Sistemas personalizados de dosificación en el cumplimiento del tratamiento farmacológico de pacientes con hipertensión y dislipemias

García, Enrique Llaves; Beltrán, María Muñoz; García-Jiménez, Emilio; Parejo, Isabel Baena

doi:10.1016/j.aprim.2008.12.004

Cited by 6 publications

(2 citation statements)

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“…This tool, also known as personalised dosage systems (PDS), can help patients both remember to take their medication and remind them whether or not they have. The use of the PDS as a strategy to improve adherence in elderly, polymedicated patients is widely recommended [ 4 , 10 , 31 , 48 , 49 , 50 ]. Existing studies show that PDS do seem to increase adherence, although results on the strength of effect vary.…”

Section: Resultsmentioning

confidence: 99%

“…Serra-Prat, Bartolomé, Fité and Agustí [ 48 ] also observed improvement when measuring adherence by tallying unused pills in an elderly, polymedicated population; they observed an adherence rate of 73.5% in the control group, compared to 98.9% in the PDS group ( p = 0.001). In their study of polymedicated patients over 60 with hypertension and/or dislipidaemia, Llaves, Segura, García-Jiménez and Baena [ 49 ] reported a significant 23% increase in treatment adherence, from 40% at baseline to 63% eight weeks after beginning use of the device ( p < 0.02).…”

Section: Resultsmentioning

confidence: 99%

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Inappropriate Use of Medication by Elderly, Polymedicated, or Multipathological Patients with Chronic Diseases

Pérez-Jover

Mira

Carratalá‐Munuera

et al. 2018

IJERPH

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The growth of the aging population leads to the increase of chronic diseases, of the burden of multimorbility, and of the complexity polypharmacy. The prevalence of medication errors rises in patients with polypharmacy in primary care, and this is a major concern to healthcare systems. This study reviews the published literature on the inappropriate use of medicines in order to articulate recommendations on how to reduce it in chronic patients, particularly in those who are elderly, polymedicated, or multipathological. A systematic review of articles published from January 2000 to October 2015 was performed using MEDLINE, EMBASE, PsychInfo, Scopus, The Cochrane Library, and Index Medicus databases. We selected 80 studies in order to analyse the content that addressed the question under consideration. Our literature review found that half of patients know what their prescribed treatment is; that most of elderly people take five or more medications a day; that in elderly, polymedicated people, the probability of a medication error occurring is higher; that new tools have been recently developed to reduce errors; that elderly patients can understand written information but the presentation and format is an important factor; and that a high percentage of patients have remaining doubts after their visit. Thus, strategies based on the evidence should be applied in order to reduce medication errors.

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