[Medication dependency and physician's role].
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[Medication dependency and physician's role]. / Holzbach, Rüdiger; Martens, Marcus Sebastian; Kalke, Jens; Raschke, Peter.
in: BUNDESGESUNDHEITSBLA, Jahrgang 53, Nr. 4, 4, 2010, S. 319-325.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - [Medication dependency and physician's role].
AU - Holzbach, Rüdiger
AU - Martens, Marcus Sebastian
AU - Kalke, Jens
AU - Raschke, Peter
PY - 2010
Y1 - 2010
N2 - The administration of benzodiazepines in suicidal, anxious, or agitated patients with depression is common international practice. Nevertheless, the prescription of BZDs is recommended to be limited to a period of a few weeks. There are several epidemiological studies about the situation in Germany, but many questions are still unanswered. The BfArM sought a new method to track prescription of medications with the risk to induce dependency. The present article describes the methodology and the early results of the pilot study. As a new approach, data from a processing center for pharmacies were used; patient-years, a risk scale with six steps, and diazepam-equivalence dose instead of defined daily dose were used for the analysis. About 35% of prescriptions were long-term treatment. Even if several physicians prescribe the medication, the main physician prescribing the medication can identify the risk level of the patient in 80-90% of cases.
AB - The administration of benzodiazepines in suicidal, anxious, or agitated patients with depression is common international practice. Nevertheless, the prescription of BZDs is recommended to be limited to a period of a few weeks. There are several epidemiological studies about the situation in Germany, but many questions are still unanswered. The BfArM sought a new method to track prescription of medications with the risk to induce dependency. The present article describes the methodology and the early results of the pilot study. As a new approach, data from a processing center for pharmacies were used; patient-years, a risk scale with six steps, and diazepam-equivalence dose instead of defined daily dose were used for the analysis. About 35% of prescriptions were long-term treatment. Even if several physicians prescribe the medication, the main physician prescribing the medication can identify the risk level of the patient in 80-90% of cases.
KW - Adult
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Middle Aged
KW - numerical data
KW - Adolescent
KW - Young Adult
KW - Prevalence
KW - Physician's Role
KW - Substance-Related Disorders epidemiology
KW - Antidepressive Agents therapeutic use
KW - Benzodiazepines therapeutic use
KW - Physician's Practice Patterns statistics
KW - Prescriptions statistics
KW - Adult
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Middle Aged
KW - numerical data
KW - Adolescent
KW - Young Adult
KW - Prevalence
KW - Physician's Role
KW - Substance-Related Disorders epidemiology
KW - Antidepressive Agents therapeutic use
KW - Benzodiazepines therapeutic use
KW - Physician's Practice Patterns statistics
KW - Prescriptions statistics
M3 - SCORING: Zeitschriftenaufsatz
VL - 53
SP - 319
EP - 325
JO - BUNDESGESUNDHEITSBLA
JF - BUNDESGESUNDHEITSBLA
SN - 1436-9990
IS - 4
M1 - 4
ER -
