Evidence map›Paper›PMID 39788691›Full record

ArticleJournal of preventive medicine and public health = Yebang Uihakhoe chi2025

Utilization of Acid Suppressants After Withdrawal of Ranitidine in Korea: An Interrupted Time Series Analysis.

Jeong Pil Choi, Sangwan Kim, Jung Su Park, Mi-Sook Kim, Nam-Kyong Choi, Cheol Min Shin, Joongyub Lee

Abstract read
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Article in Journal of preventive medicine and public health = Yebang Uihakhoe chi, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jeong Pil ChoiDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
Sangwan KimInstitute of Health Policy and Management, Seoul National University Medical Research Center, Seoul, Korea.
Jung Su ParkDepartment of Translational Medicine, Seoul National University College of Medicine, Seoul, Korea.
Mi-Sook KimMedical Research Collaborating Center, Seoul National University Hospital, Seoul, Korea.
Nam-Kyong ChoiDepartment of Health Convergence, Ewha Womans University, Seoul, Korea.
Cheol Min ShinDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Joongyub LeeDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study was performed to evaluate the utilization patterns of acid suppressants following the withdrawal of ranitidine in Korea.

methodsHealth Insurance Review & Assessment Service (HIRA) data from January 2016 to May 2023 were utilized to assess the usage of histamine H2 receptor antagonists (H2RAs) and proton pump inhibitors (PPIs) for acid-related diseases. Drug utilization was calculated for each agent based on the defined daily dose (DDD). To evaluate changes in utilization following the ranitidine recall, an interrupted time series analysis was conducted using segmented linear regression and an autoregressive integrated moving average model.

resultsBefore the withdrawal of ranitidine, the DDD per 100 000 inhabitants per day was increasing by 6.9 (95% confidence interval [CI], 4.7 to 9.0) for H2RAs and by 19.3 (95% CI, 16.9 to 21.8) for PPIs each month. After the recall, H2RA utilization immediately declined by -1041.7 (95% CI, -1115.8 to -967.7), followed by a monthly increase of 6.6 (95% CI, 3.7 to 9.6) above the previous trend. PPI utilization temporarily surged by 235.2 (95% CI, 149.1 to 321.3), then displayed a monthly increase of 4.1 (95% CI, 0.7 to 7.6) on top of the pre-recall trend. Among PPIs, esomeprazole and rabeprazole demonstrated notable increases, representing the most commonly used acid suppressants in 2023.

conclusionsPPI usage rose prominently following the withdrawal of ranitidine from the market. Considering the potential adverse effects of PPIs, further research is necessary to evaluate the public health implications of shifts in the utilization of acid suppressants.

Indexed as

Drug UtilizationHistamine H2 AntagonistsProton Pump InhibitorsRanitidineFemaleHumansInterrupted Time Series AnalysisMaleRepublic of KoreaHistamine H2 AntagonistsProton Pump InhibitorsRanitidineDrug recallsDrug utilizationHistamine H2 antagonistsProton pump inhibitorsRanitidine

Identifiers

PMID39788691
PMCPMC11824620

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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.