Evidence map›Paper›PMID 40029386›Full record

ArticleNaunyn-Schmiedeberg's archives of pharmacology2025

Long-term forecasting and evaluation of medicine consumption for the ATC class H with a focus on thyroid hormones in OECD countries using ARIMA models.

Lilly Josephine Bindel, Roland Seifert

Abstract read
In one paragraph

Article in Naunyn-Schmiedeberg's archives of pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Problems associated with the ATC system of drug classification.Naunyn-Schmiedeberg's archives of pharmacology · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. 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.

Lilly Josephine BindelInstitute of Pharmacology, Hannover Medical School, D-30625, Hannover, Germany.
Roland SeifertInstitute of Pharmacology, Hannover Medical School, D-30625, Hannover, Germany. seifert.roland@mh-hannover.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thyroid hormones are among the most prescribed medicines. In many countries, there are shortages combined with evidence of overuse and irrational prescribing. An analysis was conducted for ATC class H with a focus on thyroid hormones for OECD countries. This study aims to evaluate prescribing behaviours, forecast long-term developments and promote rational prescribing behaviour. The ARIMA(2,1,2) (autoregressive integrated moving average) model successfully predicted the future for 30 OECD countries and the non-OECD country Croatia until 2040. An upward trend is forecast for 18 countries, including Austria (+ 5.7%), Chile (+ 220.0%), Czechia (+ 52.8%), Denmark (+ 15.6%), Estonia (+ 87.8%), Greece (+ 238.7%), Hungary (+ 5.7%), Iceland (+ 18.6%), Italy (+ 42.9%), Latvia (+ 83.7%), Lithuania (+ 131.2%), Portugal (+ 106.7%), Slovakia (+ 182.1%), Slovenia (+ 57.4%), Spain (+ 162.8%), Turkey (+ 168.7%), the United Kingdom (+ 138.1%) and Croatia (+ 190.6%). A downward trend is forecast for 13 countries, including Australia (-3.4%), Belgium (-38.8%), Canada (-95.1%), Costa Rica (-79.5%), Finland (-14.7%), France (-100.0%), Germany (-16.4%), Israel (-21.6%), Korea (-100.0%), Luxembourg (-100.0%), the Netherlands (-35.9%), Norway (-23.6%) and Sweden (-43.6%). The reliability and accuracy of the forecasts varies, being influenced by data quality. While a downward trend is favoured, an upward trend is seen as problematic. Increasing trends predominate in Southern and Eastern Europe and Latin America, while decreasing trends predominate in Northern and Western Europe and the Asia-Pacific Region. Some external factors affect all countries, like an increasing prevalence of thyroid disease. There is evidence of cultural influences on prescribing behaviour. While there is evidence of inappropriate use in countries where prescriptions are predicted to increase, measures to restrict the use of thyroid hormones are more common in countries with a recently reported and predicted declining trend.

Indexed as

Organisation for Economic Co-Operation and DevelopmentPrescription DrugsThyroid HormonesForecastingHumansModels, StatisticalPractice Patterns, Physicians'Prescription Drug OverusePrescription DrugsThyroid HormonesARIMACountriesCultural differencesForecastIrrationalLevothyroxineOECDPharmaceutical consumptionPrescribing behaviourRationalSurveillanceSystemic hormonesThyroid hormones

Identifiers

PMID40029386
PMCPMC12350577

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Registered trials

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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.