The consumption of drugs by 75-year-old individuals living in their own homes

Barat, Ishay; Andreasen, F.; Damsgaard, Else Marie

doi:10.1007/s002280000157

Cited by 166 publications

(143 citation statements)

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“…It is also possible that a medication review enhances adherence, by improving the patientdoctor relationship, or by emphasising the relevance of medications. Polypharmacy is common in older people 27 , and it has been suggested that reviewing and possibly reducing the number of medications might help adherence 28 . Number of medications was not a significant predictor of non-adherence in our study.…”

Section: Possible Interventionsmentioning

confidence: 99%

The AdHOC Study of Older Adults' Adherence to Medication in 11 Countries

Cooper

Carpenter

Katona

et al. 2005

The American Journal of Geriatric Psychiatry

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Section: Possible Interventionsmentioning

confidence: 99%

The AdHOC Study of Older Adults' Adherence to Medication in 11 Countries

Cooper

Carpenter

Katona

et al. 2005

The American Journal of Geriatric Psychiatry

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“…Appropriate medication use -a key factor to maximize therapeutic benefits and to minimize the risk of ADRs -is known to be a major concern in this patient group. For example, Barat et al performed interviews with 75-year-old home-dwelling persons in Denmark and found that more than 80% of them used three or more drugs, and that non-adherence was prevalent (20 to 70% depending on the measuring method) (4,5). Tordoff et al interviewed communitydwelling people aged ≥75 years in New Zealand and observed problems with reading and understanding drug labels (9 and 4%, respectively) and leaflets (12 and 6%), and difficulty with swallowing solid dosage forms (14%) (6).…”

Section: Introductionmentioning

confidence: 99%

Medication management among home-dwelling older patients with chronic diseases: Possible roles for community pharmacists

Mehuys

Dupond

Petrovic

et al. 2012

The Journal of nutrition, health and aging

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Objective: To describe medication management among home-dwelling older adults. These data should allow us to identify potential problems and to indicate target areas for community pharmacist intervention.Design: Cross-sectional observational study Setting: Community pharmacies (n=86) in Belgium.Participants: Home-dwelling older adults using at least one chronic medicine (n=338).Measurements: Data on drug use were taken from the electronic pharmacy databases, while drug adherence was measured by pill count, self-report and estimation by GP and pharmacist. Drug knowledge and practical drug management capacity were assessed by patient interview and questionnaire, respectively. Results:The study population (n=338) used a median of 5 chronic drugs per patient. Half of our sample (n=169) used psychotropic medication chronically, mainly benzodiazepines. In 100 patients (29.6%) at least one drug-drug interaction of potential clinical significance was observed. The overall mean adherence per patient was very high (98.1%), but 39.6% of individuals was underadherent with at least one medication. Seventy-six % of patients had an acceptable knowledge of the indication for at least 75% of their medication. In nearly 15 % of the study population cognitive impairment was suspected by the Mini-Cog Test. The participants reported several practical problems with drug taking: difficulties with vision (32.0%), blister opening (12.1%), tablet swallowing (14.8%), tablet splitting (29.7% [represents % of patients who have to split tablets]) and distinction between different drug packages (23.4%). Conclusion:This study identified the following aspects of medication management by home-dwelling older adults that could be improved by pharmaceutical care services: (i) assistance of cognitively impaired patients, (ii) management of practical drug taking problems, (iii) DDI screening, (iv) drug adherence, and (v) chronic benzodiazepine use.3

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“…Already in 1987 Gilchrist et al showed up to two thirds of patient's drug history obtained from the general practitioner to be inaccurate (9). It has since then repeatedly been proven that GP records (5; 6; 8; 2; 4) as well as hospital records (3; 4) and even patient reporting (5; 7; 3; 4) shows major discrepancies when compared to more thorough medication reviews, with up to 25 % of prescribed drugs being used without the general practitioners knowledge (2). A Danish study suggests that the use of a nationwide database may prove to be the most accurate measure of actual drug use (3).…”

Section: Introductionmentioning

confidence: 99%