CRITERIA TO EVALUATE POTENTIALLY INAPPROPRIATE MEDICINE PRESCRIPTION IN ELDERLY PATIENT : COMPARISON OF PRACTICAL RESULTS
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25756/rpf.v5i1.56 |
Resumo: | Background: There are several criteria to evaluate the prescription of potentially inappropriate medicines (MPI) for elderly patients. Beers criteria are the most frequently used tool but to the same group of patients, there are few comparative studies to evaluate MPI.Aims: To compare the frequency of potentially inappropriate prescribing using several explicit criteria: Zhan, McLeod, HEDIS 2006 and Beers.Methods: Cross sectional study, involving elderly patients from Lisbon region recruited in 15 pharmacies. Medicines were evaluated by 4 explicit criteria: Zhan, McLeod, 2006 HEDIS and 2003 Beers (2008 Portuguese operationalization). It was performed a descriptive analysis of frequencies with central dispersion.Results: 570 patients, with mean age of 74.1 years old (SD=6.4), were enrolled, with 71.7% of which being female. Studied patients were taking a total of 3,021 medicines that were analyzed. By Beers criteria, 37.0% of patients used, at least, one MPI being inappropriate, 9.5% of all of the medicines; by Zhan criteria, 12.8% of the patients were taking, at least, one MPI being inappropriate, 2.8% of the studied medicines; by McLeod criteria, 14.9% of the patients were taking, at least, one MPI, being inappropriate 3.1% of the medicines and by HEDIS 2006 criteria, 13.5% of the patients were taking, at least, one MPI, being inappropriate 2.8% of the medicines.Conclusions: 2003 Beers criteria (2008 Portuguese operationalization) were able to identify more patients taking potentially inappropriate medicines and more inappropriate medicines than the other studied criteria. |
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CRITERIA TO EVALUATE POTENTIALLY INAPPROPRIATE MEDICINE PRESCRIPTION IN ELDERLY PATIENT : COMPARISON OF PRACTICAL RESULTSCRITÉRIOS DE AVALIAÇÃO DA PRESCRIÇÃO DE MEDICAMENTOS POTENCIALMENTE INAPROPRIADOS NO DOENTE GERIÁTRICO: COMPARAÇÃO DE RESULTADOS PRÁTICOSBackground: There are several criteria to evaluate the prescription of potentially inappropriate medicines (MPI) for elderly patients. Beers criteria are the most frequently used tool but to the same group of patients, there are few comparative studies to evaluate MPI.Aims: To compare the frequency of potentially inappropriate prescribing using several explicit criteria: Zhan, McLeod, HEDIS 2006 and Beers.Methods: Cross sectional study, involving elderly patients from Lisbon region recruited in 15 pharmacies. Medicines were evaluated by 4 explicit criteria: Zhan, McLeod, 2006 HEDIS and 2003 Beers (2008 Portuguese operationalization). It was performed a descriptive analysis of frequencies with central dispersion.Results: 570 patients, with mean age of 74.1 years old (SD=6.4), were enrolled, with 71.7% of which being female. Studied patients were taking a total of 3,021 medicines that were analyzed. By Beers criteria, 37.0% of patients used, at least, one MPI being inappropriate, 9.5% of all of the medicines; by Zhan criteria, 12.8% of the patients were taking, at least, one MPI being inappropriate, 2.8% of the studied medicines; by McLeod criteria, 14.9% of the patients were taking, at least, one MPI, being inappropriate 3.1% of the medicines and by HEDIS 2006 criteria, 13.5% of the patients were taking, at least, one MPI, being inappropriate 2.8% of the medicines.Conclusions: 2003 Beers criteria (2008 Portuguese operationalization) were able to identify more patients taking potentially inappropriate medicines and more inappropriate medicines than the other studied criteria. Introdução: Existem diversos critérios para avaliar a prescrição de medicamentos potencialmente inapropriados (MPI) no doente idoso. Os critérios de Beers têm sido os mais frequentemente utilizados, mas não existem muitos estudos que comparem os diversos critérios quando aplicados ao mesmo grupo de doentes.Objetivos: Comparar a frequência de prescrição de MPI num grupo de idosos aplicando vários critérios explícitos: Zhan, McLeod, HEDIS 2006 e Beers.Métodos: Estudo descritivo, observacional e transversal, em idosos da região de Lisboa, recrutados em 15 farmácias. Avaliam-se os MPI através dos critérios Zhan, McLeod, HEDIS 2006 e Beers 2003 (operacionalizados para Portugal em 2008), efetuando-se uma análise descritiva das frequências com medidas de dispersão central.Resultados: Os 570 doentes estudados tinham uma média de idades de 74,1 anos (DP=6,4), sendo 71,7 por cento mulheres. Os doentes em estudo tinham prescrito um total de 3021 medicamentos, que foram analisados. Pelos critérios de Beers, 37 por cento dos doentes tomavam pelo menos um MPI, sendo inapropriados 9,5 por cento dos casos; pelos critérios de Zhan, 12,8 por cento dos doentes tomavam pelo menos um MPI, e eram inapropriados 2,8 por cento dos medicamentos analisados; pelos critérios de McLeod, 14,9 por cento dos doentes tomavam pelo menos um MPI, e eram inapropriados 3,1 por cento dos medicamentos. Pelos critérios de HEDIS 2006, 13,5 por cento dos doentes tomavam pelo menos um MPI, e eram inapropriados 2,8 por cento dos medicamentos estudados.Conclusões: Os critérios de Beers de 2003, operacionalizados para Portugal, identificaram um maior número de MPI e de doentes submetidos a este tipo de medicamentos, sendo estes critérios os melhores face aos diferentes instrumentos utilizados no estudo.Formifarma2015-11-25info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25756/rpf.v5i1.56https://doi.org/10.25756/rpf.v5i1.56Revista Portuguesa de Farmacoterapia / Portuguese Journal of Pharmacotherapy; Vol 5 No 1 (2013): Janeiro; 4-10Revista Portuguesa de Farmacoterapia; v. 5 n. 1 (2013): Janeiro; 4-102183-73411647-354Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://revista.farmacoterapia.pt/index.php/rpf/article/view/56Direitos de Autor (c) 2017 Revista Portuguesa de Farmacoterapiahttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessSoares, MariaFernandez-Llimós, FernandoCabrita, JoséMorais, José2023-09-01T04:33:08Zoai:ojs.farmacoterapia.pt:article/56Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:11:31.777783Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
CRITERIA TO EVALUATE POTENTIALLY INAPPROPRIATE MEDICINE PRESCRIPTION IN ELDERLY PATIENT : COMPARISON OF PRACTICAL RESULTS CRITÉRIOS DE AVALIAÇÃO DA PRESCRIÇÃO DE MEDICAMENTOS POTENCIALMENTE INAPROPRIADOS NO DOENTE GERIÁTRICO: COMPARAÇÃO DE RESULTADOS PRÁTICOS |
title |
CRITERIA TO EVALUATE POTENTIALLY INAPPROPRIATE MEDICINE PRESCRIPTION IN ELDERLY PATIENT : COMPARISON OF PRACTICAL RESULTS |
spellingShingle |
CRITERIA TO EVALUATE POTENTIALLY INAPPROPRIATE MEDICINE PRESCRIPTION IN ELDERLY PATIENT : COMPARISON OF PRACTICAL RESULTS Soares, Maria |
title_short |
CRITERIA TO EVALUATE POTENTIALLY INAPPROPRIATE MEDICINE PRESCRIPTION IN ELDERLY PATIENT : COMPARISON OF PRACTICAL RESULTS |
title_full |
CRITERIA TO EVALUATE POTENTIALLY INAPPROPRIATE MEDICINE PRESCRIPTION IN ELDERLY PATIENT : COMPARISON OF PRACTICAL RESULTS |
title_fullStr |
CRITERIA TO EVALUATE POTENTIALLY INAPPROPRIATE MEDICINE PRESCRIPTION IN ELDERLY PATIENT : COMPARISON OF PRACTICAL RESULTS |
title_full_unstemmed |
CRITERIA TO EVALUATE POTENTIALLY INAPPROPRIATE MEDICINE PRESCRIPTION IN ELDERLY PATIENT : COMPARISON OF PRACTICAL RESULTS |
title_sort |
CRITERIA TO EVALUATE POTENTIALLY INAPPROPRIATE MEDICINE PRESCRIPTION IN ELDERLY PATIENT : COMPARISON OF PRACTICAL RESULTS |
author |
Soares, Maria |
author_facet |
Soares, Maria Fernandez-Llimós, Fernando Cabrita, José Morais, José |
author_role |
author |
author2 |
Fernandez-Llimós, Fernando Cabrita, José Morais, José |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Soares, Maria Fernandez-Llimós, Fernando Cabrita, José Morais, José |
description |
Background: There are several criteria to evaluate the prescription of potentially inappropriate medicines (MPI) for elderly patients. Beers criteria are the most frequently used tool but to the same group of patients, there are few comparative studies to evaluate MPI.Aims: To compare the frequency of potentially inappropriate prescribing using several explicit criteria: Zhan, McLeod, HEDIS 2006 and Beers.Methods: Cross sectional study, involving elderly patients from Lisbon region recruited in 15 pharmacies. Medicines were evaluated by 4 explicit criteria: Zhan, McLeod, 2006 HEDIS and 2003 Beers (2008 Portuguese operationalization). It was performed a descriptive analysis of frequencies with central dispersion.Results: 570 patients, with mean age of 74.1 years old (SD=6.4), were enrolled, with 71.7% of which being female. Studied patients were taking a total of 3,021 medicines that were analyzed. By Beers criteria, 37.0% of patients used, at least, one MPI being inappropriate, 9.5% of all of the medicines; by Zhan criteria, 12.8% of the patients were taking, at least, one MPI being inappropriate, 2.8% of the studied medicines; by McLeod criteria, 14.9% of the patients were taking, at least, one MPI, being inappropriate 3.1% of the medicines and by HEDIS 2006 criteria, 13.5% of the patients were taking, at least, one MPI, being inappropriate 2.8% of the medicines.Conclusions: 2003 Beers criteria (2008 Portuguese operationalization) were able to identify more patients taking potentially inappropriate medicines and more inappropriate medicines than the other studied criteria. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-11-25 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25756/rpf.v5i1.56 https://doi.org/10.25756/rpf.v5i1.56 |
url |
https://doi.org/10.25756/rpf.v5i1.56 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://revista.farmacoterapia.pt/index.php/rpf/article/view/56 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2017 Revista Portuguesa de Farmacoterapia http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2017 Revista Portuguesa de Farmacoterapia http://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Formifarma |
publisher.none.fl_str_mv |
Formifarma |
dc.source.none.fl_str_mv |
Revista Portuguesa de Farmacoterapia / Portuguese Journal of Pharmacotherapy; Vol 5 No 1 (2013): Janeiro; 4-10 Revista Portuguesa de Farmacoterapia; v. 5 n. 1 (2013): Janeiro; 4-10 2183-7341 1647-354X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
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1799129986064449536 |