Evidence map›Paper›PMID 29177646›Full record

ArticleEuropean journal of clinical pharmacology2018

Longitudinal patterns of potentially inappropriate prescribing in early old-aged people.

Christina Raae Hansen, Stephen Byrne, Shane Cullinan, Denis O'Mahony, Laura J Sahm, Patricia M Kearney

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Article in European journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
  2. Observational
  3. Use of potentially inappropriate medication for elderly patients in tertiary care hospital of Riyadh, Saudi Arabia.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024
    Article
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  5. Sedatives and analgesics are major contributors to potentially inappropriate duplicate prescriptions in geriatric psychiatry.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2023
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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

6 authors.

Christina Raae HansenPharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cavanagh Pharmacy Building, College Road, Cork, Ireland. christina.raaehansen@ucc.ie.
Stephen ByrnePharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cavanagh Pharmacy Building, College Road, Cork, Ireland.
Shane CullinanSchool of Pharmacy, Royal College of Surgeons of Ireland, 123 St. Stephen's Green, Dublin 2, Ireland.
Denis O'MahonyDepartment of Medicine, University College Cork, Brookfield Health Sciences Complex, College Road, Cork, Ireland.
Laura J SahmPharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cavanagh Pharmacy Building, College Road, Cork, Ireland.
Patricia M KearneyDepartment of Epidemiology and Public Health, University College Cork, Western Gateway Building, Western Road, Cork, Ireland.

Funding

Health Research Board (IE) HRC/2007/13Horizon 2020 Framework Programme (BE) 634238
6 · The paper itself

Abstract

purposeIt is contentious whether potentially inappropriate prescribing (PIP) is predominantly a phenomenon of late life or whether it has its origins in early old age. This study examined the pattern of PIP in an early old-aged population over 5 years.

methodsSecondary data analysis of a population-based primary care cohort, of patients aged 60-74 years. Medication data were extracted from electronic patient records in addition to information on comorbidities and demographics. Explicit START criteria (PPOs) and STOPP criteria (PIMs) were used to identify PIP. Generalised estimating equations were used to describe trends in PIP over time and adjusted for age, gender and number of medicines.

resultsA total of 978 participants (47.8%) aged 60-74 years were included from the cohort. At baseline, PPOs were detected in 31.2% of patients and PIMs were identified in 35.6% at baseline. Prevalence of PPOs and PIMs increased significantly over time (OR 1.08, 95% CI 1.07; 1.09 and OR 1.04, 95% CI 1.0; 1.06, respectively). A higher number of medicines and new diagnoses were associated with the increasing trend in both PPO and PIM prevalence observed over time, independent of PPOs and PIMs triggered by drug combinations.

conclusionsPotentially inappropriate prescribing is highly prevalent among early old-aged people in primary care and increases as they progress to more advanced old age, suggesting that routine application of STOPP/START criteria in this population would significantly improve medication appropriateness.

Indexed as

ComorbidityHealth Services for the AgedInappropriate PrescribingPractice Patterns, Physicians'Primary Health CareAgedCohort StudiesDrug InteractionsDrug-Related Side Effects and Adverse ReactionsElectronic Health RecordsFemaleHumansIncidenceIrelandLongitudinal StudiesMaleLongitudinal patternsPIMPolypharmacy

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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.