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Psychostimulant prescribing trends in a paediatric population in Ireland: a national cohort study

Overview of attention for article published in BMC Pediatrics, September 2015
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Title
Psychostimulant prescribing trends in a paediatric population in Ireland: a national cohort study
Published in
BMC Pediatrics, September 2015
DOI 10.1186/s12887-015-0435-3
Pubmed ID
Authors

Fiona Boland, Rose Galvin, Udo Reulbach, Nicola Motterlini, Dervla Kelly, Kathleen Bennett, Tom Fahey

Abstract

Psychotropic paediatric prescribing trends are increasing internationally. The aim of this study is to examine the prevalence and secular trends in psychotropic prescribing in Irish children and adolescents between 2002 and 2011. Data was obtained from the Irish General Medical Services (GMS) scheme pharmacy claims database from the Health Service Executive Primary Care Reimbursement Services (HSE-PCRS). Prescribing rates per 1000 eligible population and associated 95 % confidence intervals (CIs) were calculated across years (2002-2011), age groups (0-4, 5-11, 12-15 years) and gender. Rates of concomitant prescriptions for psycholeptics and antidepressants were also examined. The total expenditure costs were calculated and expressed as a percentage of the cost of all prescriptions for this age group (≤15 years). In 2002, 3.77/1000 GMS population (95 % CI: 3.53-4.01) received at least one psychostimulant prescription and this rate increased to 8.63/1000 GMS population (95 % CI: 8.34-8.92) in 2011. Methylphenidate was the most frequently prescribed psychostimulant. For both males and females the prevalence of medication use was highest among the 12-15 year old group. On average, a psycholeptic medication was prescribed to 8 % of all psychostimulant users and an antidepressant was concomitantly prescribed on average to 2 %. Total expenditure rose from €89,254 in 2002 to €1,532,016 in 2011. The rate and cost of psychostimulant prescribing among GMS children and adolescents in Ireland increased significantly between 2002 and 2011. Further research is necessary to assess the safety, efficacy and economic impact of concomitant psychotropic prescribing in this population.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 54 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 54 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 7 13%
Student > Bachelor 6 11%
Other 5 9%
Researcher 5 9%
Professor 4 7%
Other 14 26%
Unknown 13 24%
Readers by discipline Count As %
Medicine and Dentistry 10 19%
Pharmacology, Toxicology and Pharmaceutical Science 8 15%
Psychology 6 11%
Nursing and Health Professions 3 6%
Neuroscience 3 6%
Other 8 15%
Unknown 16 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 September 2015.
All research outputs
#14,825,310
of 22,828,180 outputs
Outputs from BMC Pediatrics
#1,908
of 3,006 outputs
Outputs of similar age
#147,486
of 267,234 outputs
Outputs of similar age from BMC Pediatrics
#35
of 63 outputs
Altmetric has tracked 22,828,180 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,006 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.6. This one is in the 32nd percentile – i.e., 32% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 267,234 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 63 others from the same source and published within six weeks on either side of this one. This one is in the 38th percentile – i.e., 38% of its contemporaries scored the same or lower than it.