View in EDS

Potentially Inappropriate Prescribing in Elderly Veterans: Are We Using the Wrong Drug, Wrong Dose, or Wrong Duration?

Saved in:
Bibliographic Details
Title: Potentially Inappropriate Prescribing in Elderly Veterans: Are We Using the Wrong Drug, Wrong Dose, or Wrong Duration?
Authors: Pugh, Mary Jo V., Fincke, B. Graeme, Bierman, Arlene S., Bei-Hung Chang, Rosen, Amy K., Cunningham, Francesca E., Amuan, Megan E., Burk, Muriel L., Berlowitz, Dan R.
Source: Journal of the American Geriatrics Society. Aug2005, Vol. 53 Issue 8, p1282-1289. 8p. 3 Charts.
Subjects: Medical care of veterans, Drugs, Antidepressants, Medical care, Public health, Geriatrics
Abstract: To identify the extent of inappropriate prescribing using criteria for proper use developed by the Agency for Healthcare Research and Quality (AHRQ) and dose-limitation criteria defined by Beers, as well as to describe duration of use and patient characteristics associated with inappropriate prescribing for older people. Retrospective national Veterans Health Administration (VA) administrative database analysis. VA outpatient facilities during fiscal year 2000 (FY00). Veterans aged 65 and older having at least one VA outpatient visit in FY00 (N=1,265,434). Operational definitions of appropriate use were developed based on recommendations of an expert panel convened by the AHRQ (Zhan criteria). Inappropriate use was identified based on these criteria and inappropriate use of drugs per Beers criteria for dose-limitations in older people. Furthermore, duration of use and patient characteristics associated with inappropriate use were described. After adjusting for diagnoses, dose, and duration, inappropriate prescribing decreased from 33% to 23%. Exposure to inappropriate drugs was prolonged. Pain relievers, benzodiazepines, antidepressants, and musculoskeletal agents constituted 61% of inappropriate prescribing. Whites, patients with psychiatric comorbidities, and patients receiving more medications were most likely to receive inappropriate drugs. Women were more likely to receive Zhan criteria drugs; men were more likely to receive dose-limited drugs For the most part, the Zhan criteria did not explain inappropriate prescribing, which includes problems related to dose and duration of prescriptions. Interventions targeted at prescriptions for pain relievers, benzodiazepines, antidepressants, and musculoskeletal agents may dramatically decrease inappropriate prescribing and improve patient outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
FullText Text:
  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 17669645
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Potentially Inappropriate Prescribing in Elderly Veterans: Are We Using the Wrong Drug, Wrong Dose, or Wrong Duration?
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Pugh%2C+Mary+Jo+V%2E%22">Pugh, Mary Jo V.</searchLink><br /><searchLink fieldCode="AR" term="%22Fincke%2C+B%2E+Graeme%22">Fincke, B. Graeme</searchLink><br /><searchLink fieldCode="AR" term="%22Bierman%2C+Arlene+S%2E%22">Bierman, Arlene S.</searchLink><br /><searchLink fieldCode="AR" term="%22Bei-Hung+Chang%22">Bei-Hung Chang</searchLink><br /><searchLink fieldCode="AR" term="%22Rosen%2C+Amy+K%2E%22">Rosen, Amy K.</searchLink><br /><searchLink fieldCode="AR" term="%22Cunningham%2C+Francesca+E%2E%22">Cunningham, Francesca E.</searchLink><br /><searchLink fieldCode="AR" term="%22Amuan%2C+Megan+E%2E%22">Amuan, Megan E.</searchLink><br /><searchLink fieldCode="AR" term="%22Burk%2C+Muriel+L%2E%22">Burk, Muriel L.</searchLink><br /><searchLink fieldCode="AR" term="%22Berlowitz%2C+Dan+R%2E%22">Berlowitz, Dan R.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Journal+of+the+American+Geriatrics+Society%22">Journal of the American Geriatrics Society</searchLink>. Aug2005, Vol. 53 Issue 8, p1282-1289. 8p. 3 Charts.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Medical+care+of+veterans%22">Medical care of veterans</searchLink><br /><searchLink fieldCode="DE" term="%22Drugs%22">Drugs</searchLink><br /><searchLink fieldCode="DE" term="%22Antidepressants%22">Antidepressants</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Geriatrics%22">Geriatrics</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: To identify the extent of inappropriate prescribing using criteria for proper use developed by the Agency for Healthcare Research and Quality (AHRQ) and dose-limitation criteria defined by Beers, as well as to describe duration of use and patient characteristics associated with inappropriate prescribing for older people. Retrospective national Veterans Health Administration (VA) administrative database analysis. VA outpatient facilities during fiscal year 2000 (FY00). Veterans aged 65 and older having at least one VA outpatient visit in FY00 (N=1,265,434). Operational definitions of appropriate use were developed based on recommendations of an expert panel convened by the AHRQ (Zhan criteria). Inappropriate use was identified based on these criteria and inappropriate use of drugs per Beers criteria for dose-limitations in older people. Furthermore, duration of use and patient characteristics associated with inappropriate use were described. After adjusting for diagnoses, dose, and duration, inappropriate prescribing decreased from 33% to 23%. Exposure to inappropriate drugs was prolonged. Pain relievers, benzodiazepines, antidepressants, and musculoskeletal agents constituted 61% of inappropriate prescribing. Whites, patients with psychiatric comorbidities, and patients receiving more medications were most likely to receive inappropriate drugs. Women were more likely to receive Zhan criteria drugs; men were more likely to receive dose-limited drugs For the most part, the Zhan criteria did not explain inappropriate prescribing, which includes problems related to dose and duration of prescriptions. Interventions targeted at prescriptions for pain relievers, benzodiazepines, antidepressants, and musculoskeletal agents may dramatically decrease inappropriate prescribing and improve patient outcomes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=17669645
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/j.1532-5415.2005.53402.x
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 1282
    Subjects:
      – SubjectFull: Medical care of veterans
        Type: general
      – SubjectFull: Drugs
        Type: general
      – SubjectFull: Antidepressants
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Public health
        Type: general
      – SubjectFull: Geriatrics
        Type: general
    Titles:
      – TitleFull: Potentially Inappropriate Prescribing in Elderly Veterans: Are We Using the Wrong Drug, Wrong Dose, or Wrong Duration?
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Pugh, Mary Jo V.
      – PersonEntity:
          Name:
            NameFull: Fincke, B. Graeme
      – PersonEntity:
          Name:
            NameFull: Bierman, Arlene S.
      – PersonEntity:
          Name:
            NameFull: Bei-Hung Chang
      – PersonEntity:
          Name:
            NameFull: Rosen, Amy K.
      – PersonEntity:
          Name:
            NameFull: Cunningham, Francesca E.
      – PersonEntity:
          Name:
            NameFull: Amuan, Megan E.
      – PersonEntity:
          Name:
            NameFull: Burk, Muriel L.
      – PersonEntity:
          Name:
            NameFull: Berlowitz, Dan R.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 08
              Text: Aug2005
              Type: published
              Y: 2005
          Identifiers:
            – Type: issn-print
              Value: 00028614
          Numbering:
            – Type: volume
              Value: 53
            – Type: issue
              Value: 8
          Titles:
            – TitleFull: Journal of the American Geriatrics Society
              Type: main
ResultId 1