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Utilization of anti‐Parkinson drugs in Australia: 1995–2009

Identifieur interne : 000B77 ( Main/Corpus ); précédent : 000B76; suivant : 000B78

Utilization of anti‐Parkinson drugs in Australia: 1995–2009

Auteurs : Samantha A. Hollingworth ; Amanda Rush ; Wayne D. Hall ; Mervyn J. Eadie

Source :

RBID : ISTEX:E6859C2E262862C6FD9A0C74E7103DF47E68A69C

English descriptors

Abstract

Purpose: To examine trends in the prescribing of anti‐Parkinsonian drugs (APD) in Australia from 1995 to 2009. Methods: We analyzed the Medicare Australia and Drug Utilisation Sub‐Committee (DUSC) databases for prescription data for overall APD dispensed use from 1995. We were able to examine prescribing by gender, age, and type of prescriber between 2002 and 2009. Prescriptions were converted to defined daily doses (DDD)/1000 population/day using Australian Bureau of Statistics population data. Results: Dispensed use of levodopa + carbidopa remained steady from 1995 to 2009 (0.76–0.82 DDD/1000 population/day); levodopa + benserazide use increased from 0.34 to 0.55 DDD/1000 population/day. Since 2005 dispensed use of levodopa + carbidopa + entacapone has steadily increased, from 0.03 to 0.10 DDD/1000 population/day. In July 2009 levodopa + carbidopa was the most widely used agent, followed by levodopa + benserazide, then benztropine. Cabergoline increased from 1999, peaked in 2006, and thereafter declined. APD use peaked in males and females aged 60–69 years. Age‐adjusted utilization was slightly higher in males than females. Conclusions: The amount of levodopa dispensed has slowly increased with levodopa + benserazide increasing faster than levodopa + carbidopa. Use of cabergoline fell when pramipexole became available and the risk of ergot‐related serosal adverse effects was more widely appreciated. Use of centrally acting anti‐cholinergics decreased over a period of time when use of atypical anti‐psychotic agents increased. Copyright © 2011 John Wiley & Sons, Ltd.

Url:
DOI: 10.1002/pds.2114

Links to Exploration step

ISTEX:E6859C2E262862C6FD9A0C74E7103DF47E68A69C

Le document en format XML

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<unparsedAffiliation>The University of Queensland, School of Population Health, Herston, Australia</unparsedAffiliation>
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<unparsedAffiliation>The University of Queensland, UQ Centre for Clinical Research, Herston, Australia</unparsedAffiliation>
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<unparsedAffiliation>The University of Queensland, School of Medicine, Herston, Australia</unparsedAffiliation>
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<keyword xml:id="pds2114-kwd-0001">anti‐Parkinson drugs</keyword>
<keyword xml:id="pds2114-kwd-0002">utilization</keyword>
<keyword xml:id="pds2114-kwd-0003">prescribing</keyword>
<keyword xml:id="pds2114-kwd-0004">Parkinson's disease</keyword>
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<title type="main">ABSTRACT</title>
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<title type="main">Purpose</title>
<p xml:id="pds2114-para-0001">To examine trends in the prescribing of anti‐Parkinsonian drugs (APD) in Australia from 1995 to 2009.</p>
</section>
<section xml:id="pds2114-sec-0002">
<title type="main">Methods</title>
<p xml:id="pds2114-para-0002">We analyzed the Medicare Australia and Drug Utilisation Sub‐Committee (DUSC) databases for prescription data for overall APD dispensed use from 1995. We were able to examine prescribing by gender, age, and type of prescriber between 2002 and 2009. Prescriptions were converted to defined daily doses (DDD)/1000 population/day using Australian Bureau of Statistics population data.</p>
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<title type="main">Results</title>
<p xml:id="pds2114-para-0003">Dispensed use of levodopa + carbidopa remained steady from 1995 to 2009 (0.76–0.82 DDD/1000 population/day); levodopa + benserazide use increased from 0.34 to 0.55 DDD/1000 population/day. Since 2005 dispensed use of levodopa + carbidopa + entacapone has steadily increased, from 0.03 to 0.10 DDD/1000 population/day. In July 2009 levodopa + carbidopa was the most widely used agent, followed by levodopa + benserazide, then benztropine. Cabergoline increased from 1999, peaked in 2006, and thereafter declined. APD use peaked in males and females aged 60–69 years. Age‐adjusted utilization was slightly higher in males than females.</p>
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<title type="main">Conclusions</title>
<p xml:id="pds2114-para-0004">The amount of levodopa dispensed has slowly increased with levodopa + benserazide increasing faster than levodopa + carbidopa. Use of cabergoline fell when pramipexole became available and the risk of ergot‐related serosal adverse effects was more widely appreciated. Use of centrally acting anti‐cholinergics decreased over a period of time when use of atypical anti‐psychotic agents increased. Copyright © 2011 John Wiley & Sons, Ltd.</p>
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<p xml:id="pds2114-para-0005">Senior Research Fellow.</p>
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<p xml:id="pds2114-para-0006">Research Assistant.</p>
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<note xml:id="pds2114-note-0003">
<p xml:id="pds2114-para-0007">NHMRC Australia Fellow and Professor of Public Health Policy.</p>
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<p xml:id="pds2114-para-0008">Emeritus Professor of Clinical Neurology and Neuropharmacology.</p>
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<title>Utilization of anti‐Parkinson drugs in Australia: 1995–2009</title>
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<title>ANTI‐PARKINSON DRUGS IN AUSTRALIA</title>
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<title>Utilization of anti‐Parkinson drugs in Australia: 1995–2009</title>
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<name type="personal">
<namePart type="given">Samantha A</namePart>
<namePart type="family">Hollingworth</namePart>
<affiliation>The University of Queensland, School of Population Health, Herston, Australia</affiliation>
<description>Senior Research Fellow.</description>
<description>Correspondence: The University of Queensland, School of Population Health, Herston Road, Herston QLD 4006, Australia.</description>
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<namePart type="given">Amanda</namePart>
<namePart type="family">Rush</namePart>
<affiliation>The University of Queensland, School of Population Health, Herston, Australia</affiliation>
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<name type="personal">
<namePart type="given">Wayne D</namePart>
<namePart type="family">Hall</namePart>
<affiliation>The University of Queensland, UQ Centre for Clinical Research, Herston, Australia</affiliation>
<description>NHMRC Australia Fellow and Professor of Public Health Policy.</description>
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<name type="personal">
<namePart type="given">Mervyn J</namePart>
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<dateIssued encoding="w3cdtf">2011-05</dateIssued>
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<abstract lang="en">Purpose: To examine trends in the prescribing of anti‐Parkinsonian drugs (APD) in Australia from 1995 to 2009. Methods: We analyzed the Medicare Australia and Drug Utilisation Sub‐Committee (DUSC) databases for prescription data for overall APD dispensed use from 1995. We were able to examine prescribing by gender, age, and type of prescriber between 2002 and 2009. Prescriptions were converted to defined daily doses (DDD)/1000 population/day using Australian Bureau of Statistics population data. Results: Dispensed use of levodopa + carbidopa remained steady from 1995 to 2009 (0.76–0.82 DDD/1000 population/day); levodopa + benserazide use increased from 0.34 to 0.55 DDD/1000 population/day. Since 2005 dispensed use of levodopa + carbidopa + entacapone has steadily increased, from 0.03 to 0.10 DDD/1000 population/day. In July 2009 levodopa + carbidopa was the most widely used agent, followed by levodopa + benserazide, then benztropine. Cabergoline increased from 1999, peaked in 2006, and thereafter declined. APD use peaked in males and females aged 60–69 years. Age‐adjusted utilization was slightly higher in males than females. Conclusions: The amount of levodopa dispensed has slowly increased with levodopa + benserazide increasing faster than levodopa + carbidopa. Use of cabergoline fell when pramipexole became available and the risk of ergot‐related serosal adverse effects was more widely appreciated. Use of centrally acting anti‐cholinergics decreased over a period of time when use of atypical anti‐psychotic agents increased. Copyright © 2011 John Wiley & Sons, Ltd.</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>anti‐Parkinson drugs</topic>
<topic>utilization</topic>
<topic>prescribing</topic>
<topic>Parkinson's disease</topic>
<topic>pharmacoepidemiology</topic>
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<identifier type="ISSN">1053-8569</identifier>
<identifier type="eISSN">1099-1557</identifier>
<identifier type="DOI">10.1002/(ISSN)1099-1557</identifier>
<identifier type="PublisherID">PDS</identifier>
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<date>2011</date>
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<caption>vol.</caption>
<number>20</number>
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