Evidence map›Paper›PMID 27061849›Full record

ArticleBritish journal of clinical pharmacology2016

Prescribing pattern of antipsychotic drugs during the years 1996-2010: a population-based database study in Europe with a focus on torsadogenic drugs.

Alessandro Oteri, Giampiero Mazzaglia, Serena Pecchioli, Mariam Molokhia, Sinna Pilgaard Ulrichsen, Lars Pedersen, Elisabetta Poluzzi, Fabrizio De Ponti, Edeltraut Garbe, Tania Schink and 4 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. [Antipsychotic prescription prevalence and metabolic monitoring of patients under chronic treatment].Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2021
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Prevalence of use of antipsychotic drugs in the elderly in Catalonia.European journal of clinical pharmacology · 2018
    Article
  12. Article
  13. Article
  14. Article
  15. Erratum.British journal of clinical pharmacology · 2017
    Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 5 countries.

Alessandro OteriDepartment of Medical Informatics, Erasmus University Medical Center, Rotterdam, the Netherlands.
Giampiero MazzagliaHealth Search, Italian College of General Practitioners, Florence, Italy.
Serena PecchioliHealth Search, Italian College of General Practitioners, Florence, Italy.
Mariam MolokhiaDepartment of Primary Care and Public Health Sciences, King's College London, London, UK.
Sinna Pilgaard UlrichsenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Lars PedersenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Elisabetta PoluzziDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Fabrizio De PontiDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Edeltraut GarbeLeibniz Institute for Epidemiology and Prevention Research - BIPS, Bremen, Germany.
Tania SchinkLeibniz Institute for Epidemiology and Prevention Research - BIPS, Bremen, Germany.
Ron HeringsPHARMO Institute for Drug Outcomes Research, Utrecht, the Netherlands.
Irene D BezemerPHARMO Institute for Drug Outcomes Research, Utrecht, the Netherlands.
Miriam C J M SturkenboomDepartment of Medical Informatics, Erasmus University Medical Center, Rotterdam, the Netherlands.
Gianluca TrifiròDepartment of Medical Informatics, Erasmus University Medical Center, Rotterdam, the Netherlands.
Aarhus University Hospital · DKLeibniz Institute for Prevention Research and Epidemiology - BIPS · DEPharmo Institute · NLUniversity of Bologna · ITUniversity of Messina · ITAgenzia Regionale di Sanità della Toscana · ITErasmus MC · NLKing's College London · GBSocietà Italiana di Medicina Generale · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAntipsychotic drugs (APDs) are used to treat several mental illnesses. Some APDs have long been known to be associated with QT prolongation, potentially leading to torsades de pointes (TdP) and sudden cardiac death (SCD). In 2005, thioridazine was withdrawn because of the risk of SCD, bringing further attention to the arrhythmogenic potential of APDs.

aimThe aim of the current study was to evaluate the use of APDs in five European countries during the years 1996-2010.

methodsA cohort study was conducted using prescription/dispensing data from seven healthcare databases [the AARHUS University Hospital Database (Denmark), the German Pharmacoepidemiological Research Database (GePaRD) (Germany), Health Search Database/Thales (HSD) and Emilia Romagna Regional Database (ERD) (Italy), PHARMO Database Network and Integrated Primary Care Information (IPCI) (the Netherlands) and The Health Improvement Network (THIN) (the UK), covering a population of 27 million individuals. The annual prescription rate of APDs was measured overall and for individual medications. APDs were classified as torsadogenic according to the Arizona-CERT list. All analyses were stratified by age, gender and calendar year.

resultsA total of 559 276 person-years (PYs) of exposure to APDs was captured. The crude annual prescription rate of APD use ranged from 3.0/1000 PYs in ERD to 7.7/1000 PYs in AARHUS. Among APDs with established torsadogenic potential, thioridazine was the most frequently used medication in the UK. Haloperidol was commonly prescribed in Italy and the Netherlands. The use of APDs with torsadogenic potential was much higher in elderly patients.

conclusionsSubstantial use of APDs with torsadogenic potential has been reported in Europe in recent years, in spite of increasing concerns about their arrhythmogenic potential. This use was even greater in elderly patients, who are at higher risk of SCD.

Indexed as

AdolescentAdultAgedAged, 80 and overAntipsychotic AgentsChildChild, PreschoolCohort StudiesDeath, Sudden, CardiacEuropeFemaleHumansInfantLong QT SyndromeMaleMiddle AgedAntipsychotic Agentsantipsychotic drugspopulation-based studytorsadogenic potential

Identifiers

PMID27061849
PMCPMC4972165
OpenAlexW2340896450

What Socratic 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 Socratic graph.