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A database analysis of potentially inappropriate drug use in an elderly medicaid population.

Authors
Piecoro-LT; Browning-SR; Prince-TS; Ranz-TT; Scutchfield-FD
Source
Pharmacology 2000 Jan; 20(2):221-228
NIOSHTIC No.
20034418
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.
Keywords
Drugs; Drug-abuse; Pharmacology; Pharmacy-workers; Occupational-diseases; Overloading; Education; Educational-resource-centers
Contact
L.T. Piecoro, Pharm.D., 8700 Mason-Montgomery Road, Box 2117, Mason, OH 45040
CODEN
PHMGBN
Publication Date
20000101
Document Type
Journal Article
Funding Type
Cooperative Agreement; Agriculture
Fiscal Year
2000
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U50-OH-007547
Issue of Publication
2
ISSN
0031-7012
Source Name
Pharmacology
State
KY; OH
Performing Organization
University of Kentucky
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