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Table 2 Proportions of antipsychotic prescriptions by year (excluding patients with developmental disabilities)

From: Temporal trends in antipsychotic prescriptions for pediatric patients using an administrative hospital database in Japan: a retrospective study

 

2015

2016

2017

2018

2019

2020

2021

2022

P

Males

         

All patients

         

Patients with schizophrenia, n

408

411

374

373

377

342

362

354

 

Prescriptions for any antipsychotic, %

78.4

79.8

78.3

75.1

73.5

77.5

71.8

77.4

0.06

Aripiprazole, %

18.6

20.2

21.7

22.5

25.7

28.1

28.7

30.8

< 0.001

Risperidone, %

41.2

44.5

40.6

40.2

33.7

38.6

31.5

29.7

< 0.001

Quetiapine, %

9.3

8.3

10.2

7.8

9.5

11.1

11.3

11.9

0.06

Olanzapine, %

9.8

8.3

10.2

7.2

6.9

6.4

8.6

10.5

0.73

Sulpiride, %

2.0

1.5

1.9

1.1

1.3

1.8

3.3

5.6

< 0.001

Brexpiprazole, %

0.0

0.0

0.0

0.3

3.4

3.2

1.9

2.8

< 0.001

Lurasidone, %

0.0

0.0

0.0

0.0

0.0

0.3

1.4

2.8

< 0.001

Perospirone, %

1.5

1.2

1.6

0.5

0.8

1.8

0.8

2.3

0.62

Haloperidol, %

4.7

2.9

1.9

2.1

1.6

1.5

1.9

1.7

0.005

Chlorpromazine, %

1.7

1.0

0.8

1.6

1.1

1.2

1.4

1.4

0.97

Levomepromazine, %

2.0

2.2

2.4

1.6

0.8

2.0

1.9

0.8

0.21

Blonanserin, %

1.7

1.0

0.5

0.8

0.8

1.5

1.4

0.6

0.59

Propericiazine, %

0.2

0.0

0.8

0.3

0.8

0.3

0.6

0.6

0.33

Paliperidone, %

1.7

1.7

0.8

1.1

1.1

0.6

0.6

0.3

0.01

Prochlorperazine, %

0.5

1.0

0.0

0.5

2.1

0.6

0.3

0.3

0.80

Asenapine, %

0.0

0.2

0.3

0.8

0.3

1.5

0.3

0.0

0.42

Clozapine, %

0.0

0.2

0.5

0.3

0.8

0.6

0.0

0.0

0.95

Zotepine, %

0.5

0.7

0.8

0.0

0.0

0.0

0.0

0.0

0.01

Fluphenazine, %

0.0

0.2

0.0

0.0

0.0

0.3

0.0

0.0

0.82

Bromperidol, %

0.2

0.2

0.0

0.0

0.0

0.3

0.0

0.0

0.30

0–4 years

         

Patients with schizophrenia, n

9

14

15

15

12

11

11

12

 

Prescriptions for any antipsychotic, %

66.7

57.1

53.3

66.7

50.0

72.7

63.6

50.0

0.87

Risperidone, %

66.7

42.9

40.0

60.0

41.7

54.5

36.4

25.0

0.16

Aripiprazole, %

11.1

7.1

6.7

6.7

16.7

27.3

27.3

16.7

0.10

Chlorpromazine, %

0.0

0.0

0.0

0.0

0.0

0.0

0.0

8.3

0.11

Quetiapine, %

0.0

0.0

0.0

6.7

0.0

0.0

0.0

0.0

0.84

Haloperidol, %

0.0

7.1

0.0

0.0

0.0

0.0

0.0

0.0

0.26

Propericiazine, %

0.0

0.0

6.7

0.0

0.0

0.0

0.0

0.0

0.51

5–12 years

         

Patients with schizophrenia, n

126

118

103

106

93

74

80

85

 

Prescriptions for any antipsychotic, %

89.7

83.9

82.5

77.4

75.3

75.7

73.8

83.5

0.01

Aripiprazole, %

17.5

19.5

21.4

21.7

24.7

31.1

32.5

43.5

< 0.001

Risperidone, %

63.5

63.6

61.2

56.6

41.9

39.2

41.3

40.0

< 0.001

Quetiapine, %

5.6

3.4

2.9

1.9

9.7

6.8

5.0

7.1

0.21

Olanzapine, %

2.4

0.0

1.9

0.9

2.2

1.4

1.3

2.4

0.76

Chlorpromazine, %

0.8

0.8

1.0

0.9

0.0

0.0

1.3

1.2

0.97

Sulpiride, %

0.0

0.0

0.0

0.0

1.1

1.4

2.5

1.2

0.02

Paliperidone, %

0.0

0.0

0.0

0.0

0.0

0.0

1.3

1.2

0.04

Haloperidol, %

4.8

3.4

1.9

1.9

2.2

4.1

2.5

1.2

0.23

Blonanserin, %

0.0

0.0

0.0

0.9

0.0

1.4

1.3

1.2

0.07

Perospirone, %

1.6

1.7

0.0

0.0

0.0

0.0

0.0

1.2

0.19

Lurasidone, %

0.0

0.0

0.0

0.0

0.0

0.0

0.0

1.2

0.09

Prochlorperazine, %

0.0

0.0

0.0

0.0

1.1

0.0

0.0

0.0

0.71

Propericiazine, %

0.8

0.0

1.0

0.0

0.0

0.0

0.0

0.0

0.19

Levomepromazine, %

1.6

0.8

2.9

0.9

0.0

0.0

0.0

0.0

0.05

13–18 years

         

Patients with schizophrenia, n

273

279

256

252

272

257

271

257

 

Prescriptions for any antipsychotic, %

73.6

79.2

78.1

74.6

73.9

78.2

71.6

76.7

0.59

Aripiprazole, %

20.1

22.2

22.7

25.0

26.5

28.8

28.0

30.0

< 0.001

Risperidone, %

33.3

40.5

35.2

34.9

32.4

38.5

29.5

29.2

0.04

Quetiapine, %

12.1

11.1

13.7

10.7

10.7

13.2

13.7

14.4

0.30

Olanzapine, %

13.9

12.2

14.1

10.7

8.8

8.2

11.1

13.6

0.27

Sulpiride, %

2.9

2.2

2.7

1.6

1.5

1.9

3.7

7.8

0.00

Brexpiprazole, %

0.0

0.0

0.0

0.4

4.8

4.3

2.6

3.9

< 0.001

Lurasidone, %

0.0

0.0

0.0

0.0

0.0

0.4

1.8

3.5

< 0.001

Perospirone, %

1.5

1.1

2.3

0.8

1.1

2.3

1.1

2.7

0.37

Haloperidol, %

4.8

2.5

2.0

2.4

1.5

0.8

1.8

1.9

0.02

Chlorpromazine, %

2.2

1.1

0.8

2.0

1.5

1.6

1.5

1.2

0.72

Levomepromazine, %

2.2

2.9

2.7

2.0

1.1

2.7

2.6

1.2

0.41

Propericiazine, %

0.0

0.0

0.4

0.4

1.1

0.4

0.7

0.8

0.07

Blonanserin, %

2.6

1.4

0.8

0.8

1.1

1.6

1.5

0.4

0.16

Prochlorperazine, %

0.7

1.4

0.0

0.8

2.6

0.8

0.4

0.4

0.62

Paliperidone, %

2.6

2.5

1.2

1.6

1.5

0.8

0.4

0.0

< 0.001

Zotepine, %

0.7

1.1

1.2

0.0

0.0

0.0

0.0

0.0

0.00

Bromperidol, %

0.4

0.4

0.0

0.0

0.0

0.4

0.0

0.0

0.27

Asenapine, %

0.0

0.4

0.4

1.2

0.4

1.9

0.4

0.0

0.50

Clozapine, %

0.0

0.4

0.8

0.4

1.1

0.8

0.0

0.0

0.86

Fluphenazine, %

0.0

0.4

0.0

0.0

0.0

0.4

0.0

0.0

0.77

Females

         

All patients

         

Patients with schizophrenia, n

473

488

450

488

513

554

665

730

 

Prescriptions for any antipsychotic, %

76.1

75.6

70.9

78.3

74.1

73.3

79.5

78.8

0.045

Aripiprazole, %

20.7

23.6

24.7

28.5

29.0

30.1

34.6

36.7

< 0.001

Quetiapine, %

22.2

19.9

18.4

22.1

23.0

23.6

25.3

23.6

0.02

Risperidone, %

31.5

32.4

29.3

27.9

26.1

24.2

23.8

20.0

< 0.001

Olanzapine, %

10.4

11.5

10.0

9.6

9.6

7.0

10.7

10.1

0.49

Lurasidone, %

0.0

0.0

0.0

0.0

0.0

0.7

4.1

6.3

< 0.001

Sulpiride, %

3.4

2.0

2.4

2.7

3.3

3.4

5.4

6.2

< 0.001

Brexpiprazole, %

0.0

0.0

0.0

1.0

4.3

5.2

4.2

4.7

< 0.001

Levomepromazine, %

1.5

3.1

2.7

4.3

3.7

2.2

2.3

2.7

0.92

Perospirone, %

4.2

3.3

4.2

2.5

2.3

2.7

3.2

2.6

0.10

Chlorpromazine, %

2.1

1.2

2.0

2.7

2.5

1.8

2.4

2.3

0.41

Blonanserin, %

2.3

2.9

3.8

2.7

1.9

1.6

2.0

1.5

0.03

Asenapine, %

0.0

0.4

0.9

0.6

0.8

0.9

0.3

0.7

0.35

Paliperidone, %

0.8

1.2

0.4

0.4

0.0

0.7

0.5

0.4

0.13

Haloperidol, %

2.1

2.7

2.0

1.8

1.8

1.4

0.8

0.3

< 0.001

Prochlorperazine, %

0.4

0.0

0.0

0.4

0.8

0.2

0.5

0.3

0.56

Zotepine, %

1.1

0.4

0.2

0.6

0.6

0.2

0.2

0.1

0.02

Pipamperone, %

0.0

0.0

0.0

0.0

0.0

0.2

0.0

0.1

0.19

Propericiazine, %

0.4

0.8

0.2

0.0

0.0

0.0

0.3

0.1

0.07

Oxypertine, %

0.2

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.10

Clozapine, %

0.0

0.4

0.2

0.2

0.0

0.0

0.0

0.0

0.07

Fluphenazine, %

0.2

0.2

0.2

0.0

0.0

0.0

0.0

0.0

0.04

Bromperidol, %

0.2

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.10

0–4 years

         

Patients with schizophrenia, n

7

7

5

6

6

4

5

4

 

Prescriptions for any antipsychotic, %

71.4

71.4

80.0

50.0

66.7

25.0

40.0

25.0

0.03

Aripiprazole, %

14.3

14.3

20.0

33.3

50.0

25.0

0.0

25.0

0.77

Quetiapine, %

0.0

0.0

40.0

0.0

16.7

25.0

20.0

0.0

0.47

Haloperidol, %

0.0

0.0

0.0

0.0

0.0

0.0

20.0

0.0

0.20

Risperidone, %

57.1

57.1

40.0

50.0

50.0

0.0

0.0

0.0

0.004

5–12 years

         

Patients with schizophrenia, n

83

93

74

76

74

73

70

81

 

Prescriptions for any antipsychotic, %

71.0

81.0

53.0

65.0

59.0

46.0

60.0

70.0

0.50

Aripiprazole, %

25.3

30.1

25.7

23.7

31.1

27.4

41.4

45.7

0.002

Risperidone, %

48.2

47.3

44.6

51.3

37.8

30.1

31.4

30.9

< 0.001

Quetiapine, %

16.9

10.8

8.1

15.8

14.9

9.6

18.6

9.9

0.85

Olanzapine, %

2.4

3.2

1.4

2.6

6.8

4.1

4.3

7.4

0.06

Sulpiride, %

1.2

1.1

1.4

0.0

2.7

0.0

2.9

4.9

0.07

Brexpiprazole, %

0.0

0.0

0.0

0.0

1.4

1.4

2.9

3.7

0.003

Chlorpromazine, %

1.2

1.1

0.0

0.0

0.0

1.4

1.4

2.5

0.32

Lurasidone, %

0.0

0.0

0.0

0.0

0.0

0.0

0.0

2.5

0.03

Levomepromazine, %

0.0

1.1

1.4

3.9

5.4

1.4

0.0

2.5

0.43

Paliperidone, %

0.0

0.0

0.0

0.0

0.0

0.0

0.0

1.2

0.12

Blonanserin, %

0.0

0.0

1.4

1.3

0.0

1.4

1.4

1.2

0.24

Haloperidol, %

2.4

3.2

0.0

0.0

1.4

0.0

1.4

0.0

0.08

Fluphenazine, %

0.0

1.1

0.0

0.0

0.0

0.0

0.0

0.0

0.30

Prochlorperazine, %

0.0

0.0

0.0

0.0

0.0

0.0

1.4

0.0

0.26

Propericiazine, %

0.0

1.1

0.0

0.0

0.0

0.0

0.0

0.0

0.30

Perospirone, %

0.0

0.0

0.0

0.0

1.4

2.7

0.0

0.0

0.34

13–18 years

         

Patients with schizophrenia, n

383

388

371

406

433

477

590

645

 

Prescriptions for any antipsychotic, %

74.2

72.9

70.6

77.3

73.2

75.3

79.2

78.1

0.005

Aripiprazole, %

21.1

22.9

24.5

29.6

28.6

31.9

34.9

35.7

< 0.001

Quetiapine, %

23.8

22.7

20.8

23.9

24.9

26.6

26.3

25.4

0.07

Risperidone, %

28.2

30.2

26.7

24.6

24.2

24.7

23.2

19.5

< 0.001

Olanzapine, %

12.3

13.9

11.9

11.3

10.2

7.5

11.5

10.9

0.10

Lurasidone, %

0.0

0.0

0.0

0.0

0.0

0.8

4.6

7.0

< 0.001

Sulpiride, %

3.9

2.3

2.7

3.2

3.5

4.0

5.8

6.5

< 0.001

Brexpiprazole, %

0.0

0.0

0.0

1.2

5.1

5.9

4.4

4.8

< 0.001

Perospirone, %

5.2

4.1

5.1

3.0

2.5

2.7

3.6

2.9

0.03

Levomepromazine, %

1.8

3.6

3.0

4.4

3.5

2.3

2.5

2.8

0.75

Chlorpromazine, %

2.3

1.5

2.4

3.2

3.0

1.9

2.5

2.3

0.82

Blonanserin, %

2.9

3.6

4.3

3.0

2.3

1.7

2.0

1.6

0.01

Asenapine, %

0.0

0.5

1.1

0.7

0.9

1.0

0.3

0.8

0.45

Paliperidone, %

1.0

1.5

0.5

0.5

0.0

0.8

0.5

0.3

0.04

Haloperidol, %

2.1

2.6

2.4

2.2

2.1

1.7

0.5

0.3

< 0.001

Prochlorperazine, %

0.5

0.0

0.0

0.5

0.9

0.2

0.3

0.3

0.82

Zotepine, %

1.3

0.5

0.3

0.7

0.7

0.2

0.2

0.2

0.01

Pipamperone, %

0.0

0.0

0.0

0.0

0.0

0.2

0.0

0.2

0.21

Propericiazine, %

0.5

0.8

0.3

0.0

0.0

0.0

0.3

0.2

0.10

Oxypertine, %

0.3

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.09

Clozapine, %

0.0

0.5

0.3

0.2

0.0

0.0

0.0

0.0

0.06

Fluphenazine, %

0.3

0.3

0.3

0.0

0.0

0.0

0.0

0.0

0.03

Bromperidol, %

0.3

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.09

  1. Each drug is listed in the order of the proportion of prescriptions for antipsychotics in 2022
  2. The Cochran–Armitage trend test was used for statistical analysis
  3. P < 0.05 was considered statistically significant