Evidence map›Paper›PMID 36441676›Full record

ArticlePloS one2022

Drug utilization patterns before and during COVID-19 pandemic in Manitoba, Canada: A population-based study.

Laila Aboulatta, Payam Peymani, Christine Vaccaro, Christine Leong, Kaarina Kowalec, Joseph Delaney, Jamie Falk, Silvia Alessi-Severini, Basma Aloud, Sherif Eltonsy

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 20 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

10 authors at 5 institutions in 3 countries.

Laila AboulattaCollege of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Payam PeymaniCollege of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Christine VaccaroCollege of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Christine LeongCollege of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Kaarina KowalecCollege of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.ORCID 0000-0003-3928-9879
Joseph DelaneyCollege of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Jamie FalkCollege of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.ORCID 0000-0003-4029-320X
Silvia Alessi-SeveriniCollege of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Basma AloudCollege of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Sherif EltonsyCollege of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.ORCID 0000-0002-0520-5406
University of Manitoba · CAChildren's Hospital Research Institute of Manitoba · CAKarolinska Institutet · SEManitoba Health · CAUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has led the Canadian provincial governments to take unprecedented measures, including restrictions to healthcare services and pharmacists. Limited evidence exists on changes in prescription trends in Canada during the pandemic period.

objectivesTo examine the trend of prescription medications' utilization before and during COVID-19, among incident and prevalent users in the general population. We examined 18 major classes of medications.

methodsWe used the administrative health databases from the province of Manitoba, Canada, to conduct a province-wide cross-sectional study. Incident and prevalent use was compared between two time periods; pre-COVID-19: July 2016-March 2020 and during COVID-19: April 2020-March 2021. Interrupted time series analysis using autoregressive models was used to quantify the change in level and slope in quarterly medication use among incident and prevalent users.

resultsThe quarterly study population ranged from 1,353,485 to 1,411,630 Manitobans. The most common comorbidities were asthma (26.67%), hypertension (20.64%), and diabetes (8.31%). On average, the pandemic restrictions resulted in a 45.55% and 12.17% relative decline in the aggregated utilization of all drugs among both incident and prevalent users, respectively. Subclass analysis showed a 46.83%, 23.05%, and 30.98% relative drop among incident users of antibiotics, cardiovascular drugs and opioids use, respectively. We observed a significant slope increase during COVID-19 among the quarterly cardiovascular, antidiabetics, alpha-1 blockers, and statins incident users compared to the pre-COVID-19 period. We noted a significant decrease in level among NSAIDs, opioids, and antibiotic prevalent users, however, no significant changes in slope were observed.

conclusionOur findings show a significant impact of COVID-19 measures on prescription trends in the general population. The observed decline among several medication classes was temporary. Further research is needed to monitor prescription trends and better understand if those changes were associated with increased health services and worsened outcomes.

Indexed as

COVID-19COVID-19 Drug TreatmentAnalgesics, OpioidCanadaCross-Sectional StudiesDrug UtilizationHumansManitobaPandemicsAnalgesics, Opioid

Identifiers

PMID36441676
PMCPMC9704650
OpenAlexW4310095317

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.