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[10,850 general practice consultations with elderly patients. From diagnosis-prescription-examination in Møre and Romsdal]

https://arctichealth.org/en/permalink/ahliterature72639
Source
Tidsskr Nor Laegeforen. 1997 Nov 10;117(27):3980-4
Publication Type
Article
Date
Nov-10-1997
Author
J. Straand
H. Sandvik
K. Rokstad
Author Affiliation
Seksjon for allmennmedisin, Universitetet i Bergen.
Source
Tidsskr Nor Laegeforen. 1997 Nov 10;117(27):3980-4
Date
Nov-10-1997
Language
Norwegian
Publication Type
Article
Keywords
Aged
Cardiovascular Diseases - diagnosis - drug therapy - epidemiology
English Abstract
Family Practice - statistics & numerical data
Female
Health Services for the Aged - statistics & numerical data
Humans
Male
Mental Disorders - diagnosis - drug therapy - epidemiology
Musculoskeletal Diseases - diagnosis - drug therapy - epidemiology
Norway - epidemiology
Prescriptions, Drug - statistics & numerical data
Referral and Consultation - statistics & numerical data
Respiratory Tract Diseases - diagnosis - drug therapy - epidemiology
Abstract
Over a period of two months in 1988 and 1989 general practitioners in the Norwegian county of Møre and Romsdal recorded all contacts with their patients. Participation was close to 100%. We report data from 10,850 surgery consultations with elderly patients (65 years and older). 60% of the consultations involved female patients, and 58% of the patients were 65-74 years old. New diagnoses were made in one-third of the cases; two-thirds were follow-ups. The most common groups of diagnoses were cardiovascular (28%), musculoskeletal (13%), psychiatric (8%) and respiratory diseases (8%). Almost 10% of all consultations were for hypertension. Drugs were prescribed in 45% of all cases. 27% of all prescriptions were for cardiovascular drugs, and 25% were for drugs for the nervous system. The 20 most common diagnoses made up more than half of the total number of diagnoses. Almost 70% of all prescriptions were for the ten most common therapeutic groups.
PubMed ID
9441427 View in PubMed
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[1384 house calls to elderly patients in family practice. From diagnosis-prescriptions-examination in Møre and Romsdal]

https://arctichealth.org/en/permalink/ahliterature72638
Source
Tidsskr Nor Laegeforen. 1997 Nov 10;117(27):3984-7
Publication Type
Article
Date
Nov-10-1997
Author
J. Straand
H. Sandvik
Author Affiliation
Seksjon for allmennmedisin, Universitetet i Bergen.
Source
Tidsskr Nor Laegeforen. 1997 Nov 10;117(27):3984-7
Date
Nov-10-1997
Language
Norwegian
Publication Type
Article
Keywords
Aged
Cardiovascular Diseases - diagnosis - drug therapy - epidemiology
English Abstract
Family Practice - statistics & numerical data
Female
Health Services for the Aged - statistics & numerical data
Home Care Services - statistics & numerical data
House Calls - statistics & numerical data
Humans
Male
Mental Disorders - diagnosis - drug therapy - epidemiology
Musculoskeletal Diseases - diagnosis - drug therapy - epidemiology
Norway - epidemiology
Prescriptions, Drug - statistics & numerical data
Registries
Respiratory Tract Diseases - diagnosis - drug therapy - epidemiology
Abstract
Over a period of two months in 1988 and 1989 all general practitioners in the Norwegian county of Møre and Romsdal recorded all contacts with their patients. We report data from 1,384 house calls to elderly patients (65 years and older). House calls made up 11.3% of all face-to-face contacts between general practitioners and elderly patients. 59% of the visits were to female patients, and 60% were to patients 75 years and older. 23% of the house calls took place during weekends, and new diagnoses were made in 58% of the cases. The most common groups of diagnoses were cardiovascular (21%), respiratory (16%), and musculoskeletal diseases (13%). Drugs were prescribed for 42% of the house calls. 28% of all drugs prescribed were for the nervous system, while 26% were antibiotics for systemic use. Most house calls were made because of acute illnesses. Our results suggest that preventive home visits to the elderly are rarely, if ever, performed in general practice.
PubMed ID
9441428 View in PubMed
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Application for disability pension and change in use of prescribed drugs. A regional Danish cohort study.

https://arctichealth.org/en/permalink/ahliterature151831
Source
Scand J Public Health. 2009 Jun;37(4):380-6
Publication Type
Article
Date
Jun-2009
Author
Thomas T Petersen
Kirsten Fonager
Henrik Bøggild
Lars Pedersen
Jens T Mortensen
Author Affiliation
Department of Social Medicine, Aalborg Hospital, Aarhus University Hospital, DK-9000 Aalborg, Denmark. thtp@rn.dk
Source
Scand J Public Health. 2009 Jun;37(4):380-6
Date
Jun-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Analgesics - administration & dosage
Cohort Studies
Denmark - epidemiology
Disability Evaluation
Disabled Persons - classification - rehabilitation
Drug Prescriptions - statistics & numerical data
Female
Follow-Up Studies
Humans
Male
Middle Aged
Musculoskeletal Diseases - diagnosis - drug therapy - epidemiology
Pensions
Registries
Young Adult
Abstract
To investigate if a pending application for disability pension had an influence on the applicant's purchase of medical drugs, with a particular focus on musculoskeletal disorders and the use of painkillers.
We performed a registry-based follow-up study including 12,020 applicants for disability pension in a Danish county from 1995 to 2000 and linked this information to a database of drug prescriptions. Purchase of drug was calculated for the 6-month period just before the decision and for the 6-month period 2 years later. Changes in a 2-year time period were estimated by differences in purchase rates. Furthermore, the proportion of applicants with an increased purchase of drugs and the proportion of applicants who ceased buying drugs were estimated. The results were stratified by diagnosis and result of application (awarded/rejected). The analyses were furthermore restricted to musculoskeletal disorders and the use of painkillers.
At baseline 81% had a purchase and after the 2-year time period 11% ceased buying prescribed drugs. Half of all applicants increased the purchase of drugs. For musculoskeletal disorders one third had an increased purchase rate of painkillers while one fourth ceased purchase of drugs with variations in different diagnostic subgroups. The major changes of drug purchase after a pending application for disability pension are probably ascribed to characteristics of the diseases underlying the disability.
PubMed ID
19324925 View in PubMed
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Variability in prescribing for musculoskeletal pain in Finnish primary health care.

https://arctichealth.org/en/permalink/ahliterature191676
Source
Pharm World Sci. 2001 Dec;23(6):232-6
Publication Type
Article
Date
Dec-2001
Author
P. Mäntyselkä
R. Ahonen
E. Kumpusalo
J. Takala
Author Affiliation
Department of Public Health and General Practice, University of Kuopio, P.O. Box 1627, 70211 Kuopio, Finland.
Source
Pharm World Sci. 2001 Dec;23(6):232-6
Date
Dec-2001
Language
English
Publication Type
Article
Keywords
Administration, Topical
Adolescent
Adult
Aged
Aged, 80 and over
Analgesics - administration & dosage - therapeutic use
Anti-Inflammatory Agents, Non-Steroidal - administration & dosage - therapeutic use
Child
Child, Preschool
Drug Prescriptions
Drug Utilization
Female
Finland - epidemiology
Geography
Humans
Infant
Male
Middle Aged
Muscle Relaxants, Central - therapeutic use
Musculoskeletal Diseases - diagnosis - drug therapy - epidemiology
Pain - diagnosis - drug therapy - epidemiology
Primary Health Care
Abstract
To assess primary care physicians' prescribing patterns for musculoskeletal pain in different diagnostic categories.
The data were collected in 25 randomly selected health centres, in which a total of 28 physicians took part in the four-week study. Physicians recorded all the medicines they prescribed for patients visiting due to pain. Visits resulting in a diagnosis of musculoskeletal disease or injury were included in this study.
Analgesics, including non-steroidal anti-inflammatory drugs (NSAIDs), were prescribed for 61% of the patients. NSAIDs were prescribed for 46%, topical analgesics for 15% and opioids for 4% of the patients. In general, ibuprofen was the most frequently prescribed drug but back and neck pains were most commonly treated with naproxen. No difference between patients' genders was observed in analgesic prescriptions. Prescribing was associated with patient's age, physician's view on priority of visit, diagnosis and intensity of pain. There was a large variation in prescribing patterns between individual physicians and between different areas of the country.
NSAIDs are the prevailing treatment for musculoskeletal pain in Finnish primary health care. Different drugs are favoured according to the diagnosis. The large variability in prescribing patterns cannot be explained solely by the characteristics of pain or patients.
PubMed ID
11826513 View in PubMed
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