Cross-national comparison of medication use in Australian and Dutch nursing homes

Taxis, K; Kochen, S; Wouters, H; Boersma, F; Gerard, MJ; Mulder, H; Pavlovic, J; Stevens, G; Mclachlan, A; Pont, LG

Cross-national comparison of medication use in Australian and Dutch nursing homes

Taxis, K Kochen, S Wouters, H Boersma, F Gerard, MJ Mulder, H Pavlovic, J Stevens, G Mclachlan, A Pont, LG

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Publication Type:: Journal Article
Citation:: Age and Ageing, 2017, 46 (2), pp. 320 - 323
Issue Date:: 2017-01-01

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Field	Value	Language
dc.contributor.author	Taxis, K	en_US
dc.contributor.author	Kochen, S	en_US
dc.contributor.author	Wouters, H	en_US
dc.contributor.author	Boersma, F	en_US
dc.contributor.author	Gerard, MJ	en_US
dc.contributor.author	Mulder, H	en_US
dc.contributor.author	Pavlovic, J	en_US
dc.contributor.author	Stevens, G	en_US
dc.contributor.author	Mclachlan, A	en_US
dc.contributor.author	Pont, LG https://orcid.org/0000-0002-8545-716X	en_US
dc.date.available	2016-11-06	en_US
dc.date.issued	2017-01-01	en_US
dc.identifier.citation	Age and Ageing, 2017, 46 (2), pp. 320 - 323	en_US
dc.identifier.issn	0002-0729	en_US
dc.identifier.uri	http://hdl.handle.net/10453/124092
dc.description.abstract	© The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. Background: cross-national comparisons can be used to explore therapeutic areas and identify potential medication issues. Methods: we used cross-sectional pharmacy supply data to explore medication use for nursing home residents in Australia (AU n = 26 homes, 1,560 residents) and the Netherlands (NL n = 6 homes, 2,037 residents). Binary logistic regression analysis was used to calculate the sex and aged adjusted odds ratios (OR) and associated 95% confidence intervals with a flexible Bonferroni-Holm procedure used to adjust for multiple hypothesis testing. Results: total use of antipsychotics (AU: 37.7%, NL: 40.3%; OR 0.91 (0.79-1.04, P = 0.16) and antibacterials (66.8% AU, 62.4% NL, OR 1.08 (0.93-1.24, P = 0.31) was similar, but choice of individual agents differed between the two countries. Differences were observed in the use of antithrombotics (46.7% AU, 64.7% NL, OR 0.48 (0.42-0.56, P > 0.01), ophthalmologicals (44.3% AU, 22.1% NL, OR 2.80 (2.42-3.24, P < 0.001), laxatives (77.1% AU, 65.8% NL, OR 1.65 (1.41-1.92, P < 0.001). Conclusion: while the general prevalence of medication use in nursing home residents was similar across the two countries, distinct differences existed in the choice of agent among therapeutic groups. Comparing use between countries identified a number of potential medication related problem areas that need further exploration.	en_US
dc.relation.ispartof	Age and Ageing	en_US
dc.relation.isbasedon	10.1093/ageing/afw218	en_US
dc.subject.classification	Geriatrics	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Logistic Models	en_US
dc.subject.mesh	Odds Ratio	en_US
dc.subject.mesh	Risk Factors	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Age Factors	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Homes for the Aged	en_US
dc.subject.mesh	Nursing Homes	en_US
dc.subject.mesh	Drug Utilization Review	en_US
dc.subject.mesh	New South Wales	en_US
dc.subject.mesh	Netherlands	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Healthcare Disparities	en_US
dc.subject.mesh	Drug Prescriptions	en_US
dc.subject.mesh	Practice Patterns, Physicians'	en_US
dc.title	Cross-national comparison of medication use in Australian and Dutch nursing homes	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	46	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1701 Psychology	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	46	en_US

Abstract:

© The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. Background: cross-national comparisons can be used to explore therapeutic areas and identify potential medication issues. Methods: we used cross-sectional pharmacy supply data to explore medication use for nursing home residents in Australia (AU n = 26 homes, 1,560 residents) and the Netherlands (NL n = 6 homes, 2,037 residents). Binary logistic regression analysis was used to calculate the sex and aged adjusted odds ratios (OR) and associated 95% confidence intervals with a flexible Bonferroni-Holm procedure used to adjust for multiple hypothesis testing. Results: total use of antipsychotics (AU: 37.7%, NL: 40.3%; OR 0.91 (0.79-1.04, P = 0.16) and antibacterials (66.8% AU, 62.4% NL, OR 1.08 (0.93-1.24, P = 0.31) was similar, but choice of individual agents differed between the two countries. Differences were observed in the use of antithrombotics (46.7% AU, 64.7% NL, OR 0.48 (0.42-0.56, P > 0.01), ophthalmologicals (44.3% AU, 22.1% NL, OR 2.80 (2.42-3.24, P < 0.001), laxatives (77.1% AU, 65.8% NL, OR 1.65 (1.41-1.92, P < 0.001). Conclusion: while the general prevalence of medication use in nursing home residents was similar across the two countries, distinct differences existed in the choice of agent among therapeutic groups. Comparing use between countries identified a number of potential medication related problem areas that need further exploration.

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http://hdl.handle.net/10453/124092