Evidence map›Paper›PMID 40289135›Full record

ArticleScientific reports2025

Trends in medication use during the COVID-19 pandemic in Quebec, Canada.

Maude Gosselin, Marjolaine Dubé, Marc Simard, Nathalie Vandal, Carlotta Lunghi, Caroline Sirois

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Patterns of prescription stimulant initiation before and during the COVID-19 pandemic: a population-based time-series analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  2. Article
  3. Review
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

6 authors.

Maude GosselinInstitut national de santé publique du Québec, Quebec, Canada.
Marjolaine DubéInstitut national de santé publique du Québec, Quebec, Canada.
Marc SimardInstitut national de santé publique du Québec, Quebec, Canada.
Nathalie VandalInstitut national de santé publique du Québec, Quebec, Canada.
Carlotta LunghiFaculty of Pharmacy, Université Laval, Quebec, Canada.
Caroline SiroisInstitut national de santé publique du Québec, Quebec, Canada. Caroline.Sirois@pha.ulaval.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic has disrupted health and services worldwide. We aimed to describe the changes in medication use during the COVID-19 pandemic in Quebec, Canada. Using a large healthcare database, we created weekly cohorts of all individuals ≥ 1 year old covered by the public drug plan from January 2016 to March 2022. We calculated the weekly number of prevalent and new users of different medications, including both chronic and short-term medications. We integrated the 2016-2019 weekly numbers in Quasi-Poisson regressions, with each gender and age group fitted separately. From these models, we estimated the weekly proportions of prevalent and new users expected for 2020-2021 and their 99% prediction interval [99% PI]. Results were analyzed using the ratio of the overall weekly proportion of users (observed/expected) across four periods, selected according to the different waves of the pandemic: Period 1: 1st wave (February 2020-August 2020), Period 2: 2nd wave (August 2020-March 2021), Period 3: 3rd and 4th waves (March 2021-December 2021), and Period 4: 5th and 6th waves (December 2021-March 2022). Each cohort included over 3,000,000 individuals (53% female). The proportion of new users of most medications dropped in Period 1, with exceptions like antipsychotics (ratio of adjusted overall weekly proportion observed/expected [99% PI] 1.02 [1.00-1.04]). From Period 2 onwards, the initiation of antidiabetics, lipid-lowering medications and attention deficit hyperactivity disorder (ADHD) medications, among others, exceeded expected trends, but remained below expectations notably for systemic antibiotics (Period 4: 0.71 [0.69-0.72]), nasal/oral corticosteroids (Period 4: 0.69 [0.67-0.70]/Period 4: 0.69 [0.67-0.70]) and medications for obstructive lung diseases (Period 4: 0.69 [0.68-0.71]). While the prevalent use of most chronic medications remained relatively close to expectations, observed immediate and long-term variations in medication use should be considered in studies including pandemic years and anticipated in public health planning in case of future pandemics.

Indexed as

COVID-19COVID-19 Drug TreatmentAdolescentAdultAgedChildChild, PreschoolFemaleHumansInfantMaleMiddle AgedPandemicsQuebecSARS-CoV-2Young AdultCanadaCOVID-19Drug utilizationMedication usePandemicQuebec

Identifiers

PMID40289135
PMCPMC12034801

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LicenceCC BY-NC-ND
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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.