Evidence map›Paper›PMID 25965505›Full record

ArticleScandinavian journal of primary health care2015

Factors influencing prescribing of fall-risk-increasing drugs to the elderly: A qualitative study.

Hege Therese Bell, Aslak Steinsbekk, Anne Gerd Granas

Abstract read
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Article in Scandinavian journal of primary health care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
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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

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3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Hege Therese BellDepartment of Pharmacy, Faculty of Health Sciences, Nord-Trondelag University College , Namsos , Norway.
Aslak Steinsbekk
Anne Gerd Granas

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveExplore the situations in which GPs associate drug use with falls among their elderly patients, and the factors influencing the prescribing and cessation of fall-risk-increasing drugs (FRIDs).

designA qualitative study with 13 GPs who participated in two semi-structured focus groups in Central Norway. Participants were encouraged to share overall thoughts on the use of FRIDs among elderly patients and stories related to prescribing and cessation of FRIDs in their own practice.

resultsThe main finding was that GPs did not immediately perceive the use of FRIDs to be a prominent factor regarding falls in elderly patients, exceptions being when the patient presented with dizziness, reported a fall, or when prescribing FRIDs for the first time. It was reported as common to renew prescriptions without performing a drug review. Factors influencing the prescribing and cessation of FRIDs were categorized into GPs' clinical work conditions, uncertainty about outcome of changing prescriptions, patients' prescribing demands, and lack of patient information.

conclusionsThe results from this study indicate that GPs need to be reminded that there is a connection between FRID use and falls among elderly patients of enough clinical relevance to remember to assess the patient's drug list and perform regular drug reviews.

Indexed as

Accidental FallsAttitude of Health PersonnelDrug PrescriptionsGeneral PracticeGeneral PractitionersPractice Patterns, Physicians'AgedDizzinessDrug-Related Side Effects and Adverse ReactionsFemaleHumansMaleNorwayQualitative ResearchRisk FactorsDrug reviewelderlyfallsgeneral practitionerinappropriate prescribingNorwayprimary carequalitative

Identifiers

PMID25965505
PMCPMC4834497

What OpenQuestion holds

Textmetadata
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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.