Document Detail


Pharmacologically inappropriate prescriptions for elderly patients in general practice: How common? Baseline data from The Prescription Peer Academic Detailing (Rx-PAD) study.
MedLine Citation:
PMID:  18570005     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess Norwegian general practitioners' (GPs') level of potentially harmful drug prescribing for elderly patients.
DESIGN: Prescription data for 12 months were retrospectively retrieved from the Norwegian Prescription Database (NorPD). Data were assessed in relation to 13 prescription quality indicators.
SETTING: General practice.
SUBJECTS: A total of 454 GPs attending continuous medical education (CME) groups in Southern Norway, 85,836 patients >or=70 years who received any prescription from the GPs during the study period.
MAIN OUTCOME MEASURES: Number of prescriptions assessed in relation to pharmacological inappropriateness based on a list of 13 explicit prescription quality indicators.
RESULTS: Some 18.4% of the patients (66% females with mean age 79.8 years, 34% males with mean age 78.7 years) received one or more inappropriate prescriptions from their GP. An NSAID in a potentially harmful combination with another drug (7%) and a long-acting benzodiazepine (4.6%) were the most frequent inappropriate prescriptions made. Doctor characteristics associated with more inappropriate prescribing practice were old age and working single-handed with many elderly patients.
CONCLUSION: The study reveals areas where GPs' prescribing practice for elderly patients can be improved and which can be targeted in educational interventions.
Authors:
Mette Brekke; Sture Rognstad; Jørund Straand; Kari Furu; Svein Gjelstad; Trine Bjørner; Ingvild Dalen
Related Documents :
19931165 - Metabolic alterations during valproic acid treatment: a prospective study.
19242355 - Effect of lipid-lowering therapy with atorvastatin on atherosclerotic aortic plaques: a...
12939735 - Intensified multifactorial intervention and cardiovascular outcome in type 2 diabetes: ...
19362495 - Perioperative statin therapy is associated with a significant and dose-dependent reduct...
16883455 - A retrospective study of peritonsillar abscess in riyadh medical complex [corrected]
22234935 - Effects of arthroscopic partial meniscectomy on quadriceps strength: a systematic review.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Scandinavian journal of primary health care     Volume:  26     ISSN:  1502-7724     ISO Abbreviation:  Scand J Prim Health Care     Publication Date:  2008  
Date Detail:
Created Date:  2008-06-23     Completed Date:  2008-06-25     Revised Date:  2013-06-05    
Medline Journal Info:
Nlm Unique ID:  8510679     Medline TA:  Scand J Prim Health Care     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  80-5     Citation Subset:  IM    
Affiliation:
Section for General Practice, Department of General Practice and Community Health, University of Oslo, Norway. mette.brekke@medisin.uio.no
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Drug Interactions
Drug Prescriptions* / standards
Drug Utilization Review* / standards
Education, Medical, Continuing
Family Practice* / education,  standards
Female
Humans
Male
Medication Errors / prevention & control
Middle Aged
Norway
Physician's Practice Patterns* / standards
Polypharmacy
Program Evaluation / methods,  standards
Quality Indicators, Health Care
Retrospective Studies
Safety
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A benzodiazepine discontinuation programme does not increase the frequency of contacts with the fami...
Next Document:  Multi-dose drug dispensing and inappropriate drug use: A nationwide register-based study of over 700...