Evidence map›Paper›PMID 27151390›Full record

ArticleAge and ageing2016

Sex differences in the risk of receiving potentially inappropriate prescriptions among older adults.

Steven G Morgan, Deirdre Weymann, Brandy Pratt, Kate Smolina, Emilie J Gladstone, Colette Raymond, Barbara Mintzes

Abstract readComparative Study
In one paragraph

Article in Age and ageing, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
–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

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

  1. Pooled it
  2. Trial
  3. Article
  4. The other side of the coin: The case for deprescribing competencies in medical education.Canadian family physician Medecin de famille canadien · 2026
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  18. Potentially Inappropriate Medication Use in Patients with Dementia.International journal of environmental research and public health · 2022
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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.

Steven G MorganSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada V6T1Z3.
Deirdre WeymannSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada V6T1Z3.
Brandy PrattUniversity Health Network, Toronto, ON, Canada.
Kate SmolinaSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada V6T1Z3.
Emilie J GladstoneSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada V6T1Z3.
Colette RaymondManitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB, Canada.
Barbara MintzesFaculty of Pharmacy, The University of Sydney, Sydney, NSW, Australia.

Funding

CIHR MOP 119360
6 · The paper itself

Abstract

objectivesto measure sex differences in the risk of receiving potentially inappropriate prescription drugs and to examine what are the factors that contribute to these differences.

designa retrospective cohort study.

settingcommunity setting of British Columbia, Canada.

participantsresidents of British Columbia aged 65 and older (n = 660,679). MEASUREMENTS: we measured 2013 period prevalence of prescription dispensations satisfying the American Geriatrics Society's 2012 version of the Beers Criteria for potentially inappropriate medication use in older adults. We used logistic regressions to test for associations between this outcome and a number of clinical and socioeconomic factors.

resultsa larger share of women (31%) than of men (26%) filled one or more potentially inappropriate prescription in the community. The odds of receiving potentially inappropriate prescriptions are associated with several clinical and socioeconomic factors. After controlling for those factors, community-dwelling women were at 16% higher odds of receiving a potentially inappropriate prescription than men (adjusted odds ratio = 1.16, 95% confidence interval = 1.12-1.21). Much of this sex difference stemmed from women's increased odds of receiving potentially inappropriate prescriptions for benzodiazepines and other hypnotics, for tertiary tricyclic antidepressants and for non-selective NSAIDs.

conclusionthere are significant sex differences in older adults' risk of receiving a potentially inappropriate prescription as a result of complex intersections between gender and other social constructs. Appropriate responses will therefore require changes in the information, norms and expectations of both prescribers and patients.

Indexed as

Healthcare DisparitiesInappropriate PrescribingAgedAged, 80 and overBritish ColumbiaChi-Square DistributionDrug PrescriptionsFemaleHumansLogistic ModelsMaleOdds RatioPractice Patterns, Physicians'Retrospective StudiesRisk AssessmentRisk FactorsBeers criteriainappropriateolder adultsolder peoplesex and gendersocioeconomic disparities

Identifiers

PMID27151390
PMCPMC4916346

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.