Potentially inappropriate prescribing in elderly: assessing doctor knowledge, confidence and barriers

Journal of Evaluation in Clinical Practice
Ravishankar RamaswamyBarbara Roehl

Abstract

Inappropriate medication prescribing by doctors is an important preventable cause of morbidity and mortality in the elderly. This study investigates doctor knowledge about potentially inappropriate prescribing (PIP) in elderly, their confidence in prescribing for the elderly and explores perceived barriers. Family and Internal Medicine resident and attending doctors at three teaching hospitals were asked to complete a survey. Six clinical vignettes based on the 2003 Beers criteria were used to evaluate doctor knowledge about medications to avoid in the elderly. Confidence in prescribing for the elderly and perceived barriers to appropriate prescribing in elderly was assessed using a 5-point Likert scale. Eighty-nine doctors completed the survey, for a response rate of 45%. Forty-four per cent of surveyed doctors estimated that over 25% of their practice consisted of patients 65 years or older. When knowledge of PIP was assessed via vignettes, the mean correct response was 3.9 (SD: 1.1, min = 1, max = 6). Only 14% of those doctors scoring ≤4 vignettes correctly had used the Beers criteria for prescribing; 31% of the doctors answering ≥5 vignettes correctly had used the Beers criteria (P = 0.08). Overall, 75% of doctors felt conf...Continue Reading

References

Aug 1, 1997·Journal of the American Geriatrics Society·J T HanlonI K Lewis
Jan 16, 2002·JAMA : the Journal of the American Medical Association·David W KaufmanAllen A Mitchell
Feb 5, 2002·CNS Drugs·Jane R Mort, Rajender R Aparasu
Jun 14, 2002·Pharmacy World & Science : PWS·H J M Beijer, C J de Blaey
Dec 17, 2002·Journal of the American Pharmaceutical Association : APhA·Gordon G Liu, Dale B Christensen
Jul 24, 2004·Journal of the American Geriatrics Society·Terry S FieldDavid W Bates
Mar 5, 2005·The American Journal of Medicine·Jerry H GurwitzDavid W Bates
Jun 14, 2005·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Jon VeloskiDavid B Nash
Aug 5, 2005·Journal of the American Geriatrics Society·Mary Jo V PughDan R Berlowitz
May 9, 2006·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Vittorio MaioChristine Arenson
Jun 22, 2006·The American Journal of Emergency Medicine·Kevin M TerrellDouglas K Miller
Feb 22, 2007·The Annals of Pharmacotherapy·Elda Jano, Rajender R Aparasu
Jul 17, 2007·Lancet·Louise MalletAllen Huang
Oct 13, 2007·QJM : Monthly Journal of the Association of Physicians·M Francis DallenbachJ Desmeules
Mar 20, 2008·Age and Ageing·Denis O'Mahony, Paul Francis Gallagher
Aug 12, 2008·Journal of the American College of Nutrition·Marion L VetterAdina L Kalet
Sep 6, 2008·Journal of the American Geriatrics Society·Kevin T BainStephen G Pauker

❮ Previous
Next ❯

Citations

Oct 9, 2015·Journal of the American Geriatrics Society·Michael A SteinmanPaul Mulhausen
Jan 13, 2016·The International Journal of Risk & Safety in Medicine·Joseph O FadareFelix O Aina
Sep 30, 2015·International Journal of Clinical Pharmacy·Mohd Shahezwan Abd Wahab
Mar 26, 2014·British Journal of Clinical Pharmacology·Emily ReeveMichael D Wiese
May 13, 2015·Scandinavian Journal of Primary Health Care·Hege Therese BellAnne Gerd Granas
Dec 15, 2015·British Journal of Clinical Pharmacology·David J BrinkmanMichiel A van Agtmael
Jul 28, 2016·BMC Family Practice·Karen VoigtAntje Bergmann
Sep 16, 2017·Journal of the American Geriatrics Society·Justin P Turner, Cara Tannenbaum
Mar 2, 2018·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Khalid A J Al KhajaReginald P Sequeira
Sep 21, 2018·Journal of the American Association of Nurse Practitioners·Jessica C ChunSteven Simmons
Jan 11, 2019·British Journal of Clinical Pharmacology·Carina LundbyDorthe Susanne Nielsen
Jul 23, 2020·Journal of Pharmaceutical Policy and Practice·Muhammad Eid AkkawiMohd Aznan Md Aris
Mar 1, 2018·European Journal of Hospital Pharmacy. Science and Practice·Muhammad Eid Akkawi, Mohamad Haniki Nik Mohamed
Dec 4, 2020·European Journal of Clinical Pharmacology·Birgit A Damoiseaux-VolmanAmeen Abu-Hanna
Sep 22, 2021·Current Medical Research and Opinion·Kathryn A MartinezMichael B Rothberg

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.