Document Detail


Prescribing of smoking cessation medication in England since the introduction of varenicline.
MedLine Citation:
PMID:  21395894     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To estimate the effect of the introduction of a new smoking cessation medication, varenicline, and the publication of guidance related to its use, on trends in prescribing of smoking cessation medications in England.
DESIGN: Interrupted time series analysis of primary care data on prescribing of smoking cessation medication using autoregressive integrated moving average (ARIMA) modelling.
SETTING: A total of 446 general practices included in The Health Improvement Network (THIN), a database of UK electronic primary care records.
PARTICIPANTS: All primary care patients registered with a THIN practice in England.
MEASUREMENTS: Monthly rates of prescribing of varenicline, nicotine replacement therapy (NRT) and bupropion per 100 000 patients registered with a THIN practice between June 2000 and June 2009.
FINDINGS: NRT was the most commonly prescribed stop smoking medication, and bupropion the least frequently prescribed. After its introduction in December 2006 varenicline rapidly became the second most commonly prescribed drug. There was no statistically significant change in overall prescribing for smoking cessation medications after its introduction (P = 0.760), or after the publication of the related guidance in July 2007 (P = 0.134).
CONCLUSIONS: Soon after being introduced in England, varenicline was widely prescribed; after nicotine replacement therapy it was the most commonly prescribed cessation medication. However, this does not appear to have increased overall rates of prescribing for smoking cessation medication.
Authors:
Tessa E Langley; Yue Huang; Ann McNeill; Tim Coleman; Lisa Szatkowski; Sarah Lewis
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-05-03
Journal Detail:
Title:  Addiction (Abingdon, England)     Volume:  106     ISSN:  1360-0443     ISO Abbreviation:  Addiction     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-06-03     Completed Date:  2011-09-20     Revised Date:  2011-10-21    
Medline Journal Info:
Nlm Unique ID:  9304118     Medline TA:  Addiction     Country:  England    
Other Details:
Languages:  eng     Pagination:  1319-24     Citation Subset:  IM    
Copyright Information:
© 2011 The Authors, Addiction © 2011 Society for the Study of Addiction.
Affiliation:
UK Centre for Tobacco Control Studies, Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK. tessa.langley@nottingham.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Benzazepines / therapeutic use*
Bupropion / therapeutic use
Dopamine Uptake Inhibitors / therapeutic use
Drug Prescriptions / statistics & numerical data
Electronic Health Records / statistics & numerical data
England
Family Practice / statistics & numerical data
Humans
Models, Statistical*
Nicotine / therapeutic use
Nicotinic Agonists / therapeutic use*
Physician's Practice Patterns / trends*
Practice Guidelines as Topic
Quinoxalines / therapeutic use*
Smoking / legislation & jurisprudence,  prevention & control
Smoking Cessation / methods,  statistics & numerical data*
State Medicine
Time Factors
Grant Support
ID/Acronym/Agency:
//British Heart Foundation; //Cancer Research UK; //Medical Research Council
Chemical
Reg. No./Substance:
0/Benzazepines; 0/Dopamine Uptake Inhibitors; 0/Nicotinic Agonists; 0/Quinoxalines; 0/varenicline; 34841-39-9/Bupropion; 54-11-5/Nicotine
Comments/Corrections
Comment In:
Addiction. 2011 Oct;106(10):1868-9; author reply 1869   [PMID:  21793957 ]

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