-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathmumh_quarterly_dec23_0411.Rmd
172 lines (128 loc) · 6.36 KB
/
mumh_quarterly_dec23_0411.Rmd
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
---
title: "`r config$publication_0411_name`"
pagetitle: MUMH England quarterly summary
always_allow_html: true
output:
word_document:
toc: yes
toc_depth: '3'
html_document:
anchor_sections: no
css: www/style.css
toc: yes
toc_depth: 3
toc_float:
collapsed: no
---
<script>
$(document).ready(function() {
$('#header').prepend('<img src=`r knitr::image_uri("www/bsa_logo.svg")` alt=\"NHSBSA logo\" style=\"position:absolute; top: 0; right: 0; padding: 10px; width: 25%;\">');
});
</script>
<style type="text/css"> body, td {
font-size: 16px;
font-family: sans-serif;
}
.list-group-item.active {
background-color: #005EB8!important;
border-color: #005EB8!important;
}
a {
color: #005EB8!important;
}
.tocify {
border-radius: 0px!important;
}
</style>
<html lang="en">
```{r setup, include=FALSE}
# set code chunk options to disable echo by default
knitr::opts_chunk$set(echo = FALSE,
warning = FALSE,
message = FALSE)
```
<main>
# `r config$publication_sub_name` {.toc-ignore}
Published `r config$publication_date`
## Summary
Between October and December 2023:
::::{.row style="display: flex; padding-bottom: 15px;"}
:::{.col-md-6}
`r infoBox_no_border("", text = "<b>There were 1.1 million drugs for dementia prescribed to an estimated 260,000 identified patients.</b>", width = "100%")`
:::
:::{.col-md-6}
`r infoBox_no_border("", text = "<b>The cost of prescribed drugs for dementia was £7.5 million.</b>", width = "100%")`
:::
::::
---
## 1. Things you should know
`r infoBox_border(" ", text = "Dementia is a progressive clinical syndrome characterised by a range of cognitive and behavioural symptoms that can include memory loss, problems with reasoning and communication, a change in personality, and a reduced ability to carry out daily activities such as washing or dressing. Alzheimer’s disease is the most common type of dementia. Other common types of dementia include vascular dementia (where dementia is due to cerebrovascular disease), dementia with Lewy bodies (where dementia is due to protein deposits in the brain), mixed dementia, and frontotemporal dementia (where dementia is due to progressive nerve loss in either the frontal or temporal lobes of the brain).
Drugs for dementia are described in the BNF 68 section 4.11:
* BNF chemical substance 0411000D0 - Donepezil hydrochloride
* BNF chemical substance 0411000E0 - Rivastigmine
* BNF chemical substance 0411000F0 - Galantamine
* BNF chemical substance 0411000G0 - Memantine hydrochloride", width = "100%")`
### 1.1. Drugs for dementia {.toc-ignore}
Dementia is a disease that leads to progressive loss of brain function typified by memory loss, confusion, speech difficulties and problems in understanding. There are over 100 different types of dementia. The most common forms are:
* Alzheimer's disease
* Vascular dementia
* Dementia with Lewy bodies
* Pick's disease
* Huntington's disease
* Alcohol-related dementia
* HIV/AIDS related dementia
Dementia mainly affects older people but can also occur in people as young as thirty due to either alcohol abuse or HIV/AIDS. No cure for dementia currently exists. However, drugs may slow the rate of decline or in some patients make a small improvement in symptoms. Despite this, disease progression is inevitable.
You can find more information about the [various types of dementia](https://www.nhs.uk/conditions/dementia/) on the NHS website.
---
## 2. Results - Drugs for dementia
#### Figure 1: Number of prescribed items and identified patients by financial quarter - BNF 4.11: Drugs for dementia
```{r quarterly_0411, out.width="100%"}
figure_1_0411
```
`r get_download_button(title = "Download chart data", data = figure_1_data_0411, filename = "figure_1_0411")`
::::{.row style="display: flex; padding-bottom: 15px;"}
:::{.col-md-4}
`r infoBox_no_border("", text = "<b>1.1 million drugs for dementia items prescribed in Q3 2023/24.</b>", width = "100%")`
:::
:::{.col-md-4}
`r infoBox_no_border("", text = "<b>260,000 identified patients received a drugs for dementia item in Q3 2023/24.</b>", width = "100%")`
:::
:::{.col-md-4}
`r infoBox_no_border("", text = "<b>While the long term trend has varied, drugs for dementia items and identified patients are currently trending upwards.</b>", width = "100%")`
:::
::::
#### Figure 2: Cost of prescribing by financial quarter - BNF 4.11: Drugs for dementia
```{r quarterly_0411_nic, out.width="100%"}
figure_2_0411
```
`r get_download_button(title = "Download chart data", data = figure_2_data_0411, filename = "figure_2_0411")`
::::{.row style="display: flex; padding-bottom: 15px;"}
:::{.col-md-6}
`r infoBox_no_border("", text = "<b>The cost of prescribed drugs for dementia items was £7.5 million in Q3 2023/24.</b>", width = "100%")`
:::
:::{.col-md-6}
`r infoBox_no_border("", text = "<b>The cost of drugs for dementia increased by 11% since the previous quarter, and shows a recent upwards trend alongside items and identified patients.</b>", width = "100%")`
:::
::::
#### Figure 3: Number of prescribed items and identified patients by month - BNF 4.11: Drugs for dementia
```{r monthly_0411, out.width="100%"}
figure_3_0411
```
`r get_download_button(title = "Download chart data", data = figure_3_data_0411, filename = "figure_3_0411")`
::::{.row style="display: flex; padding-bottom: 15px;"}
:::{.col-md-6}
`r infoBox_no_border("", text = "<b>Identified patients who received prescribing for drugs for dementia increased by 5.8% in the 12 months to December, compared to the previous 12 months.</b>", width = "100%")`
:::
:::{.col-md-6}
`r infoBox_no_border("", text = "<b>Drugs for dementia items increased by 5.4% in the 12 months to December, compared to the previous 12 months.</b>", width = "100%")`
:::
::::
---
## 3. Sections in this release
* Medicines used in Mental Health [summary](`r config$html_top_link`)
* BNF Section 4.3 - [Antidepressant drugs](`r config$html_0403_link`)
* BNF Section 4.1 - [Hypnotics and anxiolytics](`r config$html_0401_link`)
* BNF Section 4.2 - [Drugs used in psychoses and related disorders](`r config$html_0402_link`)
* BNF Section 4.4 - [Central nervous system (CNS) stimulants and drugs used for ADHD](`r config$html_0404_link`)
* [Prescribing during the COVID-19 pandemic](`r config$html_model_link`)
* Medicines used in Mental Health [background](`r config$background_link`)