Evidence map›Paper›PMID 25516030›Full record

ArticleJournal of the American Geriatrics Society2014

Practical problems with medication use that older people experience: a qualitative study.

Kim Notenboom, Erna Beers, Diana A van Riet-Nales, Toine C G Egberts, Hubert G M Leufkens, Paul A F Jansen, Marcel L Bouvy

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Article in Journal of the American Geriatrics Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing 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

54 citing papers in PubMed.

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  11. Medication use Pattern among the Elderly in Iran: A Review Article.International journal of preventive medicine · 2024
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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

7 authors.

Kim NotenboomDepartment of Public Health Effects, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Erna Beers
Diana A van Riet-Nales
Toine C G Egberts
Hubert G M Leufkens
Paul A F Jansen
Marcel L Bouvy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify the practical problems that older people experience with the daily use of their medicines and their management strategies to address these problems and to determine the potential clinical relevance thereof.

designQualitative study with semistructured face-to-face interviews.

settingA community pharmacy and a geriatric outpatient ward.

participantsCommunity-dwelling people aged 70 and older (N = 59). MEASUREMENTS: Participants were interviewed at home. Two researchers coded the reported problems and management strategies independently according to a coding scheme. An expert panel classified the potential clinical relevance of every identified practical problem and associated management strategy using a 3-point scale.

resultsTwo hundred eleven practical problems and 184 management strategies were identified. Ninety-five percent of the participants experienced one or more practical problems with the use of their medicines: problems reading and understanding the instructions for use, handling the outer packaging, handling the immediate packaging, completing preparation before use, and taking the medicine. For 10 participants, at least one of their problems, in combination with the applied management strategy, had potential clinical consequences and 11 cases (5% of the problems) had the potential to cause moderate or severe clinical deterioration.

conclusionOlder people experience a number of practical problems using their medicines, and their strategies to manage these problems are sometimes suboptimal. These problems can lead to incorrect medication use with clinically relevant consequences. The findings pose a challenge for healthcare professionals, drug developers, and regulators to diminish these problems.

Indexed as

Drug PackagingAgedAged, 80 and overDisease ManagementDrug LabelingFemaleHumansInterviews as TopicMalePharmaceutical PreparationsQualitative ResearchPharmaceutical Preparationsadherencemedication usemedicinesolder peoplequalitative research

Identifiers

PMID25516030
PMCPMC4293156

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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.