ABSTRACT
PURPOSE: In the last decades, different criteria have been developed for detecting inappropriate prescription in older patients. In Spain, translations and adaptations of international lists are available but it would be necessary a national list which could cope with the peculiarities of our health system, existing pharmaceutical market, and prescription habits. We propose in this project the creation of a Spanish potentially inappropriate drugs list which could be applicable in our clinical scenario. METHODS: We use a Delphi method involving 25 experts from different backgrounds (Clinical Pharmacology, Geriatrics, Rational Use of Drugs and Pharmacy, Primary Care and Pharmacoepidemiology, and Pharmacovigilance) that were asked to participate in two-round questionnaires. For analysis, current recommendations of Worth and Pigni were applied, and every statement was classified into one of three groups: strong, moderate, or low agreement. Statements with strong agreement were accepted to be part of the inadequate prescription list. Moderate agreement statements were selected to enter the second questionnaire, and statements with low agreement were further analyzed to determine if it was due to heterogeneity or due to dispersion in the answers. RESULTS: The first questionnaire consisted of 160 proposed sentences, of which 106 reached a high agreement, 32 a moderate agreement, and 22 a low agreement. All sentences proposed in the second questionnaire reached a strong agreement. The total accepted sentences were 138. CONCLUSIONS: We offer a list of inadequate prescription in older patients adapted to the Spanish pharmacopeia and according to the prescription habits in our environment.
Subject(s)
Inappropriate Prescribing/prevention & control , Potentially Inappropriate Medication List , Age Factors , Aged , Aged, 80 and over , Delphi Technique , Humans , Spain , Surveys and QuestionnairesABSTRACT
Objetivos y mediciones: averiguar que plantas medicinales conocen los usuarios de la zona básica de salud de Ingenio (Gran Canaria), su frecuencia del consumo, las especies más utilizadas, su procedencia, las indicaciones y la satisfacción con su uso, mediante una encuesta a los 5 primeros pacientes de cada día durante 3 semanas en el mes marzo. Resultados: 354 encuestas. Edad media 48,31+/- 16,9. Porcentaje de consumo: cerca del 30% en menores de 40 años y del 70% en mayores de 40 años. Plantas más citadas: manzanilla (47,9%), tila (28,3%), poleo (25,8%), hierbaluisa (19,5%) y valeriana (16,1%). El 41,2% habían consumido alguna planta medicinal la semana anterior y el 62,7% el año anterior. Usos: ansiedad (26,3%), trastornos digestivos (19,8%), síntomas catarrales-gripales (18,7%) y "por gusto" (12,9%). Procedencia: supermercado (42,7%), recogida en el campo (25,5%), mercado (12,5%), herbolario (12,3%) y farmacia (7%). Conclusiones: constatamos un alto consumo de plantas medicinales en la zona estudiada. Tanto las plantas medicinales más usadas como los motivos coinciden con otros estudios similares. Consideramos necesario un mayor conocimiento de las plantas medicinales por parte de los médicos de familia (AU)
Objectives and measurements: To know which medicinal plants are known to the users of the basic health área of Ingenio (Gran Canaria), the frequency of consumption, the most used species, where the herbs are obtained, the uses and satisfaction with their use, through a survey done with the 5 first patients of the day, along 3 weeks in March. Results: 354 surveys were completed. Mean age 48.31+/- 16.9. consumption percentages: ca. 30% in younger than 40 years and ca. 70% in older than 40 years. Most cited plants: chamomile (47.9%), lime flower (28.3%) pennyroyal (25.8%) valerian (19.5%) and lemon verbena (16.1%). 41.2% had used one PM the previous week and 62.7% the previous year. Uses anxiety (26.3%), digestive disorders (19.8%), flu-like cold symptoms (18.7%) and "fruition" (12.9%). Place obtention: supermarket (42.7%), field collection (25.5%), market (12.5%) Pharmacy (12.3%) Herbalist (7%). Conclusions: We found high consumption of medicinal plants in the studied health area. The medicinal plants used and the reasonsfor use found in the present study are consistent with other similar studies. There is a need of greater knowledge on medicinal plants by family physicians (AU)
