Evidence map›Paper›PMID 37085307›Full record

ArticleBMJ open2023

Physician benzodiazepine self-use prior to and during the COVID-19 pandemic in Ontario, Canada: a population-level cohort study.

Daniel Myran, Christina Milani, Michael Pugliese, Jennifer M Hensel, Manish Sood, Claire E Kendall, Tetyana Kendzerska, Peter Tanuseputro

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 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
0.3field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  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

8 authors at 3 institutions in 1 country.

Daniel MyranDepartment of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada dmyran@ohri.ca.ORCID 0000-0002-8038-300X
Christina MilaniClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID 0000-0003-2561-962X
Michael PuglieseClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Jennifer M HenselUniversity of Manitoba, Winnipeg, Manitoba, Canada.ORCID 0000-0003-4194-6049
Manish SoodClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID 0000-0002-9146-2344
Claire E KendallDepartment of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Tetyana KendzerskaClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Peter TanuseputroDepartment of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada.
University of Ottawa · CAOttawa Hospital · CAUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to investigate physician benzodiazepine (BZD) self-use pre-COVID-19 pandemic and to examine changes in BZD self-use during the first year of the pandemic.

designPopulation-based retrospective cohort study using linked routinely collected administrative health data comparing the first year of the pandemic to the period before the pandemic.

settingProvince of Ontario, Canada between March 2016 and March 2021.

participants

interventionOnset of the COVID-19 pandemic in March 2020. OUTCOMES MEASURES: The primary outcome measure was the receipt of one or more prescriptions for BZD, which was captured via the Narcotics Monitoring System.

resultsIn a cohort of 30 798 physicians (mean age 42, 47.8% women), we found that during the year before the pandemic, 4.4% of physicians had 1 or more BZD prescriptions. Older physicians (6.8% aged 50+ years), female physicians (5.1%) and physicians with a prior mental health (MH) diagnosis (12.4%) were more likely than younger (3.7% aged <50 years), male physicians (3.8%) and physicians without a prior MH diagnosis (2.9%) to have received 1 or more BZD prescriptions. The first year of the COVID-19 pandemic was associated with a 10.5% decrease (adjusted OR (aOR) 0.85, 95% CI: 0.80 to 0.91) in the number of physicians with 1 or more BZD prescriptions compared with the year before the pandemic. Female physicians were less likely to reduce BZD self-use (aOR

conclusionsPhysicians' BZD prescriptions decreased during the first year of the COVID-19 pandemic in Ontario, Canada. These findings suggest that previously reported increases in mental distress and MH visits among physicians during the pandemic did not lead to greater self-use of BZDs.

Indexed as

COVID-19PhysiciansBenzodiazepinesCohort StudiesFemaleHumansMaleOntarioPandemicsRetrospective StudiesBenzodiazepinesEPIDEMIOLOGYHealth policyMEDICAL EDUCATION & TRAININGPUBLIC HEALTH

Identifiers

PMID37085307
PMCPMC10123848
OpenAlexW4366694836

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.