Methods |
Prevalence study equivalent to ITS using monthly data points |
Participants |
Population of Norway (4.6 million) |
Interventions |
National restriction on statin prescribing to simvastatin generics |
Outcomes |
Drug use, drug costs |
Notes |
Data from Jan 2005 to June 2006, policy implemented June 2005 |
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Incomplete outcome data (attrition bias) All outcomes |
Low risk |
"...all dispensed prescriptions of statins to individuals in the total population in Norway. The NorPD contains information that makes it possible to follow each individual over time in order to study changes in pharmacological treatment" |
Selective reporting (reporting bias) |
Low risk |
All outcomes listed in the methods section are reported in the results section |
Other bias |
Low risk |
No other bias detected |
Knowledge of allocated interventions adequately prevented during the study |
Low risk |
Outcomes are objective measures of healthcare utilization |
Intervention independent of other changes |
Low risk |
Changes in prescribing with announcement and price changes part of intervention |
The shape of intervention pre‐specified? |
Low risk |
The point of analysis is the point of intervention; ie, the date the policy intervention was implemented was used to delineate pre and post policy time periods with adequate data points to capture the shape of the pattern of intervention effect over time |
Intervention unlikely to affect data collection? |
Low risk |
Sources and methods of data collection were the same before and after the intervention |