Evidence map›Paper›PMID 42669614›Full record

ArticleBasic & clinical pharmacology & toxicology2026

Regional Variation in ADHD Treatment and Diagnosis Among Children and Adolescents in Denmark.

Heidi Sonne, Anton Pottegård, Anna Sofie Kjærgaard Hansen, Mickael Bech, Helene Kildegaard

Abstract read
In one paragraph

Article in Basic & clinical pharmacology & toxicology, 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.

Heidi SonneClinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0009-0005-3907-292X
Anton PottegårdClinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0001-9314-5679
Anna Sofie Kjærgaard HansenPsychiatry, North Denmark Region, Aalborg University Hospital, Aalborg, Denmark.ORCID https://orcid.org/0000-0003-0966-8042
Mickael BechDepartment of Political Science and Public Management, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0003-3084-2068
Helene KildegaardClinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0003-1930-5851

Funding

Det Obelske Familiefond 69348Novo Nordisk Fonden NNF24SA0093635
6 · The paper itself

Abstract

Geographic variation in ADHD treatment and diagnosis among children and adolescents is well documented, yet the system-level factors driving such differences remain poorly understood. We examined nationwide patterns of ADHD medication use and diagnoses in Denmark in 2024 and assessed whether municipal socioeconomy, regional hospital waiting times or private child psychiatrist capacity contributed to geographic variation. In this register-based cross-sectional study, we included all Danish residents aged 4-17 years using data from national registers. Pharmacological treatment was defined as at least one redeemed prescription for ADHD drugs, and diagnosis was defined as at least one hospital contact with ICD-10 codes F90.x/F98.8. Prevalence was calculated overall and stratified by sex and age, with associations explored using Spearman's rank correlations and regression analyses. ADHD medication prevalence varied sixfold across municipalities (9.6-58 per 1000), with parallel variation in diagnoses (15-74 per 1000) and the largest differences observed among adolescents. Municipal socioeconomic status was weakly and inversely correlated with medication use (ρ = -0.20, p = 0.049), but not diagnoses. Neither waiting times nor specialist capacity was significantly associated with either outcome. Marked geographic variation in ADHD medication use and diagnoses persists in Denmark despite a uniform healthcare framework, and appears largely unexplained by the system-level factors examined.

Indexed as

Attention Deficit Disorder with HyperactivityCentral Nervous System StimulantsAdolescentChildChild, PreschoolCross-Sectional StudiesDenmarkFemaleHumansMalePrevalenceRegistriesSocioeconomic FactorsCentral Nervous System Stimulantsadolescent psychiatryattention deficit disorder with hyperactivitychild psychiatryDenmarkgeographic variation

Identifiers

PMID42669614
PMCPMC13526647

What OpenQuestion holds

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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.