers

PMID36414232
PMCPMC10107903

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LicenceCC BY-NC-ND
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