ArticleMateria socio-medica2019
Characteristics of Elderly Frequent Attendees in Slovene Family Medicine Practices - a Cross-sectional Study.
Article in Materia socio-medica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Determinants of Frequent Attendance in Primary Care. A Systematic Review of Longitudinal Studies.Frontiers in medicine · 2021Pooled it
- Informal Care in the Context of Long-term Health Care for the Elderly in Slovenia: a Qualitative Study.Zdravstveno varstvo · 2021Article
- Determinants of Frequent Attendance in Primary Care. Study Protocol for a Systematic Review of Longitudinal Studies.International journal of environmental research and public health · 2020Article
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Authors and funding
2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionFrequent attendance in family medicine practices is associated with elderly patients and those with chronic diseases. Longstanding frequent attendees have more social and psychiatric problems, medically unexplained conditions, and chronic diseases, and are prescribed more psychotropic drugs and analgesics.
aimTo fill the lack of data on the factors associated with frequent attendance at family medicine practices by the elderly.
methodsForty family physicians (FPs) participated in this cross-sectional study in 2017 and randomly recruited up to 20 of their patients; 624 patients were recruited. From the patients' health records, the FPs collected demographic data, lifestyle factors, all the patients' diagnoses, all the drugs prescribed in the previous 12 months, multi-morbidity (CIRS-G index), the quality of life index (EQ-5D) and the number of visits to the family medicine practice in the previous 12 months. The Self-Rating Depression Scale was administered to the patients. Statistical analysis was carried out using the IBM SPSS 20.0 package, with appropriate non-parametric tests (Mann-Whitney U test, chi-square test) to check significant differences between groups of patients. Multivariate modelling was carried out to evaluate the associations between the number of visits to the FP and independent variables.
resultsThe number of prescribed drugs (p=0.026), haematological problems (p=0.005) and genitourinary problems (p=0.001) were associated with frequent attendance. Patients with borderline depression were approximately three times more likely to be frequent attendees than non-depressed patients.
conclusionPolypharmacy, haematological and genitourinary problems are associated with frequent attendance in elderly patients. Further longitudinal studies are required to validate our findings.
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