Benzodiazepine und Z-Substanzen – Analyse der kassenärztlichen Verschreibungen von 2006 bis 2015
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Benzodiazepine und Z-Substanzen – Analyse der kassenärztlichen Verschreibungen von 2006 bis 2015. / Verthein, Uwe; Buth, Sven; Holzbach, Rüdiger; Neumann-Runde, Eike; Martens, Marcus-S.
in: PSYCHIAT PRAX, Jahrgang 46, Nr. 7, 10.2019, S. 399-405.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Benzodiazepine und Z-Substanzen – Analyse der kassenärztlichen Verschreibungen von 2006 bis 2015
AU - Verthein, Uwe
AU - Buth, Sven
AU - Holzbach, Rüdiger
AU - Neumann-Runde, Eike
AU - Martens, Marcus-S
N1 - © Georg Thieme Verlag KG Stuttgart · New York.
PY - 2019/10
Y1 - 2019/10
N2 - OBJECTIVE: The majority of medication-dependent persons uses sedatives and hypnotics for many years. In this study we describe trends of benzodiazepine and z-drug prescriptions over a 10-years period.METHODS: Prescriptions from 2006 to 2015 (based on German statutory health insurances) from the North German Pharmacy Computing Centre (NARZ) were analysed for the Federal states Schleswig-Holstein, Hamburg, Lower Saxony and Bremen. Data were classified as appropriate (in accordance with the guideline) or inappropriate/risky prescription patterns.RESULTS: In a 10-years period 1.64 Million patients received benzodiazepine and/or z-drug prescriptions. Two thirds were women (65.3 %). More than half were 60 years or older. The percentage of patients with appropriate prescriptions (less than 2 months) increased from 51.7 % in 2006 to 60.2 % in 2015. The rate of inappropriate or risky prescription patterns which can be indicative of misuse or dependence dropped from 34.8 % in 2006 to 27.1 % in 2015.CONCLUSION: Over the past years the amount of inappropriate or risky benzodiazepine and z-drug prescriptions (which are not in accordance with the guideline) among patients with statutory health insurance is steadily decreasing. However, two fifths of the patients still received prescriptions for long-term intake or in higher doses. It remains unclear to what extent private prescriptions are used for inappropriate or long-term prescriptions of benzodiazepines and z-drugs.
AB - OBJECTIVE: The majority of medication-dependent persons uses sedatives and hypnotics for many years. In this study we describe trends of benzodiazepine and z-drug prescriptions over a 10-years period.METHODS: Prescriptions from 2006 to 2015 (based on German statutory health insurances) from the North German Pharmacy Computing Centre (NARZ) were analysed for the Federal states Schleswig-Holstein, Hamburg, Lower Saxony and Bremen. Data were classified as appropriate (in accordance with the guideline) or inappropriate/risky prescription patterns.RESULTS: In a 10-years period 1.64 Million patients received benzodiazepine and/or z-drug prescriptions. Two thirds were women (65.3 %). More than half were 60 years or older. The percentage of patients with appropriate prescriptions (less than 2 months) increased from 51.7 % in 2006 to 60.2 % in 2015. The rate of inappropriate or risky prescription patterns which can be indicative of misuse or dependence dropped from 34.8 % in 2006 to 27.1 % in 2015.CONCLUSION: Over the past years the amount of inappropriate or risky benzodiazepine and z-drug prescriptions (which are not in accordance with the guideline) among patients with statutory health insurance is steadily decreasing. However, two fifths of the patients still received prescriptions for long-term intake or in higher doses. It remains unclear to what extent private prescriptions are used for inappropriate or long-term prescriptions of benzodiazepines and z-drugs.
KW - Benzodiazepines/administration & dosage
KW - Drug Prescriptions
KW - Female
KW - Germany
KW - Humans
KW - Hypnotics and Sedatives/administration & dosage
KW - Inappropriate Prescribing
KW - Male
KW - Middle Aged
KW - Practice Patterns, Physicians'
U2 - 10.1055/a-0961-2371
DO - 10.1055/a-0961-2371
M3 - SCORING: Zeitschriftenaufsatz
C2 - 31412372
VL - 46
SP - 399
EP - 405
JO - PSYCHIAT PRAX
JF - PSYCHIAT PRAX
SN - 0303-4259
IS - 7
ER -