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International Journal of Pharmaceutical and Healthcare Marketing
ISSN: 1750-6123
Online from: 2007
Subject Area: Marketing
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National study of injury-increasing analgesics in the elderly
| Title: | National study of injury-increasing analgesics in the elderly |
|---|---|
| Author(s): | Steven A. Blackwell, (Office of Research, Development, and Information, Centers for Medicare and Medicaid Services, Baltimore, Maryland, USA), David K. Baugh, (Office of Research, Development, and Information, Centers for Medicare and Medicaid Services, Baltimore, Maryland, USA), Melissa A. Montgomery, (Office of Research, Development, and Information, Centers for Medicare and Medicaid Services, Baltimore, Maryland, USA), Gary M. Ciborowski, (Office of Research, Development, and Information, Centers for Medicare and Medicaid Services, Baltimore, Maryland, USA), Jesse M. Levy, (Office of Research, Development, and Information, Centers for Medicare and Medicaid Services, Baltimore, Maryland, USA) |
| Citation: | Steven A. Blackwell, David K. Baugh, Melissa A. Montgomery, Gary M. Ciborowski, Jesse M. Levy, (2011) "National study of injury-increasing analgesics in the elderly", International Journal of Pharmaceutical and Healthcare Marketing, Vol. 5 Iss: 1, pp.25 - 42 |
| Keywords: | Analgesics, Elderly people, Injuries, Medical prescriptions, Medicines, Risk analysis |
| Article type: | Research paper |
| DOI: | 10.1108/17506121111121569 (Permanent URL) |
| Publisher: | Emerald Group Publishing Limited |
| Acknowledgements: | The authors are with the Office of Research, Development, and Information, Centers for Medicare and Medicaid Services (CMS). This research is internally funded. The views and opinions expressed in this article are those of the authors and do not necessarily reflect the views of the CMS. The authors received input and guidance from the following individuals in the development of this article (in alphabetical order by last name): Bill Clark, Renee Mentnech, Curt Mueller, Tom Reilly, and Noemi Rudolph. The article was substantially improved by the contributions of these individuals. |
| Abstract: | Purpose – The purpose of this paper is to identify the probability of the occurrence of an analgesic medication injury when controlling for potential risk factors, as well as gain a better understanding of which risk factors appear more problematic. Design/methodology/approach – Cross-sectional retrospective review of 2004 Centers for Medicare and Medicaid Service Medicaid Pharmacy claims data. Logistic regression analysis performed to examine the risk of injury-related emergency room (ER) visits following the use of analgesics controlling for potential risk factors. Findings – Methadone, an agent to treat severe pain, and propoxyphene, an agent to treat non-severe pain, are problematic opioids in the elderly. White origin, male gender, and increased disease burden are potential risk factors influencing injury-related ER visits for elderly analgesic recipients. Increased age in the elderly is a potential risk factor for severe pain analgesics; decreased age for non-severe pain analgesics. Research limitations/implications – The study uses administrative data which, by its nature, makes conducting outcomes research on inappropriate medication use problematic. A number of confounders are present. Practical implications – Appropriate drug therapy in an elderly patient is complicated by age-related changes in pharmacokinetics as well as chronic disorders that affect drug response. Knowing of additional risk factors that may place the patient at greater odds of having an adverse outcome should improve prescribing practices. Originality/value – The findings add to the literature by identifying problematic risk factors associated with injury among elderly recipients of analgesics. |
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