| Association between drug prescribing and quality of life in primary care. | |
| | |
MedLine Citation:
|
PMID: 20803316 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Objective To evaluate quality of life among patients of Family Health Strategy Units and how it relates to the prescribing complexity and to the number of psychotropic medications prescribed, including adjustments for sociodemographic characteristics. Setting Family Health Strategy Units in a municipality in the Brazilian state of Rio Grande do Sul. Method Cross-sectional study using face-to-face interviews and prescribing analysis among users of Family Health Strategy Units. Patients were recruited by consecutive sampling. Multiple linear regression models were fitted to the different domains of quality of life in the WHOQOL-Bref questionnaire. The response rate for the patients who completed the interview was 97%. The prescribed medication data and sociodemographic characteristics of the sample were included as covariates. Prescribing complexity was analyzed by means of the Medication Regimen Complexity Index. The assumptions in the estimated models were tested and the models were validated. Main outcome measure Quality of life among patients of Family Health Strategy Units. Results At total, 336 patients answered the questionnaire. Through multiple linear regression, it was observed that higher prescribing complexity was associated with significantly low scores in the physical (-2.01, 95% CI = -2.89 to -1.35) and overall (-1.93, 95% CI = -2.81 to -0.99) quality of life domains. Greater amounts of psychotropic medications prescribed were associated with significantly low scores in the physical (-1.02, 95% CI = -1.29 to -0.56), psychological (-2.52, 95% CI = -3.15 to -1.65) and overall (-0.97, 95% CI = -2.06 to -0.33) domains of the interviewees' quality of life. The estimated models were adjusted for the sociodemographic characteristics of the sample and presented good predictive capacity. Conclusions The evaluated aspects of the prescribed medication (complexity and presence of psychotropic medications) were associated with low scores in the physical, psychological and overall quality of life domains. This may be an intrinsic characteristic of the interviewed patients, like having the quality of life at such a low level before starting the treatment, that the medication could not improve it to normal levels. Also, it can be a demonstration of the ineffectiveness of these treatments within primary health care. |
| | |
Authors:
|
Samanta E Fröhlich; Anamaria V Zaccolo; Sabrina L C da Silva; Sotero S Mengue |
Related Documents
:
|
17992176 - Aesthetic partial hand prostheses. 10172086 - The impact of reagent standardization on the quality of diagnostic devices. 16236656 - A quality improvement project to reduce falls and improve medication management. 8336096 - Accuracy of the one touch ii whole blood glucose analyzer when used by analysts with di... 18084106 - Scientific method for medical practitioners: the case method of teaching pathology in e... 7728916 - Intravenous immunoglobulin in the treatment of snake bite envenoming: a pilot study. |
Publication Detail:
|
Type: Journal Article Date: 2010-08-29 |
Journal Detail:
|
Title: Pharmacy world & science : PWS Volume: 32 ISSN: 1573-739X ISO Abbreviation: Pharm World Sci Publication Date: 2010 Dec |
Date Detail:
|
Created Date: 2011-01-20 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9307352 Medline TA: Pharm World Sci Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 744-51 Citation Subset: IM |
Affiliation:
|
Department of Epidemiology Program, Federal University of Rio Grande do Sul, Ipiranga Avenue, 2752, Porto Alegre, RS, 90610-000, Brazil, sasafras@terra.com.br. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Cardiovascular co-medication among users of antiobesity drugs: a population-based study.
Next Document: Validation of the medical outcomes study HIV (MOS-HIV) health survey among HIV-infected patients in ...