Evidence map›Paper›PMID 18570005›Full record

ArticleScandinavian journal of primary health care2008

Pharmacologically inappropriate prescriptions for elderly patients in general practice: How common? Baseline data from The Prescription Peer Academic Detailing (Rx-PAD) study.

Mette Brekke, Sture Rognstad, Jørund Straand, Kari Furu, Svein Gjelstad, Trine Bjørner, Ingvild Dalen

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scandinavian journal of primary health care, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02833272 (Deprescribing Sedative Hypnotics on the Clinical Teaching Unit Using a Patient Empowerment Tool), which is not on this map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02833272 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Deprescribing Sedative Hypnotics on the Clinical Teaching Unit Using a Patient Empowerment Tool

TypeinterventionalSponsorMcGill University Health Centre/Research Institute of the McGill University Health CentreRan2016 to 2017Enrolled50ConditionsFrailty, Deprescription, AgedArmsEMPOWER Educational Brochure
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Ambulatory Medication Safety in Primary Care: A Systematic Review.Journal of the American Board of Family Medicine : JABFM
    Pooled it
  5. Trial
  6. Prescription peer academic detailing to reduce inappropriate prescribing for older patients: a cluster randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013
    Trial
  7. Article
  8. Observational
  9. Illness narratives and preferences for treatment among older veterans living with treatment-resistant depression and insomnia.Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists · 2020
    Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Inappropriate prescribing for the elderly--a modern epidemic?European journal of clinical pharmacology · 2012
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mette BrekkeSection for General Practice, Department of General Practice and Community Health, University of Oslo, Norway. mette.brekke@medisin.uio.no
Sture Rognstad
Jørund Straand
Kari Furu
Svein Gjelstad
Trine Bjørner
Ingvild Dalen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess Norwegian general practitioners' (GPs') level of potentially harmful drug prescribing for elderly patients.

designPrescription data for 12 months were retrospectively retrieved from the Norwegian Prescription Database (NorPD). Data were assessed in relation to 13 prescription quality indicators.

settingGeneral practice. SUBJECTS: A total of 454 GPs attending continuous medical education (CME) groups in Southern Norway, 85,836 patients >or=70 years who received any prescription from the GPs during the study period.

main outcome measuresNumber of prescriptions assessed in relation to pharmacological inappropriateness based on a list of 13 explicit prescription quality indicators.

resultsSome 18.4% of the patients (66% females with mean age 79.8 years, 34% males with mean age 78.7 years) received one or more inappropriate prescriptions from their GP. An NSAID in a potentially harmful combination with another drug (7%) and a long-acting benzodiazepine (4.6%) were the most frequent inappropriate prescriptions made. Doctor characteristics associated with more inappropriate prescribing practice were old age and working single-handed with many elderly patients.

conclusionThe study reveals areas where GPs' prescribing practice for elderly patients can be improved and which can be targeted in educational interventions.

Indexed as

Drug PrescriptionsDrug Utilization ReviewFamily PracticePractice Patterns, Physicians'AgedDrug InteractionsEducation, Medical, ContinuingFemaleHumansMaleMedication ErrorsMiddle AgedNorwayPolypharmacyProgram EvaluationQuality Indicators, Health Care

Identifiers

PMID18570005
PMCPMC3406653

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.