Evidence map›Paper›PMID 31536588›Full record

ArticlePloS one2019

Analgesic drug use in elderly persons: A population-based study in Southern Italy.

Ylenia Ingrasciotta, Janet Sultana, Francesco Giorgianni, Enrica Menditto, Angelo Scuteri, Michele Tari, Daniele Ugo Tari, Giorgio Basile, Gianluca Trifiro'

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
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  4. Article
  5. Prevalence of Opioid Use in Nursing Homes Over the Last Decade: A Systematic Literature Review.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2024
    Article
  6. Observational evidence linking psychotropic medicines to the dispensing of opioid agents in later life.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2024
    Observational
  7. Article
  8. Article
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  10. Over the Counter Pain Medications Used by Adults: A Need for Pharmacist Intervention.International journal of environmental research and public health · 2023
    Article
  11. Article
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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

9 authors at 4 institutions in 2 countries.

Ylenia IngrasciottaDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
Janet SultanaDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.ORCID 0000-0001-9622-169X
Francesco GiorgianniUnit of Clinical Pharmacology A.O.U. 'G. Martino' Hospital', Messina, Italy.
Enrica MendittoCIRFF, Center of Pharmacoeconomics, University of Naples Federico II, Naples, Italy.
Angelo ScuteriHSR Pisana IRCCS, Rome, Italy.
Michele TariLocal Health Unit of Caserta, Caserta, Italy.
Daniele Ugo TariLocal Health Unit of Caserta, Caserta, Italy.
Giorgio BasileDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
Gianluca Trifiro'Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
University of Messina · ITAzienda Ospedaliera Universitaria Policlinico "G. Martino" · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnalgesics such as non-steroidal anti-inflammatory drugs (NSAIDs), weak and strong opioids are commonly used among elderly persons. The aim of this study was to describe the demographic and clinical characteristics of elderly analgesic users and to measure the frequency of analgesic use, including the frequency of potentially inappropriate analgesic use.

methodsThe Arianna database was used to carry out this study. This database contains prescription data with associated indication of use for 1,076,486 inhabitants registered with their general practitioners (GPs) in the Caserta Local Health Unit (Caserta district, Campania region in Italy). A cohort of persons aged ≥65 years old with >1 year of database history having at least one analgesic drug (NSAIDs, strong or weak opioids) between 2010 and 2014 were identified. The date of the first analgesic prescription in the study period was considered the index date (ID).

resultsFrom a source population of 1,076,486 persons, 116,486 elderly persons were identified. Of these, 94,820 elderly persons received at least one analgesic drug: 36.6% were incident NSAID users (N = 36,629), while 13.2% were incident weak opioid users (N = 12,485) and 8.1% were incident strong opioid users (N = 7,658). In terms of inappropriate analgesic use, 9.2% (N = 10,763) of all elderly users were prescribed ketorolac/indomethacin inappropriately, since these drugs should not be prescribed to elderly persons. Furthermore, at least half all elderly persons with chronic kidney disease or congestive heart failure were prescribed NSAIDs, while these drugs should be avoided.

conclusionAnalgesics are commonly used inappropriately among elderly persons, suggesting that prescribing practice in the catchment area may yet be improved.

Indexed as

AgedAged, 80 and overAnalgesicsAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalDrug UtilizationFemaleGeneral PractitionersHeart FailureHumansItalyMalePopulation SurveillancePractice Patterns, Physicians'PrescriptionsRenal Insufficiency, ChronicAnalgesicsAnalgesics, OpioidAnti-Inflammatory Agents, Non-Steroidal

Identifiers

PMID31536588
PMCPMC6752879
OpenAlexW2973782419

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.