{"id":19094,"date":"2025-08-29T18:11:51","date_gmt":"2025-08-29T16:11:51","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=19094"},"modified":"2025-08-29T18:21:29","modified_gmt":"2025-08-29T16:21:29","slug":"brugen-af-protonpumpehaemmere-i-danmark-2015-2023-viser-behov-for-rationel-ordination-og-plan-for-udtrapning","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/08\/29\/brugen-af-protonpumpehaemmere-i-danmark-2015-2023-viser-behov-for-rationel-ordination-og-plan-for-udtrapning\/","title":{"rendered":"Brugen af protonpumpeh\u00e6mmere i Danmark 2015-2023 -viser behov for rationel ordination og plan for udtrapning"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-12835\" src=\"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/02\/Mave-tarm-1.png?resize=690%2C204&#038;quality=80&#038;ssl=1\" alt=\"\" width=\"690\" height=\"204\" srcset=\"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/02\/Mave-tarm-1.png?w=690&amp;quality=80&amp;ssl=1 690w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/02\/Mave-tarm-1.png?resize=300%2C89&amp;quality=80&amp;ssl=1 300w, https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/02\/Mave-tarm-1.png?resize=600%2C177&amp;quality=80&amp;ssl=1 600w\" sizes=\"(max-width: 690px) 100vw, 690px\" \/><\/p>\n<p><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Lundgaard KM, Christiansen M\u00d8, Sonne H, Mose K, Nyland N, Andersen MJL, Potteg\u00e5rd A. Trends in Proton-Pump Inhibitor Use Among Danish Adults: A Nationwide Drug Utilization Study 2015\u20132023. Basic &amp; Clinical Pharmacology &amp; Toxicology. 2025;137:e70057. doi: <\/span><a class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" draggable=\"false\" href=\"https:\/\/doi.org\/10.1111\/bcpt.70057\" target=\"_blank\" rel=\"noopener\">10.1111\/bcpt.70057<\/a><\/p>\n<p><em><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Af Karoline M. Lundgaard, Farmaceut, ph.d.-studerende. <\/span><\/em><a class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\" draggable=\"false\" href=\"mailto:kmlundgaard@health.sdu.dk\" target=\"_blank\" rel=\"noopener\">kmlundgaard@health.sdu.dk<\/a><\/p>\n<p><a class=\"fasc-button fasc-size-medium fasc-type-flat fasc-rounded-medium\" style=\"background-color: #33809e; color: #ffffff;\" target=\"_blank\" rel=\"noopener\" href=\"https:\/\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/08\/RESUME-2825-protonpumpehaemmere-i-DK-1.pdf\">Download Resume som pdf<\/a><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Resum\u00e9<\/span><\/strong><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Introduktion<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Protonpumpeh\u00e6mmere (PPI\u2019er) er blandt de mest anvendte l\u00e6gemidler mod mavesyre-relaterede lidelser. P\u00e5 trods af deres dokumenterede effekt er der stigende bekymring for et muligt overforbrug og langvarig behandling uden klar indikation.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Metode<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Ved brug af landsd\u00e6kkende danske registre identificerede vi alle voksne danskere, der indl\u00f8ste mindst \u00e9n PPI-recept i perioden 2015-2023. Vi unders\u00f8gte antallet af nye brugere, total antal brugere, behandlingsvarighed og samtidig brug af l\u00e6gemidler der kan \u00f8ge risikoen for maves\u00e5r (fx blodfortyndende medicin).<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Resultater<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">I alt indl\u00f8ste 1,7 mio. voksne danskere mindst \u00e9n PPI-recept. Forbruget steg med 17 % i perioden. Den samlede andel af voksne danskere der brugte PPI steg fra 7,0 % i 2015 til 8,2 % i 2023. Antallet af nye brugere var stabil p\u00e5 omkring 3 nye brugere pr. 100 person\u00e5r. Pantoprazol var det mest anvendte PPI, mens rabeprazol n\u00e6sten ikke blev brugt. Tre \u00e5r efter behandlingsstart brugte 17 % fortsat PPI\u2019er, men kun 1,5 % var fortsat i alle tre uden behandlingspauser. Der var 50% i 2023 der samtidigt brugte medicin der kan give \u00f8get risiko for maves\u00e5r, en stigning p\u00e5 3,2 procentpoint siden 2015.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Diskussion<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Studiet viser en fortsat stigning i PPI-brugen i Danmark, men stigningen sker i et lavere tempo end tidligere \u00e5rtier. Den stabile incidens tyder p\u00e5, at flere forbliver i behandling, hvilket kan afspejle risiko for overforbrug.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Konklusion<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">PPI-brugen blandt danske voksne er p\u00e5 et h\u00f8jt stabilt niveau og er tydeligt aldersafh\u00e6ngig. Selvom mange stopper behandlingen igen, forbliver en ikke ubetydelig andel i l\u00e6ngerevarende behandling.<\/span><\/p>\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Implikationer for praksis<br \/>\n<\/span><\/strong><span class=\"a_GcMg font-feature-liga-off font-feature-clig-off font-feature-calt-off text-decoration-none text-strikethrough-none\">Resultaterne understreger behovet for fortsat fokus p\u00e5 rationel ordination og en plan for aftrapning af PPI\u2019er, is\u00e6r hos \u00e6ldre patienter.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lundgaard KM, Christiansen M\u00d8, Sonne H, Mose K, Nyland N, Andersen MJL, Potteg\u00e5rd A. Trends in Proton-Pump Inhibitor Use Among [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":12836,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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