{"_buckets": {"deposit": "e936ed30-d80b-4795-a120-860058c9fc86"}, "_deposit": {"created_by": 14, "id": "2001511", "owner": "14", "owners": [14], "owners_ext": {"displayname": "大久保光枝", "username": "mokubo"}, "pid": {"revision_id": 0, "type": "depid", "value": "2001511"}, "status": "published"}, "_oai": {"id": "oai:tsukuba.repo.nii.ac.jp:02001511", "sets": ["1760", "1633324659374"]}, "author_link": ["127980"], "item_5_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2020-04", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "2", "bibliographicPageEnd": "587", "bibliographicPageStart": "579", "bibliographicVolumeNumber": "42", "bibliographic_titles": [{"bibliographic_title": "International Journal of Clinical Pharmacy", "bibliographic_titleLang": "en"}]}]}, "item_5_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "Background In recent years, rapid increase of elderly population has become a major social problem in developed countries. They tend to receive an increasing number of prescibed drugs due to multiple illnesses, which might include inappropriate medications, in turn leading to health hazards and rising healthcare cost. Objective To evaluate the current status of potentially inappropriate medications prescribed for elderly outpatients and filled by dispensing pharmacies using the recent Japanese Guidelines, and to determine factors that are related to prescribing potentially inappropriate medications. Setting A cross-sectional study of older patients (≥ 75 years) who visited dispensing pharmacies in the Ibaraki Prefecture, Japan. Method We identified patients prescribed potentially inappropriate medications using the “List of Medications that Require Particularly Careful Administration” in the Guidelines (Guideline List). We explored patient’s factors related to polypharmacy (≥ 5 medications) and prescription of inappropriate medications through multivariate analysis, and a cutoff value for predicting potentially inappropriate medications through receiver operating characteristic curve analysis. Main outcome measure Prevalence of polypharmacy and potentially inappropriate medications, and patient’s factors associated with them. Results Of 8080 patients (39,252 medications) who visited pharmacies during the study period, 43.1% (3481) were prescribed ≥ 5 medications. In total, 2157 patients (26.7%) were prescribed at least one potentially inappropriate medication. The most prescribed inappropriate medication class was (benzodiazepine) sedatives and hypnotics. Potentially inappropriate medications were 7.11 times (95% CI 6.29–8.03) and 1.51 times (1.34–1.71) more likely to be prescribed for patients with ≥ 5 medications and those prescribed by multiple physicians, respectively. A cutoff value for potentially inappropriate medications was found to be five for the total number of medications and four for the number of chronic medications with a systemic effect. Conclusion Prescription of potentially inappropriate medications was increased among patients with ≥ 5 medications and those chronically prescribed ≥ 4 medications with a systemic effect. The Guideline List should be actively used to screen such patients, and to carefully examine prescriptions. Particular care should be exercised when patients are visiting multiple physicians.", "subitem_description_language": "en", "subitem_description_type": "Abstract"}]}, "item_5_publisher_27": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Springer", "subitem_publisher_language": "en"}]}, "item_5_relation_10": {"attribute_name": "PubMed番号", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "31960272", "subitem_relation_type_select": "PMID"}}]}, "item_5_relation_11": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type": "isIdenticalTo", "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.1007/s11096-020-00967-9", "subitem_relation_type_select": "DOI"}}]}, "item_5_rights_12": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "© The Author(s) 2020 This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.", "subitem_rights_language": "en"}]}, "item_5_select_15": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_5_source_id_7": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "2210-7703", "subitem_source_identifier_type": "PISSN"}]}, "item_5_source_id_9": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AA12633112", "subitem_source_identifier_type": "NCID"}]}, "item_access_right": {"attribute_name": "アクセス権", "attribute_value_mlt": [{"subitem_access_right": "open access", "subitem_access_right_uri": "http://purl.org/coar/access_right/c_abf2"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Fujie, Keiko", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Kamei, Risa", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Araki, Risa", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "橋本, 幸一", "creatorNameLang": "ja"}, {"creatorName": "ハシモト, コウイチ", "creatorNameLang": "ja-Kana"}, {"creatorName": "HASHIMOTO, Koichi", "creatorNameLang": "en"}], "familyNames": [{"familyName": "橋本", "familyNameLang": "ja"}, {"familyName": "ハシモト", "familyNameLang": "ja-Kana"}, {"familyName": "HASHIMOTO", "familyNameLang": "en"}], "givenNames": [{"givenName": "幸一", "givenNameLang": "ja"}, {"givenName": "コウイチ", "givenNameLang": "ja-Kana"}, {"givenName": "Koichi", "givenNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "127980", "nameIdentifierScheme": "WEKO"}, {"nameIdentifier": "80463826", "nameIdentifierScheme": "e-Rad", "nameIdentifierURI": "https://nrid.nii.ac.jp/ja/nrid/1000080463826"}, {"nameIdentifier": "0000001866", "nameIdentifierScheme": "筑波大学研究者総覧", "nameIdentifierURI": "http://trios.tsukuba.ac.jp/researcher/0000001866"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "date": [{"dateType": "Available", "dateValue": "2021-10-04"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "IJCP_42-2.pdf", "filesize": [{"value": "566 KB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_0", "mimetype": "application/pdf", "size": 566000.0, "url": {"objectType": "fulltext", "url": "https://tsukuba.repo.nii.ac.jp/record/2001511/files/IJCP_42-2.pdf"}, "version_id": "75074b31-5dab-4947-aa10-881d96de33c2"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Prescription of potentially inappropriate medications in elderly outpatients: a survey using 2015 Japanese Guidelines", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Prescription of potentially inappropriate medications in elderly outpatients: a survey using 2015 Japanese Guidelines", "subitem_title_language": "en"}]}, "item_type_id": "5", "owner": "14", "path": ["1760", "1633324659374"], "permalink_uri": "http://hdl.handle.net/2241/0002001511", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2021-10-04"}, "publish_date": "2021-10-04", "publish_status": "0", "recid": "2001511", "relation": {}, "relation_version_is_last": true, "title": ["Prescription of potentially inappropriate medications in elderly outpatients: a survey using 2015 Japanese Guidelines"], "weko_shared_id": -1}
Prescription of potentially inappropriate medications in elderly outpatients: a survey using 2015 Japanese Guidelines
http://hdl.handle.net/2241/0002001511
http://hdl.handle.net/2241/0002001511