Drug Utilization in Office Practice by Age and Sex of the Patient: National Ambulatory Medical Care Survey, 1980

Koch, Hugo

doi:10.1037/e604862007-001

Cited by 8 publications

(15 citation statements)

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“…Over 75% of the sample reported obtaining and using one or more OTC drugs in the past year, with the most commonly used (reported by 50% or more) drugs as headache or pain remedies (#l), cold or flu remedies (#2), and vitamins (#3). These data are similar to those of Koch (1982) Coons et al (1988) for the elderly. Integration of related research provides an enhanced perspective for this report of the prevalence and nature of OTC drug use.…”

Section: Discussionsupporting

confidence: 93%

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Self‐Medication: A survey of nonprescription drug use

Buckalew

1993

Drug Development Research

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A sample of adults (n = 148) which reflected age, gender, and race characteristics of the 1980 U.S. Census was surveyed on the incidence of obtaining over the counter (OTC) drugs during the previous year and the nature of the drugs used. Most (78%) reported obtaining OTC drugs, and of 15 categories, headache or pain remedies, cold or flu remedies, and vitamins were most frequently (>50%) reported as used. No gender or race effects were found for obtaining OTC drugs or for the nature of OTC drugs used. Identified patterns of OTC drug use were related to previous research and have implications for drug development, health care, and marketing concerns. 0 1993 Wiley-Liss, Inc.

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Section: Discussionsupporting

confidence: 93%

“…Koch (1982) estimated that nearly 680 million agents were ordered or provided in a year for prevention, diagnosis, or treatment, with a prescription being rendered in over 60% of all visits to a doctor's office. Concurrently, Rottenberg (1980) suggested that as many as 40 million people may consume nonprescription (OTC) drugs daily.…”

Section: Introductionmentioning

confidence: 99%

Self‐Medication: A survey of nonprescription drug use

Buckalew

1993

Drug Development Research

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“…Although there are many case reports where specific D-DIs are believed to have resulted in significant adverse effects, the overall incidence of effects serious enough to lead to Drug Safety 9 (1) 1993 hospitalisation appears quite small. There is a need to view the quantification of D-DIs in relation to the number of medications prescribed by physicians, dispensed by pharmacists and taken by patients: in 1980 in the US, there were an estimated 363.5 million drug visits to physicians, a drug visit being an office visit at which one or more drugs are recommended or provided (Koch 1982). As stated by Jick (1984) in his assessment of this problem with respect to ADRs: 'Hospitalisations resulting from adverse drug reactions, as a group, are common (about 3% or hospital admissions).…”

Section: Resultsmentioning

confidence: 99%

Epidemiology of Drug-Drug Interactions as a Cause of Hospital Admissions

1993

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The purpose of this review was to focus on hospital admissions caused by a specific type of adverse drug reaction (ADR) that can be assumed to be avoidable in almost all cases: the drug-drug interaction (D-DI). To determine the epidemiology of D-DIs in hospital admissions, a review of the adverse drug reaction literature was undertaken to answer several questions: (a) what is the incidence of hospital admissions attributable to D-DIs?; (b) what percentage of drug-related hospital admissions are attributable to D-DIs?; (c) are there any patterns to the above findings, i.e. are some D-DIs or specific drugs more likely to have been associated with hospital admissions?; and (d) are there certain patient risk factors (e.g. age) that are associated with D-DIs that led to a hospital admission? Nine ADR studies were found that either included a D-DI category as a cause for hospital admissions, or provided sufficient information so that a causal relationship could be inferred. The incidence of hospital admissions due to D-DIs ranged from 0 to 2.8%. The data found in the studies we reviewed, however, were insufficient to allow meaningful quantification of specific drugs as usual causes for D-DI-related admissions, and because of the very small numbers of patients for which a D-DI was believed to be the cause it is not possible to provide a meaningful summary of risk factors specific for D-DI admissions. We cannot conclude that D-DIs are a significant problem. There is a need to view the quantification of D-DIs in relation to the number of medications prescribed by physicians, dispensed by pharmacists and taken by patients.

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“…But doctors tend to offer drug assistance to women more: A larger percent of office visits result in drug prescriptions for women 45 + than men those ages (Koch, 1982). And, when prescriptions occur, a larger number of drugs are prescribed to elderly women.…”

Section: Who Is More 6isabled By Acute or Chronic Conditions?mentioning

confidence: 99%