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

Publication ,  Journal Article
Spinewine, A; Schmader, KE; Barber, N; Hughes, C; Lapane, KL; Swine, C; Hanlon, JT
Published in: Lancet
July 14, 2007

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.

Duke Scholars

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Published In

Lancet

DOI

EISSN

1474-547X

Publication Date

July 14, 2007

Volume

370

Issue

9582

Start / End Page

173 / 184

Location

England

Related Subject Headings

  • Randomized Controlled Trials as Topic
  • Practice Patterns, Physicians'
  • Pharmaceutical Services
  • Pharmaceutical Preparations
  • Humans
  • Geriatrics
  • General & Internal Medicine
  • Drug Utilization Review
  • Aged, 80 and over
  • Aged
 

Citation

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Spinewine, A., Schmader, K. E., Barber, N., Hughes, C., Lapane, K. L., Swine, C., & Hanlon, J. T. (2007). Appropriate prescribing in elderly people: how well can it be measured and optimised? Lancet, 370(9582), 173–184. https://doi.org/10.1016/S0140-6736(07)61091-5
Spinewine, Anne, Kenneth E. Schmader, Nick Barber, Carmel Hughes, Kate L. Lapane, Christian Swine, and Joseph T. Hanlon. “Appropriate prescribing in elderly people: how well can it be measured and optimised?Lancet 370, no. 9582 (July 14, 2007): 173–84. https://doi.org/10.1016/S0140-6736(07)61091-5.
Spinewine A, Schmader KE, Barber N, Hughes C, Lapane KL, Swine C, et al. Appropriate prescribing in elderly people: how well can it be measured and optimised? Lancet. 2007 Jul 14;370(9582):173–84.
Spinewine, Anne, et al. “Appropriate prescribing in elderly people: how well can it be measured and optimised?Lancet, vol. 370, no. 9582, July 2007, pp. 173–84. Pubmed, doi:10.1016/S0140-6736(07)61091-5.
Spinewine A, Schmader KE, Barber N, Hughes C, Lapane KL, Swine C, Hanlon JT. Appropriate prescribing in elderly people: how well can it be measured and optimised? Lancet. 2007 Jul 14;370(9582):173–184.
Journal cover image

Published In

Lancet

DOI

EISSN

1474-547X

Publication Date

July 14, 2007

Volume

370

Issue

9582

Start / End Page

173 / 184

Location

England

Related Subject Headings

  • Randomized Controlled Trials as Topic
  • Practice Patterns, Physicians'
  • Pharmaceutical Services
  • Pharmaceutical Preparations
  • Humans
  • Geriatrics
  • General & Internal Medicine
  • Drug Utilization Review
  • Aged, 80 and over
  • Aged