Evidence map›Paper›PMID 29651640›Full record

ArticleDrugs & aging2018

Characteristics of New-Onset and Chronic Sleep Medication Users Among Older Adults: A Retrospective Study of a US Medigap Plan Population using Propensity Score Matching.

Shirley Musich, Shaohung S Wang, Luke B Slindee, Lynn Saphire, Ellen Wicker

Open access · hybridAbstract read
In one paragraph

Article in Drugs & aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Impact of Function Focused Care and Physical Activity on Falls in Assisted Living Residents.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2020
    Article
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

5 authors at 2 institutions in 1 country.

Shirley MusichResearch for Aging Populations, Optum, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI, 48108, USA. shirley.musich@optum.com.
Shaohung S WangResearch for Aging Populations, Optum, 315 E. Eisenhower Parkway, Suite 305, Ann Arbor, MI, 48108, USA.
Luke B SlindeeInformatics and Data Science, Optum, 12700 Whitewater Drive, Minnetonka, MN, 55343, USA.
Lynn SaphireMedicare and Retirement, UnitedHealthcare Alliances, PO Box 9472, Minneapolis, MN, 55440, USA.
Ellen WickerAARP Services, Inc., 601 E. Street, N.W., Washington, DC, 20049, USA.
Optum (United States) · USAARP · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrescription sleep medications are often utilized to manage sleep problems among older adults even though these drugs are associated with multiple risks.

objectiveThe aim was to determine the prevalence and characteristics of new-onset compared to chronic sleep medication users and to examine factors associated with the conversion from new to chronic use. A secondary objective was to investigate the impact of sleep medications on health outcomes of injurious falls and patterns of healthcare utilization and expenditures.

methodsA 25% random sample of adults ≥ 65 years with 3-year continuous AARP

resultsAmong eligible insureds, 3 and 9% were identified as new-onset and chronic sleep medication users, respectively. New-onset sleep medication prescriptions were often associated with an inpatient hospitalization. The strongest characteristics associated with new users, those who converted to chronic use, and chronic users were sleep disorders, depression and opioid use. About 50% of new users had > 30 days' supply; 25% converted to chronic use with ≥ 90 days' supply. The prevalence of falls for new-onset users increased by 70% compared to a 22% increase among chronic users.

conclusionNew-onset and chronic sleep medication users were characterized by sleep disorders, depression and pain. Addressing the underlying problems associated with sleep problems among older adults may decrease the need for sleep medications and thus reduce the risk of sleep medication-related adverse events.

Indexed as

AgedAge FactorsDrug PrescriptionsFemaleHumansMaleMedicareMiddle AgedPrescription DrugsPrevalencePropensity ScoreRetrospective StudiesSleepSleep Wake DisordersUnited StatesPrescription Drugs

Identifiers

PMID29651640
PMCPMC5956055
OpenAlexW2798135526

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.