ArticleGeriatric nursing (New York, N.Y.)
A case study using the beers list criteria to compare prescribing by family practitioners and geriatric specialists in a rural nursing home.
Article in Geriatric nursing (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06235710 (Prevalence of Musculoskeletal Complaints in Nursing Home Residents), which is not on this map. Cited by 6 papers, 1 of them a synthesis 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.
Prevalence of Musculoskeletal Complaints in Nursing Home Residents
Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Prevalence of rheumatic and musculoskeletal diseases (RMDs) in nursing home residents: a systematic literature review.European geriatric medicine · 2024Pooled it
- A Scoping Literature Review of Rural Institutional Elder Care.International journal of environmental research and public health · 2022Article
- Pain Management in Home Health Care: Relationship With Dementia and Facility Admissions.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2021Article
- Potentially inappropriate medication use among hypertensive older African-American adults.BMC geriatrics · 2018Observational
- Facility and State Variation in Hip Fracture in U.S. Nursing Home Residents.Journal of the American Geriatrics Society · 2018Article
- Inappropriate Medication Use Among Underserved Elderly African Americans.Journal of aging and health · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
Previous studies have concluded that inappropriate medications and/or too many medications can lead to adverse events in older adults. The Beers List of potentially inappropriate medications (PIMs) for use in the elderly was developed to help guide clinicians to safely prescribe medications. Moreover, in the United States, policies exist regulating the number of prescriptions nursing home residents may take. Few studies have compared family and geriatric providers' prescribing trends. The aim of this study was to compare prescribing by family and geriatric providers in a rural U.S. nursing home using a nonequivalent 2-group analysis design with data collected via retrospective chart audits (N=92). Nursing home residents in the nongeriatric provider group had fewer total comorbidities (U=p<.001) and were less likely to have congestive heart failure (χ2=p<.001), coronary artery disease (χ2=p<.001), and degenerative joint disease (χ2=p<.001). Despite this, on average, providers who were not geriatric trained prescribed twice as many drugs per patient (U=p<.001). The odds were significantly greater of being prescribed 9 or more drugs (odds ratio 13.15, 95% confidence interval 4.3-39.5) or being prescribed at least 1 PIM (odds ratio 6.25, 95% confidence interval 1.3-29.0) if the prescriber was not geriatric trained. The prevalence in this nursing home of receiving at least 1 PIM and polypharmacy were 36.9% and 72.8%, respectively. Promethazine accounted for 46.9% of all PIMs prescribed. Geriatric education appears to have influenced prescribing patterns at this facility, with geriatric-trained providers adhering more closely to evidence-based guidelines for older patients. As geriatric educational content is incorporated into nongeriatric specialty areas, pharmacology and prescribing competencies should be an area of ongoing focus for educators.
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Registered trials
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