Cited by 123Pharmaceutical Practices and Patient OutcomesSubstance Abuse Treatment and OutcomesOpioid Use Disorder Treatment

The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.

Minimal interventions to decrease long-term use of benzodiazepines in primary care: a systematic review and meta-analysis

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Mugunthan, Kayalvili, McGuire, Treasure, Glasziou, Paul·2011·British Journal of General Practice

Abstract

BACKGROUND: Long-term use of benzodiazepines (BZDs) is common. Not only is such use ineffective, but it also has several risks in addition to dependence, and remains a significant problem among the older population. AIM: To systematically review randomised controlled trials that evaluate the effectiveness of minimal interventions to reduce the long-term use of BZDs in primary care. DESIGN AND SETTING: Systematic review and meta-analysis of randomised controlled trials in UK general practices. METHOD: Cochrane Central, MEDLINE, and Embase (1967-2010) were searched for trials of minimal interventions (such as a single letter or one consultation from a GP) for patients in primary care with long-term (>3 months) BZD use. Pooled risk differences were calculated with 95% confidence intervals. RESULTS: From 646 potentially relevant abstracts, three studies (615 patients) met all the inclusion criteria. The pooled risk ratio showed a significant reduction/cessation in BZD consumption in the minimal intervention groups compared to usual care (risk ratio [RR] = 2.04, 95% confidence interval [CI] = 1.5 to 2.8, [corrected] P<0.001; RR = 2.4, 95% CI = 1.3 to 4.3, P = 0.008) respectively. Two studies also reported a significant proportional reduction in consumption of BZD from baseline to 6 months in intervention groups compared to the control group. The secondary outcome of general health status was measured in two studies; both showed a significant improvement in the intervention group. CONCLUSION: A brief intervention in the form of either a letter or a single consultation by GPs, for long-term users of BZD, is an effective and efficient strategy to decrease or stop their medication, without causing adverse consequences.

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  1. Petursson H (1993) in Benzodiazepine dependence, An international perspective on benzodiazepine abuse, ed Hallstrom C (Oxford University Press, Oxford) Chapter 12.

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Metadata

Authors
Mugunthan, K., McGuire, T., & Glasziou, P.
Affiliations
Bond University (AU)
Venue
British Journal of General Practice
Published
2011-09
Volume
61
Issue
590
Pages
e573-e578
ISSN
  • 0960-1643 (ISSN-L)
  • 1478-5242
OpenAlex
W2153607529
Cited by
123
References
20
Citations by year
2026: 3 · 2025: 4 · 2024: 7 · 2023: 2 · 2022: 6 · 2021: 15 · 2020: 11 · 2019: 9 · 2018: 19 · 2017: 8 · 2016: 11 · 2015: 12 · 2014: 10 · 2013: 4 · 2012: 1
FWCI
0.42
Type
journal article
Language
en
Open access
Locations
  • British Journal of General Practice (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Bond University Research Portal (Bond University) (submittedVersion, other-oa)
  • e-publications@bond (Bond University) (submittedVersion)
Funders
  • Bond University
  • National Health and Medical Research Council (527500)
Topics
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords
benzodiazepines, long-term benzodiazepine use, brief intervention, primary care, general practice, patient letters, health status, older adults, benzodiazepine dependence
MeSH terms
Adolescent, Adult, Aged, Anxiety Disorders, Benzodiazepines, Communication, Female, United Kingdom, Humans, Long-Term Care, Male, Middle Aged, Patient Education as Topic, Physician-Patient Relations, Referral and Consultation, Risk Factors, Randomized Controlled Trials as Topic, Young Adult, General Practice

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