Evidence map›Paper›PMID 42036394›Full record

Observational studyJournal of sleep research2026

Prescription of Psychotropic Drugs for Chronic Insomnia in Primary Care.

Jesús Escribá-Alepuz, Lidia Herrero-Huertas, María García-Gil, Estefanía Estévez-López, Francisco Javier Puertas, Manuel de Entrambasaguas

Abstract readObservational Study
In one paragraph

Observational study in Journal of sleep research, 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. Observational
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.

Jesús Escribá-AlepuzSleep Medicine Institute, Valencia, Spain.ORCID https://orcid.org/0000-0002-4197-3293
Lidia Herrero-HuertasNational Epidemiology Centre, Carlos III Health Institute, Madrid, Spain.ORCID https://orcid.org/0000-0002-7368-666X
María García-GilPharmacy Service-Primary Care, Sagunto Health Department, Sagunto (Valencia), Spain.ORCID https://orcid.org/0000-0001-6213-0888
Estefanía Estévez-LópezHealth Psychology Department, Miguel Hernandez University, Elche (Alicante), Spain.ORCID https://orcid.org/0000-0002-2662-2735
Francisco Javier PuertasRibera University Hospital-FISABIO, Alzira (Valencia), Spain.ORCID https://orcid.org/0000-0002-9341-8160
Manuel de EntrambasaguasHospital Clínic Universitari de València, INCLIVA Biomedical Research Institute, Valencia, Spain.ORCID https://orcid.org/0000-0001-9531-2792

Funding

Idorsia Pharmaceuticals
6 · The paper itself

Abstract

Insomnia is the most prevalent sleep disorder in adults, representing a major public health problem. Healthcare management in a specific area first requires analysing its current practices and issues. We conducted a retrospective observational study of over 100,000 patients from two large primary care databases in the public healthcare Department of Sagunto (Valencia, Spain), from 2009 to 2017. Cases of insomnia were defined by ICD-10 codes, and prescriptions of hypnotics were collected. The data analysis was performed on epidemiological aspects, comorbidity, diagnosis and treatment of insomnia. A significant increase in the incidence of insomnia occurred, rising from 58.9 per 1000 inhabitants (95% CI: 57.7-60.0) in 2009 to 91.4 per 1000 inhabitants (95% CI: 90.0-92.9) in 2017. A total of 12,404 prescriptions for hypnotics and sedatives were issued, including 39.8% for indications other than insomnia. Lorazepam was the most frequently prescribed hypnotic-sedative (36%), followed by zolpidem (21.1%); 54% of insomnia cases revealed more prescription units than medical consultations, suggesting automatic renewals. Excessive prescription of hypnotic drugs for insomnia, along with a lack of follow-up, were identified as significant issues.

Indexed as

Drug PrescriptionsHypnotics and SedativesPrimary Health CarePsychotropic DrugsSleep Initiation and Maintenance DisordersAdolescentAdultAgedFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesSpainYoung AdultHypnotics and SedativesPsychotropic Drugsepidemiologyhypnoticsinsomnia

Identifiers

PMID42036394
PMCPMC13619049

What OpenQuestion holds

Textmetadata
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.