A literature review on off-label drug use in children

Title

A literature review on off-label drug use in children

Creator

Pandolfini C; Bonati M

Publisher

European Journal Of Pediatrics

Date

2005

Subject

Child; Humans; infant; Adult; Age Factors; Hospitals; Prescriptions; adolescent; Preschool; infant; Newborn; Clodronate; Community Health Services/statistics & numerical data; Drug Labeling/statistics & numerical data; Drug/statistics & numerical data; Legislation; Pediatric/statistics & numerical data

Description

The aim was to compare results of studies performed in different settings worldwide and identify common therapeutic areas to allow for focused interventions, because off-label drug use can be a measure of the lack of knowledge concerning paediatric treatments. A secondary objective was to provide a brief review of efforts to date. A literature review of articles on off-label and unlicensed drug use in children involving general prescription samples was performed using Medline and Embase. In all, 30 studies from 1985-2004 were included. Eleven involved paediatric hospital wards, seven neonatal hospital wards, and 12 the community setting. The off-label and unlicensed classification methods varied, making results difficult to compare. In general, off-label/unlicensed prescription rates ranged from 11%-80%, and higher rates were found in younger versus older patients and in the hospital versus community settings. On the paediatric hospital wards, off-label/unlicensed prescriptions ranged from 16%-62% and most often concerned acetaminophen, cisapride, chloral hydrate, and salbutamol. In the neonatal wards, rates ranged from 55%-80% and often involved caffeine. In the community setting, rates ranged from 11%-37% and the most commonly implicated drugs were salbutamol and amoxicillin. Conclusion:A lack of harmonization between the evidence, the information available to doctors, and its use in clinical practice exists and this is part of the reason off-label therapies are so common. Attempts have been made to improve knowledge concerning paediatric treatments, but more focused interventions are needed, also taking into consideration this lack of harmonization.
2005

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

552-558

Issue

9

Volume

164

Citation

Pandolfini C; Bonati M, “A literature review on off-label drug use in children,” Pediatric Palliative Care Library, accessed December 2, 2021, https://pedpalascnetlibrary.omeka.net/items/show/13784.

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