Birth cohort differences in the use of medications in a Brazilian population of older elderly: the Bambuí cohort study of aging (1997 and 2008)

Filho, Antônio Ignácio de Loyola; Firmo, Josélia Oliveira Araújo; Uchôa, Elizabeth; Lima‐Costa, Maria Fernanda

doi:10.1590/s0102-311x2011001500014

Cited by 14 publications

(12 citation statements)

References 34 publications

(62 reference statements)

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“…Likewise, cardiac therapy (ATC-group C01) showed considerable consumption; this result is similar to that of Straand and Rokstad (1999), where nitrates and digitalis preparations were more representative drugs. Other studies showed the same tendencies (Loyola et al, 2011;Rozenfeld, 2008).…”

Section: Discussionsupporting

confidence: 62%

Elderly drug utilization in the community assessed through pharmacy dispensing data

Sanchez¹

2013

Afr. J. Pharm. Pharmacol.

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People of 65 years and above now comprise a greater share of the world's population than ever before, and this proportion will increase during the 21st century. In Spain, between 55 and 90% of the elderly consume a drug. This study characterizes the use of drugs by elderly through dispensing data at the community pharmacy. This study was conducted at a community pharmacy in Madrid, Spain in 2011. A retrospective and descriptive consumption study was conducted using computerized pharmacy dispensing records for all pensioner patients. Anatomical Therapeutic Chemical (ATC) Classification code of all drugs dispensed was recorded in this database accordingly and this classification was used. The 10 most widely used ATC subgroups (2nd level) were determined. These most widely used ATC subgroups were examined using ATC-codes of the 5th level, thus mostly consumed drugs were estimated. A total of 40, 177 drugs were dispensed to patients with prescriptions for pensioners. Antiinflammatory and analgesic were by far the most widely used drugs: 37.2% of all elderly used drugs from this subgroup. The use of drugs from the remaining nine subgroups was considerably lower, ranging from 9.0% (drugs for obstructive airway diseases) to 4.5% (antineoplastic and beta blocking agents). Cardiac therapy and psycholeptic were used by 7.8%. Diuretic were used by 7.5% of elderly people, while antibacterial for systemic use and psycoanaleptic were used by 5.6%. Psychoanaleptics was consumed in 5.6%, mostly represented by venlafaxine and citalopram. According to the dispensing data, drug use in this sample is similar to that reported by other studies conducted in Spain and abroad. Majority of the elderly were exposed to anti-inflammatory, analgesic and drugs for obstructive airway diseases. Other ATC-subgroups for treatment of cardiovascular conditions were used. This study demonstrates the need for involvement of pharmacists to ensure efficacy and safety in the use of drugs by sensitive populations such as elderly at the community setting.

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Section: Discussionsupporting

confidence: 62%

Elderly drug utilization in the community assessed through pharmacy dispensing data

Sanchez¹

2013

Afr. J. Pharm. Pharmacol.

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“…In this way, new demands arise in terms of public health policies 8 . Chronic conditions have greater visibility in the health care with the aging of the population 15 . In this way, the increased burden of disease and the use of medications become challenges for the system 18 .…”

Section: Introductionmentioning

confidence: 99%

Potentially inappropriate medications among older adults in Pelotas, Southern Brazil

2017

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OBJECTIVE To assess the use of potentially inappropriate medications among older adults.METHODS This is a population-based cross-sectional study with 1,451 older individuals aged 60 years or more in the city of Pelotas, State of Rio Grande do Sul, Brazil, in 2014. We have investigated the use of medications in the last 15 days. Using the Beers criteria (2012), we have verified the use of potentially inappropriate medications and their relationship with socioeconomic and demographic variables, polypharmacy, self-medication, and burden of disease.RESULTS Among the 5,700 medications used, 5,651 could be assessed as to being inappropriate. Of these, 937 were potentially inappropriate for the older adults according to the 2012 Beers criteria (16.6%). Approximately 42.4% of the older adults studied used at least one medication considered as potentially inappropriate. The group of medications for the nervous system accounted for 48.9% of the total of the potentially inappropriate medications. In the adjusted analysis, the variables female, advanced age, white race, low educational level, polypharmacy, self-medication, and burden of disease were associated with the use of potentially inappropriate medications.CONCLUSIONS It is important to known the possible consequences of the use of medication among older adults. Special attention should be given to the older adults who use polypharmacy. Specific lists should be created with more appropriate medications for the older population in the National Essential Medicine List.

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“…Around 80.0% of Brazilians aged more than 60 years take at least one medication per day, which highlights the need to evaluate the determinants of this use, and especially adherence to treatment. 4,6,12 Adherence to treatment is the degree to which the individual's behavior and the doctor or health care professional's guidance are in agreement. 16,27 Low adherence may negatively affect the patient's clinical evolution, leading to personal, social and economic consequences.…”

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confidence: 99%

Fatores associados a baixa adesao ao tratamento medicamentoso em idosos

Tavares¹,

Bertoldi²,

Thumé³

et al. 2013

Rev. Saude Publica

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OBJECTIVE:To assess factors associated with low adherence to pharmacotherapy in older adults. METHODS:Cross-sectional population-based study, with a representative sample of 1,593 individuals aged 60 or older, living in the urban area of Bagé, RS, Southern Brazil, in 2008. A multiple stage sampling model was used. The data were collected through individual household interviews. The analyses of the association between low adherence regarding pharmacotherapy, measured using the Brief Medication Questionnaire (BMQ), and demographic, socioeconomic, behavioral, health, assistance and prescription factors were carried out applying Poisson regression model to assess crude and adjusted prevalence ratios, their respective 95% confidence intervals and p-value (Wald test). RESULTS:Around 78.0% of individuals reported have taken at least one medication in the seven days prior to the interview. Of these, approximately one third (28.7%) were considered to have low adherence to the treatment. The factors significantly associated to low adherence to treatment were: age (65 to 74 years old), not having health insurance, having to purchase (totally or partially) their own medicines, having three or more morbidities, having functional disabilities and using three or more medicines. CONCLUSIONS:The increased use of medicines by older adults, because of the high prevalence of non-communicable diseases in this group, and the access to the treatment need to be considered by health care professionals regarding fostering adherence to treatment, which increases therapeutic solutions and quality of life among older people.

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Birth cohort differences in the use of medications in a Brazilian population of older elderly: the Bambuí cohort study of aging (1997 and 2008)

Cited by 14 publications

References 34 publications

Elderly drug utilization in the community assessed through pharmacy dispensing data

Elderly drug utilization in the community assessed through pharmacy dispensing data

Potentially inappropriate medications among older adults in Pelotas, Southern Brazil

Fatores associados a baixa adesao ao tratamento medicamentoso em idosos

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