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Brooks Taylor L TL New York University, New York, NY, - - 2014
Older adults with asthma have low levels of adherence to their prescribed inhaled corticosteroids (ICS). While prior research has identified demographic and cognitive factors associated with ICS adherence among elderly asthmatics, little is known about the strategies that older adults use to achieve daily use of their medications. Identifying such ...
Naci Huseyin H Huseyin Naci is a fellow in pharmaceutical policy research, Department of Population Medicine, Harvard Medical School, in Boston, Massachusetts, and a research fellow at the London School of Economics and Political Science, in the United - - 2014
Elderly Americans, especially those with multiple chronic conditions, face difficulties paying for prescriptions, which results in worse adherence to and discontinuation of therapy, called cost-related medication nonadherence. Medicare Part D, implemented in January 2006, was supposed to address issues of affordability for prescriptions. We investigated whether the gains in medication affordability ...
Wiese Christoph Hr - - 2014
Demographic development is accompanied by an increasingly aging society. Concerning medical education, the treatment of older people as well as the scientific research and exploration of ageing aspects in the coming years need to be considered. Aim of the study was to ascertain medical students' knowledge, interest, and attitudes regarding ...
Kostas Tia T Brigham and Women's Hospital, Boston, Massachusetts; Veterans Affairs Boston Healthcare System, Boston, Massachusetts; Harvard Medical School, Boston, - - 2014
The authors hypothesized that an interprofessional workshop would improve geriatrics trainees' medication management. The workshop was based on a needs assessment and comprised an interactive session with pharmacists on managing medications in elderly adults. Participants were trainees in their geriatrics rotation at a tertiary care medical center. Trainees completed a ...
Akinyemi Rufus O RO Federal Medical Centre, Idi-Aba, Abeokuta, Nigeria; Newcastle University, Newcastle upon Tyne, - - 2014
To describe the nature of geriatric medical admissions to teaching hospitals in three countries in Africa (Nigeria, Sudan, Tanzania) and compare them with data from the United Kingdom. Cross-sectional cohort study. Federal Medical Centre, Idi-Aba, Abeokuta, Nigeria; Soba University Hospital, Khartoum, Sudan; Kilimanjaro Christian Medical Centre, Moshi, Tanzania; and North ...
de Souza Silva José Edson JE Department of Physiology, Federal University of Sergipe, Aracaju 49100-000, - - 2014
We aimed to survey the published literature for articles that describe the use of herbal supplements by elderly patients and to summarize important aspects of selected studies, including most commonly used supplements, study type, study location, and potential hazards of herbal supplement use. Literature searches were conducted on three scientific/medical ...
Jerath Nivedita U NU Department of Neurology, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, USA, - - 2014
Treatment of epilepsy in patients with medical comorbidities can be challenging. Comorbidities can affect medical management and quality of life. In this review, we discuss treatment options in patients with epilepsy and medical comorbidities. In our opinion, the best way to manage patients with medical comorbidities and epilepsy is to ...
Kheir Nadir N College of Pharmacy, Qatar University, P.O. Box 2713, Doha, Qatar, - - 2014
Background Medication use review (MUR) is increasingly being recognized globally as a routine strategy performed by pharmacists to optimize the therapeutic outcomes of long-term medications. MUR services are not commonly available in hospitals and primary health care (PHC) centers in Qatar and no previous studies have reported the nature and ...
de Groot Dominique A DA Department of General Practice and Elderly Care Medicine, VU University Medical Center Amsterdam, Amsterdam, the - - 2014
the STOPP/START criteria are a promising framework to increase appropriate prescribing in the elderly in clinical practice. However, the current definitions of the STOPP/START criteria are rather non-specific, allowing undesirable variations in interpretation and thus application. The aim of this study was to design specifications of the STOPP/START criteria into ...
Advinha Ana Margarida AM iMed.UL - Instituto de Investigação do Medicamento, Faculty of Pharmacy of the University of Lisbon, Avenida Professor Gama Pinto, 1649-003, Lisbon, Portugal, - - 2014
Background Complex medication regimens may adversely affect compliance and treatment outcomes. Complexity can be assessed with the medication regimen complexity index (MRCI), which has proved to be a valid, reliable tool, with potential uses in both practice and research. Objective To use the MRCI to assess medication regimen complexity in ...
Frost Lucy L a Newcastle University , Newcastle Upon Tyne , - - 2014
In sub-Saharan Africa (SSA), a rapidly ageing population is presenting challenges to healthcare systems. Doctors need specialized knowledge to be prepared for the increase in age-related medical conditions. This study aims to investigate the current provision of geriatric education (GE) in sub-Saharan African medical schools and discover some of the ...
Vejux Julien J Gérontopôle Autonomie Longévité des Pays de la Loire, Nantes, - - 2014
Introduction: Medication non-adherence can be defined as a non-compliance with prescribed drugs. The characteristics of elderly people constitute major risk factors for non-adherence to medication. The aim of this study was to study the relevance of medication adherence scales that are identified in a previous work. Methods: The current study ...
Laureano Michelli Luciana Massolini ML Institute of Social Sciences, Education and Zootechnics (ICSEZ), Federal University of Amazonas, Parintins, AM, Brazil, Parintins, AM, - - 2014
Objective: to verify if functional fitness (FF) is associated with the annual cost of medication consumption and mood states (MSt) in elderly people. Methods: a cross-sectional study with 229 elderly people aged 65 years or more at Santa Casa de Misericórdia de Coimbra, Portugal. Seniors with physical and psychological limitations ...
Albert Steven M SM Department of Behavioral and Community Health Sciences, University of Pittsburgh, Pennsylvania. - - 2014
Research on the ways older people use prescription medications (Rx) is a mainstay of the gerontological literature because use of Rx medications is common, and appropriate use is central to effective management of chronic disease. But older adults are also major consumers of over-the-counter (OTC) medications, which can be equally ...
Vejar Maria V MV Division of Geriatrics, School of Medicine, University of Colorado, Aurora, - - 2014
Medication reconciliation is a National Patient Safety Goal. Completing medication reconciliation minimizes the risk for preventable adverse drug events (ADEs). The elderly are at greatest risk for ADEs because of their high number of comorbidities and medications usage. The purpose of this quality improvement project was to improve medication management ...
Beaufrère Aurélie A Department of Forensic Medicine, Hôpital Jean-Verdier, Hôpitaux Universitaires de Paris Seine-Saint-Denis (AP-HP), F-93140 Bondy, - - 2014
Most individuals detained in police custody are male adolescents or young adults. Demeaning custody conditions, which are common in French police cells, bring to light legitimate questions about the detention of elderly people. We aimed to determine the proportion of detainees over age 60, their health characteristics and conditions of ...
Haastrup Peter P Research Unit of General Practice, Institute of Public Health, University of Southern Denmark , Odense , - - 2014
Background: Guideline and reimbursement modifications have been introduced to optimize prescribing of antisecretory medication in Danish general practice. Impacts of the interventions have not been evaluated. Objectives: To analyse developments in prescribing of antisecretory medication in Denmark 2001-2011 and to assess the impacts of interventions on prescribing of antisecretory medication. ...
Olson Catherine H CH Biomedical Health Informatics, University of Minnesota, 330 Diehl Hall, 505 Essex Street SE, Minneapolis, MN 55455. Electronic address: - - 2014
Create an automated algorithm for predicting elderly patients' medication-related risks for readmission and validate it by comparing results with a manual analysis of the same patient population. Outcome and Assessment Information Set (OASIS) and medication data were reused from a previous, manual study of 911 patients from 15 Medicare-certified home ...
López Jorge H JH a Director Postgrado Especialidad en Geriatría , Universidad Nacional , Bogotá , - - 2014
Abstract A recent dramatic increase in the elderly population has not been accompanied by a parallel increase in specialized health care professionals in Latin America. The main purpose of our work was to determine the stage of Geriatrics teaching for both undergraduate and graduate medical levels in Latin America. Using ...
Hohn N N Pharmacy Department, RWTH University Hospital, Aachen, Germany - - - 2014
Medication errors may occur at any stage during the medication process and can lead to preventable adverse drug events and patients' harm. Pharmacists' support for reconcilable medication has been shown to be effective, rectifying errors and inaccuracies of the drug treatment and in the increase of medication safety. However, none ...
Pasina L L Laboratory for Quality Assessment of Geriatric Therapies and Services, Drug Information Service for the Elderly, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Via Giuseppe La Masa 19, 20156, Milan, Italy, - - 2014
Poor adherence may have a major impact on clinical outcome, contributing to substantial worsening of disease, increased health care costs and even death. With increasing numbers of medications, low adherence is a growing concern, seriously undermining the benefits of current medical care. Little is known about medication adherence among older ...
Masud Tahir T Healthcare for Older People, Nottingham University Hospitals NHS Trust, Nottingham, Notts, - - 2014
Introduction: the rise in the number of older, frail adults necessitates that future doctors are adequately trained in the skills of geriatric medicine. Few countries have dedicated curricula in geriatric medicine at the undergraduate level. The aim of this project was to develop a consensus among geriatricians on a curriculum ...
Greene Meredith M Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California; San Francisco Veterans Affairs Medical Center, San Francisco, - - 2014
To describe the frequency of medication-related problems in older adults with human immunodeficiency virus (HIV) infection. Retrospective chart review. Community. HIV-positive individuals aged 60 and older and age- and sex-matched HIV-negative individuals. Total number of medications, potentially inappropriate medications (PIMs) according to the modified Beers Criteria, anticholinergic drug burden according ...
Tseng Ming-Hseng MH School of Medical Informatics, Chung Shan Medical University, Taichung, - - 2014
Drug is an important part of disease treatment, but medication errors happen frequently and have significant clinical and financial consequences. The prevalence of prescription medication use among the ambulatory adult population increases with advancing age. Because of the global aging society, outpatients need to improve medication safety more than inpatients. ...
Frain Judy - - 2014
The aims of this study were to examine differences in medication management between older and younger adults living with HIV and to examine the relationship between age and cognitive ability, depressive symptoms, and self-efficacy on medication management. This research utilized a descriptive-correlational, cross-sectional design to compare medication management between older ...
Costilla Vanessa C - - 2014
Constipation is a frequently diagnosed gastrointestinal disorder. Symptoms of constipation are common, with the greatest prevalence in the elderly. Evaluation of constipation begins with a detailed medical history and a focused anorectal examination. Diagnostic testing for constipation is not routinely recommended in the initial evaluation in the absence of alarm ...
Smith Miranda M Texas Tech University Health Sciences Center School of Pharmacy, Abilene, - - 2014
Adults older than 65 years of age with vision impairment are more likely to have difficulty managing medications compared with people having normal vision. This patient population has difficulty reading medication information and may take the wrong medication or incorrect doses of medication, resulting in serious consequences, including overdose or ...
Ku Li-Jung E LJ Institute of Public Health, College of Medicine, National Cheng Kung University, Tainan, - - 2014
ABSTRACT Background: Pharmaceutical therapy for patients with dementia including cholinesterase inhibitors (ChEI) and memantine is covered by Taiwan's National Health Insurance (NHI) but with strict reimbursement criteria. This study compared utilization of selected cognitive enhancers among elderly patients with dementia and estimated associated differences in medical care costs. Methods: This ...
Woods Steven Paul SP a Department of Psychiatry , University of California, San Diego , La Jolla , - - 2014
Background: Identifying potentially modifiable risk factors for medication non-adherence in older adults is important in order to enhance screening and intervention efforts designed to improve medication-taking behavior and health outcomes. The current study sought to determine the unique contribution of prospective memory (PM) (i.e. 'remembering to remember') to successful self-reported ...
Kamimura T T School of Health Sciences, Shinshu University, 3-1-1 Asahi, Matsumoto, Nagano Pref. 390-8621, - - 2014
ABSTRACT A 79-year-old female with type 2 diabetes and mild cognitive impairment (Clinical Dementia Rating score of 0.5) was supported with medication with regard to the daily requirements using a medication reminder device. Use of this device not only improved her medication adherence, hemoglobin A1c level, and self-confidence but also ...
Kim Hong-Ah HA Korea Institute of Drug Safety and Risk Management (KIDS), Seoul, - - 2014
Polypharmacy is widespread in the elderly because of their multiple chronic health problems. The objective of this study was to investigate the prevalence and predictors associated with polypharmacy in a nationally representative sample of Korean elderly individuals. We used the Korea Health Insurance Review and Assessment Service - National Patient ...
Chen Ying Y Liaison Office of Geriatric VIP Patients, Zhejiang University, Hangzhou, People's Republic of - - 2014
Falls among the elderly are an issue internationally and a public health problem that brings substantial economic and quality-of-life burdens to individuals and society. Falls prevention is an important measure of nursing quality and patient safety. Numerous studies have evaluated the association of medication use with fall risk in elderly ...
Epstein Noam U NU Department of Neurology, Hines VA Medical Center, 5000 South 5th Avenue, Hines, IL, 60141, USA, - - 2013
Falls are common in the elderly, especially in those with cognitive impairment. The elderly are often treated with several medications, which may have both beneficial and deleterious effects. The use and type of medication in Alzheimer's disease (AD) patients and association with falls is limited. We examined the association between ...
Ellis Harold H Department of Anatomy, University of London, Guy's Campus, London, SE1 - - 2013
When I was a medical student in the 1940's we youngsters were well familiar with the condition called 'Mongolism'. We saw these patients--labelled 'Mongols'--as children in the paediatric clinics, and as older patients on our visits to the local enormous mental hospital during our attachment in psychiatry, where many of ...
Lee Sang Hyub SH Department of Urology, Kyung Hee University School of Medicine, Seoul, - - 2013
The prevalence of urinary incontinence and the usage of incontinence pads by elderly residents in Korean medical welfare facilities were investigated. From a total of 1,832 facilities, 33 medical welfare facilities in the capital area were randomly selected; all nursing homes were excluded. All data were collected by questionnaires to ...
Sajatovic Martha M Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, OH 44106, - - 2013
Demographic trends globally point in the direction of increasing numbers of older people with serious and chronic mental disorders, such as bipolar disorder (BD). While there has been growing sophistication and understanding in treatments for BD generally, data specific to older people with BD are limited. Recent reviews, secondary analyses ...
Baldoni André de Oliveira - - 2013
Background Potentially inappropriate medications (PIMs) should be avoided by the elderly because they possess a significant high risk for this population when a safer alternative is available. Therefore, the identification of prevalence and factors associated with PIMs should be considered as they provide valuable information that can be used to ...
Schmitt Júnior Antônio Augusto - - 2013
To identify the prevalence of non-adherence to drug therapy for elderly patients in primary care in Blumenau, SC, Brazil. This is a cross-sectional, population-based epidemiological study. A randomly selected sample of users who attended the pharmacies of 14 units of primary healthcare answered the questionnaire's study variables. The prevalence of ...
Eisenhower Christine - - 2013
Beginning in fiscal year 2015, the Centers for Medicare and Medicaid Services will measure all-cause readmissions for patients admitted for exacerbation of chronic obstructive pulmonary disease (COPD). Hospitals will incur a payment penalty for unplanned 30-day readmissions. Elderly patients frequently present a challenge because of polypharmacy, which contributes to a ...
Borgström Bolmsjö Beata - - 2013
Since the burden of care for elderly patients with heart failure (HF) can be decreased by therapeutic measures, it is important that such patients are identified correctly. This study explores the prevalence of HF in nursing homes in Sweden, with special consideration of the risk of failure to diagnose HF ...
Narayanan Siva - - 2013
To estimate the medical and productivity-related cost burden of systemic lupus erythematosus (SLE) flares and comorbidities in a commercially insured population. Using administrative data, annual medical costs and indirect costs because of work loss were calculated for adult SLE patients, including flare severity and SLE-related comorbidity subsets, and a matched ...
Salmasian Hojjat H Department of Biomedical Informatics, Columbia University, New York, - - 2013
Extracting comorbidity information is crucial for phenotypic studies because of the confounding effect of comorbidities. We developed an automated method that accurately determines comorbidities from electronic medical records. Using a modified version of the Charlson comorbidity index (CCI), two physicians created a reference standard of comorbidities by manual review of ...
Arruda Guilherme Oliveira de - - 2013
this study aimed to investigate and understand the use of medications by elderly men, their representations and the subsequent practices. this is a qualitative, descriptive and exploratory study, in which there participated 17 elderly men, with polypharmacy, and assisted under the Family Health Strategy in the Municipality of Dourados in ...
Murata Atsuhiko - - 2013
There is currently little information on the medical economic outcomes of endoscopic submucosal dissection (ESD) for gastric cancer in elderly patients. This study therefore aimed to investigate the medical economic outcomes of ESD in elderly patients using a national administrative database. A total of 27 385 patients treated with ESD ...
Kainkaryam Vasanth V Internal Medicine and Pediatrics, Hartford HealthCare Medical Group, Enfield, - - 2013
The Hartford HealthCare Medical Group instituted 3 types of shared medical appointments (SMAs) in 2013, one being for the Medicare Annual Wellness Visit (AWV). While traditionally there have been 2 types of SMAs-either a chronic disease follow-up model or an annual physical examination model, the SMA AWV offers a preventive ...
Huskamp Haiden A HA *Department of Health Care Policy, Harvard Medical School, Boston, MA †The Dartmouth Institute and Geisel Medical School at Dartmouth, Lebanon, NH ‡Division of General Medicine and Clinical Epidemiology, School of Medicine §Department of Health Policy and Management, Gillings School of Global Public Health ‚ą•Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC ¶Institute for Aging Research, Hebrew SeniorLife, Deaconess Medical Center #Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA **Omnicare Inc., Livonia, MI ††Department of Health Policy and Management, Harvard School of Public Health, Boston ‡‡Harvard Kennedy School, Cambridge, - - 2013
In 2006, dual-eligible nursing home residents were randomly assigned to a Medicare Part D prescription drug plan (PDP). Subsequently, residents not enrolled in qualified plans at the start of the next year were rerandomized. PDPs vary in generosity through differences in medication coverage and utilization management. Therefore, residents' assigned plans ...
Maher Robert L - - 2013
Introduction: Polypharmacy, defined as the use of multiple drugs or more than are medically necessary, is a growing concern for older adults. MEDLINE and EMBASE databases were searched from January 1, 1986 to June 30, 2013) to identify relevant articles in people aged > 65 years. Areas covered: We present ...
Hohmann Natalie - - 2013
Use of fall-risk medications (medications that increase risk of falling in the elderly as defined by Beers criteria, STOPP/START criteria, and other literature) or antithrombotics is common in the elderly, and the impact of their concomitant use should be assessed in regards to fall injuries. The primary objective of this ...
Bensadon Benjamin A - - 2013
For more than half a century, scientific research has documented widespread avoidance and even denial of aging. Though nothing new, aversive reactions to the elderly are not only unfortunate but dangerous today, as increasing life expectancy and consequent demand for specialized geriatric medical care vastly outpace the supply of qualified ...
Mallow Peter J - - 2013
Abstract Objective: The primary objective of this study was to quantify the differences in the prevalence rate and costs of hospital medical errors between the general population and an elderly population aged ≤ 65 years. Methods: Methods from an actuarial study of medical errors were modified to identify medical errors ...
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