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Appropriate prescribing in elderly people: how well can it be measured and optimised?

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Spinewine, Anne [UCL] Schmader, Kenneth E Barber, Nick Hughes, Carmel Lapane, Kate L Swine, Christian [UCL] Hanlon, Joseph T

Prescription of medicines is a fundamental component of the care of elderly people, and optimisation of drug prescribing for this group of patients has become an important public-health issue worldwide. Several characteristics of ageing and geriatric medicine affect medication prescribing for elderly people and render the selection of appropriate pharmacotherapy a challenging and complex process. In the first paper in this series we aim to define and categorise appropriate prescribing in elderly people, critically review the instruments that are available to measure it and discuss their predictive validity, critically review recent randomised controlled intervention studies that assessed the effect of optimisation strategies on the appropriateness of prescribing in elderly people, and suggest directions for future research and practice.

Document type Article de périodique (Journal article) – Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S., Review
Access type Accès restreint
Publication date 2007
Journal information "Lancet" - Vol. 370, no. 9582, p. 173-84 (2007)
Peer reviewed yes
e-issn 1474-547X
issn 0140-6736
Publication status Publié
Affiliations UCL - (MGD) Service de médecine gériatrique
UCL - MD/FARM - Ecole de pharmacie
MESH Subject Aged ; Aged, 80 and over ; Drug Utilization Review ; Geriatrics ; Humans ; Pharmaceutical Preparations - administration & dosage ; Pharmaceutical Services ; Physician's Practice Patterns - statistics & numerical data ; Randomized Controlled Trials as Topic
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Bibliographic reference Spinewine, Anne ; Schmader, Kenneth E ; Barber, Nick ; Hughes, Carmel ; Lapane, Kate L ; et. al. Appropriate prescribing in elderly people: how well can it be measured and optimised?. In: Lancet, Vol. 370, no. 9582, p. 173-84 (2007)
Permanent URL http://hdl.handle.net/2078.1/11031