Evidence map›Paper›PMID 26546136›Full record

ArticleBMJ open2015

Application of three different sets of explicit criteria for assessing inappropriate prescribing in older patients: a nationwide prevalence study of ambulatory care visits in Taiwan.

Chirn-Bin Chang, Shu-Yu Yang, Hsiu-Yun Lai, Ru-Shu Wu, Hsing-Cheng Liu, Hsiu-Ying Hsu, Shinn-Jang Hwang, Ding-Cheng Chan

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
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

14 citing papers in PubMed, 23 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Chirn-Bin ChangDivision of Internal Medicine, National Taiwan University Chu-Tung Branch, Hsinchu County, Taiwan Department of Geriatrics and Gerontology, National Taiwan University Hospital, Taipei, Taiwan.
Shu-Yu YangCollege of Pharmacy, Kaohsiung Medical University, Kaohsiung, Taiwan Taipei City Psychiatry Center, Taipei City Hospital, Taipei, Taiwan.
Hsiu-Yun LaiDepartment of Family Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu City, Taiwan.
Ru-Shu WuTaipei City Psychiatry Center, Taipei City Hospital, Taipei, Taiwan.
Hsing-Cheng LiuTaipei City Psychiatry Center, Taipei City Hospital, Taipei, Taiwan Department of Psychiatry, School of Medicine, Taipei Medical University, Taipei, Taiwan.
Hsiu-Ying HsuTaipei City Psychiatry Center, Taipei City Hospital, Taipei, Taiwan.
Shinn-Jang HwangDepartment of Family Medicine, Taipei Veteran General Hospital, Taipei, Taiwan National Yang-Ming University, School of Medicine, Taipei, Taiwan.
Ding-Cheng ChanDepartment of Geriatrics and Gerontology, National Taiwan University Hospital, Taipei, Taiwan Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan Superintedent Office, National Taiwan University Hospital Chu-Tung Branch, Hsinchu County, Taiwan.
Taipei City Hospital · TWNational Taiwan University Hospital · TWNational Taiwan University · TWTaipei Veterans General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the national prevalence of potentially inappropriate medications (PIMs) prescribed in ambulatory care clinics in Taiwan according to three different sets of regional criteria and the correlates of PIM use.

designCross-sectional study.

settingThis analysis included older patients who visited ambulatory care clinics in 2009 and represented half of the older population included on the Taiwanese National Health Insurance Research Database.

participantsWe identified 1,164,701 subjects who visited ambulatory care clinics and were over 65 years old in 2009. PRIMARY AND SECONDARY OUTCOME MEASURES: PIM prevalence according to the 2012 Beers criteria, the PIM-Taiwan criteria and the PRISCUS criteria was estimated separately, and characteristics of PIM users were explored. Multivariate logistic regression analysis was used to determine patient factors associated with the use of at least one PIM. Leading PIMs for each set of criteria were also listed.

resultsThe prevalence of having at least one PIM at the patient level was highest with the Beers criteria (86.2%), followed by the PIM-Taiwan criteria (73.3%) and the PRISCUS criteria (66.9%). Polypharmacy and younger age were associated with PIM use for all three sets of criteria. The leading PIMs detected by the PIM-Taiwan and PRISCUS criteria were all included in the 2012 Beers criteria. Non-COX-selective non-steroidal anti-inflammatory drugs in the Beers criteria and benzodiazepines in the PIM-Taiwan and PRISCUS criteria accounted for most leading PIMs.

conclusionsThe prevalence of PIMs was high among older Taiwanese patients receiving ambulatory care visits. The prevalence of PIM and its associated factors varied according to three sets of criteria at the population level.

Indexed as

PolypharmacyPotentially Inappropriate Medication ListAgedAged, 80 and overAmbulatory CareCross-Sectional StudiesDatabases, FactualFemaleHumansInappropriate PrescribingLogistic ModelsMaleMultivariate AnalysisNational Health ProgramsRisk FactorsTaiwanAmbulatory careBeers criteriaPIM-Taiwan criteriapotentially inappropriate medicationsPRISCUS criteria

Identifiers

PMID26546136
PMCPMC4636615
OpenAlexW2118440806

What OpenQuestion holds

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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.