Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/52900
Título: Consumption of nonsteroidal anti-inflammatory agents in primary care in Costa Rica: changing patterns and geographical variability
Autores/as: Salas, Melvin Morera
Llanos, Amada Aparicio
Salazar, Yanira Xirinachs
Perez, Patricia Barber 
Palabras clave: Regional-Variations
Fecha de publicación: 2007
Editor/a: 0213-9111
Publicación seriada: Gaceta Sanitaria 
Resumen: Objective: To determine changing patterns and variability in consumption of classic nonsteroidal anti-inflammatory drugs (NSAIDs) among the health areas in Costa Rica between 2000 and 2005.Methods: The drugs studied were ibuprofen, indomethacin, penicillamine, sulindac, tenoxicam, and diclofenac sodium. To measure consumption, we used the defined daily dose per 1,000 inhabitants per day (DID). To analyze variability, the coefficient of variation weighed by the population size (CVw), extremal ratio, interquartile ratio, dot plot and map graphs were used.Results: From 2000-2005, NSAID consumption increased by 48% and the annual cost rose by 184%. The drugs with greatest consumption and participation in cost were sulindac and indomethacin. NSAID consumption varied between 0.1 and 61.8 DID according to health areas, with a CVw of 66.8%. Variability was greatest with penicillamine (CVw = 449.89%) and tenoxicam (CVw = 315.26%).Conclusions: Clearly differentiated geographical patterns in NSAID consumption were found in Costa Rica, with very different rates within the same region. According to the results obtained, two factors associated with this variability were the supply of health services and the percentage of the population aged 65 years or more within the catchment area.
URI: http://hdl.handle.net/10553/52900
ISSN: 0213-9111
Fuente: Gaceta Sanitaria[ISSN 0213-9111],v. 21 (6), p. 458-464
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