Prescribing patterns for medical treatment of suspected prostatic obstruction: A spatiotemporal statistical analysis of Scottish open access data
作者： Federico Andreis , Richard Bryant , Emanuele Giorgi , Andrea Williamson , Ashleigh Ward
DOI: 10.1101/2020.06.19.20135459
关键词:
摘要: Background Healthcare services treating men with prostate conditions are increasingly burdened worldwide. One of the competing factors in this demand is increasing diagnosis and treatment lower urinary tract symptoms men, much which suspected bladder outflow obstruction secondary to benign hyperplasia/enlargement. However, impact increases on largely hidden, there limited knowledge potential differences management based geography. Objective To investigate variation prescribing drugs for Scotland analysis publicly available data, identify trends that may help inform future behaviour. Design, setting, participants We linked relevant patient data all general practices between October 2015 November 2019. Outcome measurements statistical analysed numbers daily doses prescribed per month using a Bayesian Poisson regression analysis, incorporating random effects account spatial temporal elements prescribing. Results Prescriptions treat increased during observation period Scotland, consistent an ageing population diagnosis. Whilst some determinants health inequality regarding across boards those known from literature, other inequalities remain unexplained after accounting practice- patient-specific characteristics such as socio-economic deprivation rurality. Conclusions Variations spatiotemporal exist require further investigation.
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