Using published criteria to develop a list of potentially inappropriate medications for elderly patients in Taiwan

Yang, Shuyu; Lai, Hung-Wen; Wu, Ruei-Jr; Liu, Hsing‐Cheng; Hsu, Hsiu-Ying; Hwang, Shinn‐Jang; Chan, Ding-Cheng

doi:10.1002/pds.3274

Cited by 41 publications

(51 citation statements)

References 29 publications

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“…Acetylsalicylic acid (75 mg) is widely used for primary prevention of the complications of cardiovascular disease, and its presence in the prescriptions of about 8.6% of our cohort is likely due to this fact. Prescribing by generic name was not encouraging in this study and much progress has not been made from findings from older Nigerian studies with generic drugs accounting for 49.3%, 49.5%, and 42.7% of all prescriptions, respectively 23,24,42…”

Section: Discussioncontrasting

confidence: 60%

Prescription pattern and prevalence of potentially inappropriate medications among elderly patients in a Nigerian rural tertiary hospital

Fadare¹,

Agboola²,

Opeke³

et al. 2013

TCRM

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IntroductionPolypharmacy and inappropriate prescriptions are prominent prescribing issues with elderly patients. Beers criteria and other guidelines have been developed to assist in the reduction of potentially inappropriate medications prescribed to elderly patients. The objectives of this study were to assess the prescribing pattern for elderly Nigerian outpatients and estimate the prevalence of potentially inappropriate medications among them using the Beers criteria.MethodologyThis was a prospective cross-sectional study of elderly patients (65 years and above) who were attending the general outpatients clinic of a rural Nigerian hospital. For the drug utilization aspect of the study, drug-use indicators were assessed using established World Health Organization guidelines, while the Beers criteria was used to screen for potentially inappropriate medications.ResultThe medical records of 220 patients aged 65 years and above were utilized for the study. A total of 837 drugs were prescribed for the patients, giving an average of 3.8 ± 1.3 drugs per person. Antihypertensive drugs accounted for 30.6% of the prescriptions, followed by multivitamins/food supplements (11.5%) and analgesics (10.8%). A review of the prescribed medications using the 2012 Updated Beers Criteria by the American Geriatric Society identified 56 patients with at least one potentially inappropriate medication prescribed giving a rate of 25.5%. The drug groups identified were nonsteroidal anti-inflammatory drugs, antihistamines, and amitriptyline.ConclusionPolypharmacy and prescription of potentially inappropriate medications are major therapeutic issues in Nigeria. There is a need for prescriber training and retraining with emphasis on the geriatric population.

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Section: Discussioncontrasting

confidence: 60%

Prescription pattern and prevalence of potentially inappropriate medications among elderly patients in a Nigerian rural tertiary hospital

Fadare¹,

Agboola²,

Opeke³

et al. 2013

TCRM

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“…The prevalence of PIMs per visit was estimated in elderly Koreans as 24.2%, which was higher than reported previously (10.3–19.1%) . Women were significantly more likely to receive PIMs, yet the OR was 1.007, suggesting that the magnitude of difference according to sex was marginal.…”

Section: Discussioncontrasting

confidence: 59%

Factors associated with potentially inappropriate medication use in elderly Koreans in an outpatient setting: a population‐based study

Kim

Jeon

Park

et al. 2016

J American Geriatrics Society

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“…The medications contained in this criterion were selected from among the drugs most commonly included in the PIM criteria published for three different world regions, including North America, Europe and Asia. This pooling increased the generalization of the Taiwan criteria for international comparative studies …”

Section: Methodsmentioning

confidence: 99%

Comparison of four criteria for potentially inappropriate medications in Brazilian community‐dwelling older adults

Novaes

Cruz

Lucchetti

et al. 2017

Geriatrics Gerontology Int

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The present study found moderate-to-high levels of concordance among the four PIM criteria assessed, pointing to a consensus in this field. However, each criterion showed particular characteristics: the EU(7)-PIM criterion had higher sensitivity, the Taiwan criterion higher specificity, and the Beers and STOPP a more balanced profile. These results highlight that each criterion has its own characteristics, and should be used according to health providers' objectives. Geriatr Gerontol Int 2017; 17: 1628-1635.

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Using published criteria to develop a list of potentially inappropriate medications for elderly patients in Taiwan

Abstract: A user-friendly instrument was developed to detect PIMs for Taiwanese older adults. Further prospective studies are needed to validate its use in clinical and research settings.

Cited by 41 publications

References 29 publications

Prescription pattern and prevalence of potentially inappropriate medications among elderly patients in a Nigerian rural tertiary hospital

Prescription pattern and prevalence of potentially inappropriate medications among elderly patients in a Nigerian rural tertiary hospital

Factors associated with potentially inappropriate medication use in elderly Koreans in an outpatient setting: a population‐based study

Comparison of four criteria for potentially inappropriate medications in Brazilian community‐dwelling older adults

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