Evidence map›Paper›PMID 35329299›Full record

ArticleInternational journal of environmental research and public health2022

Potentially Inappropriate Prescribing among Elderly Outpatients: Evaluation of Temporal Trends 2012-2018 in Piedmont, Italy.

Federica Galimberti, Manuela Casula, Lorenza Scotti, Elena Olmastroni, Daniela Ferrante, Andrealuna Ucciero, Elena Tragni, Alberico Luigi Catapano, Francesco Barone-Adesi

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
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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.

Federica GalimbertiIRCCS MultiMedica, Sesto S. Giovanni, 20099 Milan, Italy.ORCID 0000-0002-4231-4150
Manuela CasulaIRCCS MultiMedica, Sesto S. Giovanni, 20099 Milan, Italy.ORCID 0000-0002-5124-5361
Lorenza ScottiDepartment of Translational Medicine, University of Eastern Piedmont, 28100 Novara, Italy.
Elena OlmastroniEpidemiology and Preventive Pharmacology Service (SEFAP), Department of Pharmacological and Biomolecular Sciences, University of Milan, 20133 Milan, Italy.ORCID 0000-0001-7107-243X
Daniela FerranteDepartment of Translational Medicine, University of Eastern Piedmont, 28100 Novara, Italy.
Andrealuna UccieroDepartment of Translational Medicine, University of Eastern Piedmont, 28100 Novara, Italy.
Elena TragniEpidemiology and Preventive Pharmacology Service (SEFAP), Department of Pharmacological and Biomolecular Sciences, University of Milan, 20133 Milan, Italy.
Alberico Luigi CatapanoIRCCS MultiMedica, Sesto S. Giovanni, 20099 Milan, Italy.ORCID 0000-0002-7593-2094
Francesco Barone-AdesiDepartment of Translational Medicine, University of Eastern Piedmont, 28100 Novara, Italy.ORCID 0000-0003-1550-436X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pharmacological intervention is one of the cornerstones in the treatment and prevention of disease in modern healthcare. However, a large number of drugs are often prescribed and used inappropriately, especially in elderly patients. We aimed at investigating the annual prevalence of potentially inappropriate prescriptions (PIPs) among older outpatients using administrative healthcare databases of the Piedmont Region (Italy) over a seven-year period (2012-2018). We included all Piedmont outpatients aged 65 years or older with at least one drug prescription per year. Polypharmacy and the prevalence of PIPs according to the ERD list explicit tool were measured on an annual basis. A range between 976,398 (in 2012) and 1,066,389 (in 2018) elderly were evaluated. Among them, the number of subjects with at least one PIP decreased from 418,537 in 2012 to 339,764 in 2018; the prevalence significantly reduced by ~25% over the study period. The stratified analyses by age groups and sex also confirmed the downward trend and identified several differences in the most prevalent inappropriately prescribed drugs. Overall, despite a reduction in PIP prevalence, one out of three older outpatients was still exposed to inappropriateness, highlighting the extensive need for intervention to improve prescribing.

Indexed as

Inappropriate PrescribingOutpatientsAgedDrug PrescriptionsHumansPolypharmacyPrevalenceelderlyhealthcare databasespotentially inappropriate prescribingprimary care

Identifiers

PMID35329299
PMCPMC8953164

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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.