Evidence map›Paper›PMID 41743123›Full record

ArticleFrontiers in pharmacology2026

Evaluating a multifaceted stewardship intervention on proton pump inhibitor utilization: an interrupted time-series analysis of prescribing patterns in a northwest Chinese hospital.

Xiaoling Wang, David J McIver, Hui Min, Jia Guo, Haiyan Li

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 2026. 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
–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

1 citing paper in PubMed.

  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

5 authors.

Xiaoling WangDepartment of Gastroenterology, Xi'an People's Hospital (Xi'an Fourth Hospital), Xi'an, China.
David J McIverMclver Epi Scientific Consulting, Nanaimo, BC, Canada.
Hui MinDepartment of Pharmacy, Xi'an People's Hospital (Xi'an Fourth Hospital), Xi'an, China.
Jia GuoDepartment of Gastroenterology, Xi'an People's Hospital (Xi'an Fourth Hospital), Xi'an, China.
Haiyan LiDepartment of Pharmacy, Xi'an People's Hospital (Xi'an Fourth Hospital), Xi'an, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Promoting the rational use of proton pump inhibitors (PPIs) has become an important aspect in controlling the growth of pharmaceutical expenditures in China. In recent years, the first national guidelines for the clinical application of PPIs and the second batch of the China National Key Monitoring Drug (NKMD) policy were released to regulate PPI utilization. However, few studies have fully investigated the impact of the multifaceted stewardship intervention on PPI utilization in hospitals, especially in northwestern China. Methods: We collected monthly PPI usage data over 8 years from a tertiary hospital of northwestern China between January 2017 and December 2024. Multi-intervention interrupted time-series (ITS) analysis was used to evaluate the change in the defined daily dose (DDD) per 100 bed-days under the intervention measures managed by clinical pharmacists through the multifaceted stewardship. Results: Although the DDD per 100 bed-days for overall PPIs decreased by 12.93 ( Conclusion: The implementation of the national guidelines led to a significant immediate reduction, but no significant time trend in the overall PPI utilization was observed. Our findings highlight the impact of the NKMD policy on the sustained downward trend in overall and oral PPI consumption. The prospective prescription review system may be effective in promoting the long-term rational use of PPIs in clinical practice.

Indexed as

clinical pharmacistshospitalinterrupted time seriesnational guidelinesnational key monitoring drugsproton pump inhibitors

Identifiers

PMID41743123
PMCPMC12929134

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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.