Cited by 69Pharmaceutical Practices and Patient OutcomesMental Health Treatment and AccessOpioid Use Disorder Treatment

Trends in the consumption rates of benzodiazepines and benzodiazepine-related drugs in the health region of Lleida from 2002 to 2015

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Torres-Bondia, F., de Batlle, J., Galván, L., Buti, M., Barbé, F., Piñol-Ripoll, G.·2020·BMC Public Health

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Abstract

BACKGROUND: The high prevalence and long-term use of benzodiazepines (BZDs) treatment are debated topics because of the risk they can cause to the patients. Despite the current information on the risk-benefit balance of these drugs, their consumption remains particularly high. We determined the trend in the consumption prevalence of benzodiazepines (BZDs) and drugs related to BZDs (Z-drugs) in the population of the Health Region of Lleida to explore patterns of use and the associated characteristics associated between 2002 and 2015. METHODS: An analysis of secular trends was carried out between 2002 and 2015; the databased included all individuals from the Health Region of Lleida, which had 358,157 inhabitants in 2015, that consumed BZDs. The consumption of BZDs was evaluated using prescription billing data from the Public Health System. All types of BZDs and BZD analogues that had been approved by the drug agency were included. Trends by age and sex were investigated. RESULTS: Over the whole study period, a total of 161,125 individuals accounted for 338,148 dispensations. Overall, 59% were women, and the mean age was 56 years. The dispensing prevalence of BZDs use in 2015 was 14.2% overall -18.8% in women and 9.6% in men-and was 36% in those over 65 years. According to the half-life of BZDs, the prevalence of short-intermediate BZD use, intermediate-long BZD use, and Z-drugs use was 9.7, 5.5 and 0.8%, respectively. The evolution of the annual prevalence of BZD dispensing showed a progressive decline, from 15.3% in 2002 to 14.2% in 2015, which was attributed to a decrease in the consumption of intermediate-long half-life BZDs (8.0% vs. 5.5%) and Z-drugs (1.4% vs. 0.8%). CONCLUSION: The dispensing prevalence of BZDs and Z-drugs was high, although a small reduction was observed during this time period. The dispensing prevalence was especially high in the population over 65, despite the risk of cognitive decline and falls. Integral actions are required to lower the BZD prescription rate.

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  • While some studies have shown a decrease in the prescribing of some drug classes, such as benzodiazepines over time, these decreases have been small and inconsistent across different countries.

    “While some studies have shown a decrease in the prescribing of some drug classes, such as benzodiazepines over time [83, 84], these decreases have been small and inconsistent across different countries [85, 86].”
  • The findings of this review help explain the findings of previous studies that have shown high rates of inappropriate psychotropic prescribing in older people both in care homes and wider settings.

    “The findings of this review help explain the findings of previous studies that have shown high rates of inappropriate psychotropic prescribing in older people both in care homes [4–7] and wider settings [83].”

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Authors
Torres-Bondia, F., de Batlle, J., Galván, L., Buti, M., Barbé, F., & Piñol-Ripoll, G.
Affiliations
Hospital Universitari Arnau de Vilanova (ES)
Venue
BMC Public Health
Published
2020-06-01
Volume
20
Issue
1
Pages
818-818
ISSN
1471-2458 (ISSN-L)
OpenAlex
W3032035778
Cited by
69
References
75
Citations by year
2026: 6 · 2025: 12 · 2024: 5 · 2023: 12 · 2022: 20 · 2021: 10 · 2020: 4
FWCI
6.02
Type
journal article
Language
en
Open access
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • Research Square (acceptedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RECERCAT (Consorci de Serveis Universitaris de Catalunya) (publishedVersion, cc-by)
  • Repositori ObertUDL (University of Lleida) (publishedVersion, cc-by)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Generalitat de Catalunya (PERIS 2016: SLT002/16/00364)
Topics
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
benzodiazepines, Z-drugs, drug use trends, sex differences in drug use, age differences in drug use, medication dispensing, long-term benzodiazepine use
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Benzodiazepines, Drug Utilization, Female, Forecasting, Humans, Hypnotics and Sedatives, Male, Middle Aged, Practice Patterns, Physicians', Spain, Young Adult

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