ArticleDrugs & aging2011
Potentially inappropriate medication use among Finnish non-institutionalized people aged ≥65 years: a register-based, cross-sectional, national study.
Article in Drugs & aging, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02545257 (Development of a Coordinated, Community-Based Medication Management Model for Home-Dwelling Aged in Primary Care), which is not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Development of a Coordinated, Community-Based Medication Management Model for Home-Dwelling Aged in Primary Care
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Pooled it
- Potentially inappropriate prescribing in community-dwelling older people across Europe: a systematic literature review.European journal of clinical pharmacology · 2015Pooled it
- Inappropriate Drug Use in People with Cognitive Impairment and Dementia: A Systematic Review.Current clinical pharmacology · 2015Pooled it
- Enhanced coordination of care to reduce medication risks in older home care clients in primary care: a randomized controlled trial.BMC geriatrics · 2019Trial
- Prevalence of potentially inappropriate medication use in older population: comparison of the Finnish Meds75+ database with eight published criteria.BMC geriatrics · 2023Article
- Potentially inappropriate medication use by level of polypharmacy among US Veterans 49-64 and 65-70 years old.Pharmacoepidemiology and drug safety · 2022Article
- Collaborative Medication Reviews to Identify Inappropriate Prescribing in Pre-Admission Medications at Emergency Department Short-Term Ward.Integrated pharmacy research & practice · 2021Article
- Are Older People Aware of Potential Risks Related to Benzodiazepines They are Taking and Has Anything Changed in Risk Awareness Over Ten Years?Patient preference and adherence · 2021Article
- Medication Risk Management in Routine Dispensing in Community Pharmacies.International journal of environmental research and public health · 2020Article
- The association of potentially inappropriate medication use on health outcomes and hospital costs in community-dwelling older persons: a longitudinal 12-year study.The European journal of health economics : HEPAC : health economics in prevention and care · 2019Article
- Variations in drug-related problems detected by multidisciplinary teams in Norwegian nursing homes and home nursing care.Scandinavian journal of primary health care · 2018Article
- [Identifying potentially inappropriate prescriptions in patients over 65 years-old using original Beers criteria and their Spanish adaptation].Atencion primaria · 2018Observational
- Impact of the automated dose dispensing with medication review on geriatric primary care patients drug use in Finland: a nationwide cohort study with matched controls.Scandinavian journal of primary health care · 2017Article
- Potentially inappropriate medication in the elderly in Germany: an economic appraisal of the PRISCUS list.BMC health services research · 2016Article
- Potentially inappropriate drug use in older people: a nationwide comparison of different explicit criteria for population-based estimates.British journal of clinical pharmacology · 2015Article
- Article
- Did the new French pay-for-performance system modify benzodiazepine prescribing practices?BMC health services research · 2014Article
- Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics.European journal of clinical pharmacology · 2013Article
- Potentially inappropriate drug use among older persons in Finland: application of a new national categorization.European journal of clinical pharmacology · 2013Article
- High-risk prescribing and monitoring in primary care: how common is it, and how can it be improved?Therapeutic advances in drug safety · 2012Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Beers criteria and their modifications are the most frequently used tools for measuring potentially inappropriate medication (PIM) use among older people. The prevalence of such use in various settings has been high, but no data have been reported for an entire national non-institutionalized elderly population, nor is there information on the reimbursement costs for those medications.
objectiveTo determine the prevalence of PIM use according to the Beers 2003 criteria, independent of diagnoses, among Finnish non-institutionalized people aged ≥65 years, and the reimbursement costs for these medications.
methodsA register-based cross-sectional national study used drug reimbursement data from Finland's Social Insurance Institution (SII). These data cover the entire non-institutionalized population aged ≥65 years in 2007. The number of persons who received reimbursements for each PIM according to the Beers 2003 criteria and the total annual reimbursement costs for PIMs were calculated. Indirect costs were excluded.
resultsOf the non-institutionalized population aged ≥65 years in Finland (n = 841,509), 14.7% (n = 123,545) had received PIMs according to the Beers 2003 criteria. Temazepam >15 mg/day was clearly the most commonly reimbursed PIM (4.4% of the population aged ≥65 years), followed by amitriptyline (2.0%) and diazepam (1.8%). The SII paid drug reimbursements of €2.9 million for PIMs, which was 0.7% of the total drug reimbursements (€421 million) for people aged ≥65 years in Finland in 2007.
conclusionsThe use of PIMs among outpatients aged ≥65 years in Finland (14.7%) was less than in several earlier large-scale studies in other countries (17-42%) and reimbursement costs were modest, mainly as a result of the limited availability in Finland of medicines identified as PIMs by the Beers 2003 criteria. However, benzodiazepines were commonly used and actions to improve medication safety should target reducing their use.
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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.