Persistent nonmalignant pain management using nonsteroidal anti-inflammatory drugs in older patients and use of inappropriate adjuvant medications.
dc.contributor.author | Rianon, Nahid | |
dc.contributor.author | Knell, Maureen E. | |
dc.contributor.author | Agbor-Bawa, Walter | |
dc.contributor.author | Thelen, Joan | |
dc.contributor.author | Burkhardt, Crystal | |
dc.contributor.author | Rasu, Rafia | |
dc.date.accessioned | 2015-03-03T22:29:03Z | |
dc.date.available | 2015-03-03T22:29:03Z | |
dc.date.issued | 2015-01-29 | |
dc.identifier.citation | Rianon, et al. "Persistent nonmalignant pain management using nonsteroidal anti-inflammatory drugs in older patients and use of inappropriate adjuvant medications." Drug Healthc Patient Saf. 2015; 7: 43–50. Published online 2015 Jan 29. http://dx.doi.org/10.2147/DHPS.S67425 | en_US |
dc.identifier.uri | http://hdl.handle.net/1808/16961 | |
dc.description.abstract | ObjectiveDue to the high risk of life-threatening side effects, nonsteroidal anti-inflammatory drugs (NSAIDs) are not favored for treating persistent nonmalignant pain in the elderly. We report national prescription trends with determinants of NSAIDs prescription for persistent nonmalignant pain among older patients (age 65 and over) in the US outpatient setting. MethodsA cross-sectional analysis was performed using National Ambulatory Medical Care Survey data. Prescriptions for NSAIDs, opioids, and adjuvant agents were identified using five-digit National Ambulatory Medical Care Survey drug codes. ResultsAbout 89% of the 206,879,848 weighted visits in the US from 2000 to 2007 recorded NSAIDs prescriptions in patients (mean age =75.4 years). Most NSAIDs users had Medicare (75%), and about 25% were prescribed with adjuvant medications considered inappropriate for their age. Compared to men, women were 1.79 times more likely to be prescribed NSAIDs. ConclusionThe high percentage of NSAIDs prescription in older patients is alarming. We recommend investigating the appropriateness of the high prevalence of NSAIDs use among older patients reported in our study. | en_US |
dc.description.sponsorship | DisclosurePart of the findings were presented as a poster at the American Geriatric Society (AGS) Annual Meeting in Seattle, WA held in May 2012. The authors report no conflicts of interest in this work. | en_US |
dc.publisher | Dove Medical Press | en_US |
dc.rights | © 2015 Rianon et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | pain management | en_US |
dc.subject | NSAIDs | en_US |
dc.subject | inappropriate adjuvant | en_US |
dc.subject | AGS guideline | en_US |
dc.subject | NAMCS | en_US |
dc.title | Persistent nonmalignant pain management using nonsteroidal anti-inflammatory drugs in older patients and use of inappropriate adjuvant medications. | en_US |
dc.type | Article | |
kusw.kuauthor | Agbor-Bawa, Walter | |
kusw.kuauthor | Burkhardt, Crystal | |
kusw.kuauthor | Rasu, Rafia | |
kusw.kudepartment | Department of Pharmacy | en_US |
dc.identifier.doi | 10.2147/DHPS.S67425 | |
dc.identifier.orcid | https://orcid.org/0000-0003-1802-9111 | |
kusw.oaversion | Scholarly/refereed, publisher version | |
kusw.oapolicy | This item meets KU Open Access policy criteria. | |
dc.rights.accessrights | openAccess |
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Except where otherwise noted, this item's license is described as: © 2015 Rianon et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.