Interprovincial Variation of Psychotropic Prescriptions Dispensed to Older Canadian Adults.
Background Utilization of psychotropic medications among the elderly has garnered attention due to concerns about safety and degree of efficacy, but may be used differently across regions. Methods We conducted a cross-sectional study of all antipsychotic, benzodiazepine, and trazodone prescriptions...
| Publicado en: | Canadian Geriatrics Journal Vol. 21; no. 3; pp. 269 - 274 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Canadian Geriatrics Society
Sep2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131834009&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 131834009 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19258348 EV2Z jtl: Canadian Geriatrics Journal issn: 19258348 maglogo: N pubinfo: dt: Sep2018 vid: 21 iid: 3 pid: 76420 pub: Canadian Geriatrics Society place: Markham, Ontario artinfo: ui: 131834009 131834009 131834009 10.5770/cgj.21.307 131834009 ppf: 269 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Interprovincial Variation of Psychotropic Prescriptions Dispensed to Older Canadian Adults. aug: au: Black, Cody D. McCarthy, Lisa Gomes, Tara Mamdani, Muhammad Juurlink, David Tadrous, Mina affil: School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON sug: subj: Psychotropic Drugs Administration and Dosage Psychotropic Drugs Therapeutic Use Prescribing Patterns Evaluation Geographic Factors Evaluation Human Cross Sectional Studies Canada Antipsychotic Agents Therapeutic Use Trazodone Therapeutic Use Antianxiety Agents, Benzodiazepine Therapeutic Use Aged Funding Source Aged: 65+ years ab: Background Utilization of psychotropic medications among the elderly has garnered attention due to concerns about safety and degree of efficacy, but may be used differently across regions. Methods We conducted a cross-sectional study of all antipsychotic, benzodiazepine, and trazodone prescriptions dispensed to seniors (≥ 65 years) leveraging IQVIA (Durham, NC) GPM data in 2013. We report the units dispensed (per 100 seniors) by province. Results Nationally, on average, 26,210 units of antipsychotics, 24,257 of benzodiazepines, and 7,519 of trazodone were dispensed in 2013 for every 100 seniors; reports varied across Canada. The rate of antipsychotic and benzodiazepine prescribing was highest in New Brunswick (AP: 35,375 units per 100, BZD: 43,989 units per 100), and lowest in Newfoundland & Labrador for antipsychotics (20,974 per 100) and Saskatchewan for benzodiazepines (12,692 per 100). Trazodone unit dispensation rates were highest in Nova Scotia (9,164 per 100) and lowest in Newfoundland & Labrador (2,968 per 100). Conclusions There is considerable geographic variation in the prescribing patterns of antipsychotics, benzodiazepine, and trazodone. This study serves as the first step in understanding these differences, while future work is needed to develop regionspecific strategies to optimize the prescribing of psychotropic medications to older Canadian adults. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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