dc.contributor.author | Joubert, Liezl | |
dc.contributor.author | Burger, Johanita R. | |
dc.contributor.author | Lubbe, Martie S. | |
dc.contributor.author | Cockeran, Marike | |
dc.contributor.author | Truter, Ilse | |
dc.date.accessioned | 2018-09-04T07:39:06Z | |
dc.date.available | 2018-09-04T07:39:06Z | |
dc.date.issued | 2018 | |
dc.identifier.citation | Joubert, L. et al. 2018. Methylphenidate and atomoxetine prescribing trends in children in the Western Cape Province of South Africa, 2005-2013. Health SA Gesondheid, 23: # a1084. [https://doi.org/10.4102/hsag.v23i0.108] | en_US |
dc.identifier.issn | 1025-9848 | |
dc.identifier.issn | 2071-9736 (Online) | |
dc.identifier.uri | http://hdl.handle.net/10394/30880 | |
dc.identifier.uri | https://hsag.co.za/index.php/hsag/article/view/1084/pdf | |
dc.description.abstract | Background: There is paucity of data on methylphenidate and atomoxetine prescribing patterns in South African children.
Aim: To describe the prescribing trends of these agents in children residing in the Western Cape Province.
Setting: South African private health sector.
Methods: Longitudinal drug utilisation study on medicine claims data from 2005–2013, focussing on the number of patients and prescriptions per patient.
Results: The total number of patients increased by 29.5% from 2005 to 2013. The majority were boys (male:female ratio, 3.5:1), and between the ages of > 6 and ≤12 years in 2005 and >12 and ≤18 years in 2013. More than 75% of patients received methylphenidate or atomoxetine in the City of Cape Town Metropolitan municipality. Prescriptions for methylphenidate and atomoxetine increased by 45.5% overall from 2005 to 2013 (p < 0.001), with that for methylphenidate and atomoxetine increasing by 36.0% and 314.5%, respectively. The average number of annual methylphenidate prescriptions per patient increased from 3.96 ± 2.92 (95% CI, 3.69–4.23) in 2005 to 4.38 ± 2.85 (95% CI, 4.14–4.61) in 2013 (Cohen’s d = 0.14) and for atomoxetine from 2.58 ± 1.86 (95% CI, 1.80–3.37) in 2005 to 4.85 ± 3.66 (95% CI, 3.84–5.86) in 2013 (Cohen’s d = 0.62).
Conclusion: Although the total number of patients and prescribing of methylphenidate and atomoxetine increased significantly from 2005 to 2013, a slight downward trend was observed in the mean number of prescriptions per patient per year from 2008 onwards. These prescribing patterns warrant further research | en_US |
dc.language.iso | en | en_US |
dc.publisher | AOSIS | en_US |
dc.subject | Western Cape Province | en_US |
dc.subject | South Africa | en_US |
dc.subject | Children | en_US |
dc.subject | Adolescents | en_US |
dc.subject | Atomoxetine | en_US |
dc.subject | Methylphenidate | en_US |
dc.subject | Prescribing patterns | en_US |
dc.title | Methylphenidate and atomoxetine prescribing trends in children in the Western Cape Province of South Africa, 2005-2013 | en_US |
dc.type | Article | en_US |
dc.contributor.researchID | 10730982 - Burger, Johanita Riëtte | |
dc.contributor.researchID | 10069712 - Lubbe, Martha Susanna | |
dc.contributor.researchID | 21102007 - Cockeran, Marike | |
dc.contributor.researchID | 22086498 - Joubert, Liezl | |