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Prescribing patterns for medical treatment of suspected prostatic obstruction: a longitudinal register-based study of the Scottish Health and Social Care Open Data
- Source :
- BMJ Open, Vol 11, Iss 2 (2021), BMJ Open
- Publication Year :
- 2021
- Publisher :
- BMJ, 2021.
-
Abstract
- BackgroundThe diagnosis of lower urinary tract symptoms related to suspected bladder outflow obstruction from benign prostate hyperplasia/enlargement in men is increasing. This is leading to high demand on healthcare services; however, there is limited knowledge of differences in pharmacotherapy prescribing for this condition based on geography.ObjectiveTo investigate potential variation in drug prescribing for suspected bladder outflow obstruction in Scotland, based on analysis of publicly available data, to identify trends and inform future prescribing.Study designA longitudinal register-based data study of prescribing and patient data publicly available from Scottish registries. All information is available as monthly aggregates at the level of single general practices.Setting and participants903 (97%) general practices in Scotland, over a 50-month period (October 2015 to November 2019).Outcome measurements and statistical analysisWe analysed numbers of daily doses of drugs for suspected bladder outflow obstruction prescribed per month using a Bayesian Poisson regression analysis, incorporating random effects to account for spatial and temporal elements.ResultsPrescriptions for suspected bladder outflow obstruction medications increased during the observation period (overall average rate of change 1.24±0.28, ranging from 0.893 in Orkney to 1.95 in Lanarkshire). While some determinants of health inequality regarding prescribing practices across health boards are consistent with those known from the literature, other inequalities remain unexplained after accounting for practice-specific and patient-specific characteristics such as deprivation and rurality.ConclusionsInequalities in prescribing for suspected bladder outflow obstruction medications exist in Scotland, partially ascribable to accepted sociodemographic and geographic factors.
- Subjects :
- Male
medicine.medical_specialty
Urology
statistics & research methods
030232 urology & nephrology
03 medical and health sciences
symbols.namesake
0302 clinical medicine
Lower urinary tract symptoms
Health care
medicine
Humans
030212 general & internal medicine
Poisson regression
Social determinants of health
Medical prescription
bladder disorders
business.industry
Public health
public health
Social Support
Bayes Theorem
Health Status Disparities
General Medicine
medicine.disease
Urinary Bladder Neck Obstruction
Open data
Scotland
Emergency medicine
symbols
Bladder Disorder
Medicine
business
prostate disease
Subjects
Details
- ISSN :
- 20446055
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- BMJ Open
- Accession number :
- edsair.doi.dedup.....cad6734b8d0be4af2bdeff9d78b766c0