A Database Analysis of Potentially Inappropriate Drug Use in an Elderly Medicaid Population

Overview

Journal Pharmacotherapy

Specialty Pharmacology

Date 2000 Mar 11

PMID 10678301

Citations 35

Authors

L T Piecoro

S R Browning

T S Prince

T T Ranz

F D Scutchfield

Affiliations

Soon will be listed here.

Abstract

We conducted a cross-sectional retrospective review of 1996 Kentucky Medicaid Pharmacy claims data to examine the prevalence of potentially inappropriate drug use in 64,832 Medicaid recipients aged 65 years and older who received a prescription. Twenty-seven percent of patients received at least one potentially inappropriate agent. Prevalence was higher for nursing home residents (33%) than for community dwellers (24%). Amitriptyline (7.6%), propoxyphene (6.5%), doxepin (4.0%), and indomethacin (2.3%) were the most prescribed potentially inappropriate agents. Education programs and interventions aimed at optimizing the prescribing and dispensing of the most appropriate drugs are needed.

Citing Articles

Assessment of Potentially Inappropriate Medications Using the EU (7)-PIM List, in a Sample of Portuguese Older Adults' Residents in Nursing Homes.

Placido A, Aguiar A, Pineiro-Lamas M, Varallo F, Figueiras A, Herdeiro M Risk Manag Healthc Policy. 2022; 15:1343-1352.

PMID: 35860675 PMC: 9289568. DOI: 10.2147/RMHP.S346300.

Antimuscarinic use among older adults with dementia and overactive bladder: a Medicare beneficiaries study.

Kachru N, Holmes H, Johnson M, Chen H, Aparasu R Curr Med Res Opin. 2021; 37(8):1303-1313.

PMID: 33890538 PMC: 9289997. DOI: 10.1080/03007995.2021.1920899.

A cross-sectional study of psychotropic drug use in the elderly: Consuming patterns, risk factors and potentially inappropriate use.

Santos-Perez M, Fierro I, Salgueiro-Vazquez M, Sainz-Gil M, Martin-Arias L Eur J Hosp Pharm. 2021; 28(2):88-93.

PMID: 33608436 PMC: 7907686. DOI: 10.1136/ejhpharm-2019-001927.

Determinants of Potentially Inappropriate Medication Use in Long-Term and Acute Care Settings: A Systematic Review.

Nothelle S, Sharma R, Oakes A, Jackson M, Segal J J Am Med Dir Assoc. 2017; 18(9):806.e1-806.e17.

PMID: 28764876 PMC: 5581209. DOI: 10.1016/j.jamda.2017.06.005.

Potentially inappropriate medications use in community-based aged patients: a cross-sectional study using 2012 Beers criteria.

Zeenny R, Wakim S, Kuyumjian Y Clin Interv Aging. 2017; 12:65-73.

PMID: 28115835 PMC: 5221543. DOI: 10.2147/CIA.S87564.