Show simple item record

dc.contributor.authorEkman, Julie
dc.contributor.authorSkjeldestad, Finn Egil
dc.date.accessioned2019-12-03T15:31:22Z
dc.date.available2019-12-03T15:31:22Z
dc.date.issued2019-11-26
dc.description.abstract<i>Objectives</i> - To assess whether changes in patterns of combined oral contraceptive (COC) prescriptions to starters between 2008 and 2016 were in line with changes in national recommendations for use.<p> <p><i>Design</i> - Historical prospective cohort study.<p> <p><i>Setting</i> - The national Norwegian Prescription Database.<p> <p><i>Participants</i> - Women aged 10–49 years who started COCs between 1 January 2008 and 30 June 2016, in total 285 009 women.<p> <p><i>Primary outcome</i> - The proportion of levonorgestrel-containing COC prescriptions to starters.<p> <p><i>Intervention</i> - The Norwegian Medical Agency recommended levonorgestrel-containing COCs to starters from 2010 onwards.<p> <p><i>Results</i> - The proportion of levonorgestrel-containing COCs prescribed to starters increased from 41% in 2008 to 80% in 2016 with the greatest increase from 2011 to 2012. This prescription pattern comprised all age groups but was observed to a lower extent among older women. Public health nurses and midwifes had the highest compliance with recommendations and prescribed levonorgestrel-containing COCs to 96% of starters aged <20 years in 2016, compared with 75% and 86% among general practitioners and doctors with no specialty.<p> <p><i>Conclusion</i> - All professions have increased the proportion of levonorgestrel-containing COC prescriptions to starters. Public health nurses and midwives had the highest compliance with the new recommendations. Future studies will examine whether this shift in prescription pattern has prevented venous thromboembolism in women of reproductive age in Norway.en_US
dc.identifier.citationSkjeldestad FE, Ekman J. Do Norwegian providers comply with national recommendations when prescribing combined oral contraceptives to starters? A cohort study. BMJ Open. 2019en_US
dc.identifier.cristinIDFRIDAID 1753720
dc.identifier.doihttp://dx.doi.org/10.1136/bmjopen-2018-027888
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/10037/16783
dc.language.isoengen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.journalBMJ Open
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleDo Norwegian providers comply with national recommendations when prescribing combined oral contraceptives to starters? A cohort studyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record