Evidence map›Paper›PMID 24842594›Full record

ArticleDrugs & aging2014

Prescription of addictive and non-addictive drugs to home-dwelling elderly.

Inger Cathrine Kann, Christofer Lundqvist, Hilde Lurås

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Article in Drugs & aging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
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  3. Observational
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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

3 authors.

Inger Cathrine KannHealth Services Research Centre (HØKH), Akershus University Hospital, PO Box 95, 1478, Lørenskog, Norway, inger.cathrine.kann@ahus.no.
Christofer Lundqvist
Hilde Lurås

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplex medical conditions are frequent among seniors, and their medical treatment represents a challenge. Older patients have a high rate of consumption of prescription drugs, greater risks of medication interactions, and a higher likelihood of side effects. Many common drugs used by the elderly also have addictive potential. Prescription patterns involving general practitioners (GPs) are not sufficiently known.

objectiveOur objective was to examine the regular GP role in the prescription of addictive and non-addictive drugs to home-dwelling older people in Norway.

designThe study was designed as a panel data study.

settingData on all prescription drugs dispensed at pharmacies to patients 70 years and older from the Norwegian Prescription Database were merged with data on GPs and GPs' patient lists from the Regular General Practitioner Database. The dataset included 624,308 patients and 4,520 GPs in the period from 2004 to 2007. OUTCOME MEASURES: Outcome measures included quantities of addictive and non-addictive drugs prescribed and dispensed per patient by the regular GP, other GPs, non-GP specialists, and hospital doctors; the number of prescribers per patient; and time trend over the observation period.

resultsOn average, 319 defined daily doses of medication were prescribed per quarter to an older patient, 6 % of which were classified as possibly addictive medications. Of all drugs, 72 % were prescribed by the patients' regular GP, 77 % of addictives and 71 % of non-addictives. Drug quantities prescribed increased with multiple prescribers and did so to a greater extent for addictives than for non-addictives. Time trends show an increasing number of prescribers and increasing drug quantities over the observation period.

conclusionThe regular GP prescribes the major portion of non-addictive and, especially, addictive medications to older patients and thus holds a key role in the coordination of prescriptions to this group. Focusing on the role of the GP is important in view of the increasing time trends.

Indexed as

AgedAged, 80 and overAnalgesics, OpioidAnestheticsAnti-Anxiety AgentsAnticonvulsantsDatabases, FactualDrug PrescriptionsDrug UtilizationGeneral PractitionersHealth Services for the AgedHumansNorwayPractice Patterns, Physicians'Analgesics, OpioidAnestheticsAnti-Anxiety AgentsAnticonvulsants

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Registered trials

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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.