Off-label Prescription in Paediatric Dermatology: A Retrospective Observational Study in a Tertiary Hospital

Autor: Carmen Couselo-Rodríguez, Ana Batalla, Sandra Martínez-Fernández, Carmela Dávila-Pousa, Diego Soto-García, Lucía Vilanova-Trillo, Ángeles Flórez
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Acta Dermato-Venereologica, Vol 103 (2023)
Druh dokumentu: article
ISSN: 0001-5555
1651-2057
90898338
DOI: 10.2340/actadv.v102.11937
Popis: Off-label prescription in paediatric patients is common, where some studies indicate that dermatological conditions are more prone to off-label treatment. This is the first study to analyse the prevalence of off-label prescription in paediatric dermatology consultation. This retrospective observational study was performed using the medical records of paediatric patients who were evaluated in a paediatric dermatological consultation in Pontevedra University Hospital, Pontevedra, Spain. Of the 468 patients reviewed, 186 prescriptions were issued and 51.10% were off-label prescription drugs. The dermatological conditions for which off-label prescription was most common were atopic dermatitis (29.0%), followed by warts (12.9%) and infantile haemangiomas (11.8%). With respect to drugs, topical tacrolimus (23.7%) was the most frequently prescribed off-label drug. The main reason for prescribing an off-label drug was for a disease not included on the label (62.4%), followed by issuing it at a lower age than authorized (55.9%). There was a significant association between a higher percentage of off-label prescription and younger age (p
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