Educational Program for Physicians to Reduce Use of Non-Steroidal Anti-Inflammatory Drugs Among Community-Dwelling Elderly Persons

Wa, Ray; Cm, Stein; Byrd,; Shorr, Ronald I.; Jw, Pichert; Gideon, Patricia; Arnold, Kristina; Kd, Brandt; Pincus, Theodore; Mr, Griffin

doi:10.1097/00005650-200105000-00003

Cited by 53 publications

(37 citation statements)

References 37 publications

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“…In some disease states, however, guidelines have been shown to influence physician behavior and this may depend on the prevalence of the disorder, access to the guideline and other factors [6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

An International Primary Care Survey of GERD Terminology and Guidelines

Vakil

Malfertheiner

Salis

et al. 2008

Dig Dis

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Background: Terminology used to describe upper gastrointestinal disorders differs by country and language. However, the extent of variation in physician understanding of GERD and associated conditions and symptoms is not known. Aim: To determine the knowledge of primary care physicians with regard to: terminology related to GERD, their understanding of related complications and extra-esophageal symptoms/conditions, and their use of guidelines relating to GERD. Methods: Gastroenterologists from 17 countries asked primary care physician colleagues to complete a one-page online survey on GERD. Results: 352 primary care physicians, (77% community-based, 23% hospital-based) completed the questionnaire. Gastroesophageal reflux disease/GERD (84%) or reflux/reflux disease (47%) were the terms mostly often used to record a diagnosis for patients with reflux-related symptoms or clinical manifestations; dyspepsia (15%), epigastric pain (10%), and gastritis (9%) were infrequently used. Erosive esophagitis, Barrett’s esophagus, stricture, and esophageal adenocarinoma were recognized as being associated with GERD by 88, 71, 61 and 51% of physicians, respectively. Extra-esophageal problems of cough, sleep-related disorders, laryngitis and asthma were recognized to be associated with GERD by 74, 50, 48 and 47% of respondents. Thirty-nine percent of physicians stated that they did not use a specific definition of GERD; 33% used an international and 14% used a national guideline in managing patients. Conclusions: (1) GERD is well recognized, but its related terminology is variable throughout the world. (2) There was variable and incomplete recognition of extra-esophageal manifestations GERD. (3) Recognition of extra-esophageal diseases caused by GERD is variable. (4) Current GERD guidelines are infrequently used by primary care physicians.

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Section: Introductionmentioning

confidence: 99%

An International Primary Care Survey of GERD Terminology and Guidelines

Vakil

Malfertheiner

Salis

et al. 2008

Dig Dis

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“…Most persons used analgesics only when needed. The use of nonsteroidal anti-inflammatory drugs in particular incurs risks of heart failure [6], serious gastrointestinal adverse effects and renal failure [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Concomitant use of analgesics and psychotropics in home‐dwelling elderly people‐Kuopio 75 + study

Hartikainen

Mäntyselkä

Louhivuori-Laako

et al. 2005

Brit J Clinical Pharma

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“…NSAIDs are one of the most frequently prescribed medications among patients over the age of 65 years, and OTC NSAIDs are readily available, widely used, and often under-reported to healthcare providers [19][20][21][22][23]. Aspirin is the third most commonly used drug in the United States, after acetaminophen and ibuprofen, and over half of those taking aspirin do so for cardiovascular prophylaxis [23].…”

Section: Discussionmentioning

confidence: 99%

Association of non-steroidal anti-inflammatory drugs with outcomes in patients with ST-segment elevation myocardial infarction treated with fibrinolytic therapy: an ExTRACT-TIMI 25 analysis

Gibson

Pride

Aylward

et al. 2008

J Thromb Thrombolysis

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Educational Program for Physicians to Reduce Use of Non-Steroidal Anti-Inflammatory Drugs Among Community-Dwelling Elderly Persons

Abstract: The educational program modestly reduced NSAID exposure in community-dwelling elderly patients without undesirable substitution of other medications or detectable worsening of musculoskeletal symptoms.

Cited by 53 publications

References 37 publications

An International Primary Care Survey of GERD Terminology and Guidelines

An International Primary Care Survey of GERD Terminology and Guidelines

Concomitant use of analgesics and psychotropics in home‐dwelling elderly people‐Kuopio 75 + study

Association of non-steroidal anti-inflammatory drugs with outcomes in patients with ST-segment elevation myocardial infarction treated with fibrinolytic therapy: an ExTRACT-TIMI 25 analysis

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