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Trends in the prescription of benzodiazepines for the elderly in Korea

Overview of attention for article published in BMC Psychiatry, August 2017
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Title
Trends in the prescription of benzodiazepines for the elderly in Korea
Published in
BMC Psychiatry, August 2017
DOI 10.1186/s12888-017-1467-z
Pubmed ID
Authors

Soo-Hee Hwang, Seungjin Han, Hyojung Choi, Choonseon Park, Sun Min Kim, Tae Hyun Kim

Abstract

This study examined trends in the prescription of benzodiazepines for the elderly (age over 65 years) in Korea, a country with a higher level of spending on pharmaceuticals compared to that in other Organization for Economic Cooperation and Development (OECD) countries, and identified factors related to the inappropriate use of such drugs. We used the National Health Insurance Claims Data (NHICD) for the period 2009-2013, including all reimbursed drug-prescribing information. Following the OECD's prescribing quality indicators (PQIs), we looked at the prevalence, quantities, durations, and inappropriate (long-term or high-quantity) use of benzodiazepines, some of the most widely prescribed, but potentially inappropriate, drugs for the elderly. We also performed multivariate logistic regression analyses to identify factors related to the inappropriate use of these drugs. The annual prevalence of benzodiazepine prescribing for elderly subjects decreased slightly over time but remained high (37.9% in 2009 and 35.1% in 2013). There were also small decreases in the inappropriate long-term use of benzodiazepines over the five years, with a 0.6 decrease in the Defined Daily Dose and a 4.1 per 1,000 decreases in elderly user-days. The proportion of subjects using long-acting benzodiazepines also fell from 263.6 to 220.4 per 1,000 elderly patients. The regression analyses found that the inappropriate long-term use of benzodiazepines in the elderly was significantly related to the patients visiting several institutions and physicians prescribing more than 30 days' worth of medication. The prevalence of prescribing potentially inappropriate drugs, such as benzodiazepines, remains high in Korea. Policy efforts, such as a periodic assessment of prescribing, restricting prescribing days, and more practical guidelines, are needed to improve the quality of prescribing.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 55 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 55 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 8 15%
Researcher 8 15%
Student > Master 7 13%
Student > Postgraduate 4 7%
Student > Ph. D. Student 4 7%
Other 9 16%
Unknown 15 27%
Readers by discipline Count As %
Medicine and Dentistry 15 27%
Pharmacology, Toxicology and Pharmaceutical Science 10 18%
Nursing and Health Professions 7 13%
Business, Management and Accounting 2 4%
Social Sciences 2 4%
Other 3 5%
Unknown 16 29%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 November 2017.
All research outputs
#9,127,318
of 14,537,474 outputs
Outputs from BMC Psychiatry
#2,409
of 3,401 outputs
Outputs of similar age
#157,444
of 269,932 outputs
Outputs of similar age from BMC Psychiatry
#1
of 1 outputs
Altmetric has tracked 14,537,474 research outputs across all sources so far. This one is in the 24th percentile – i.e., 24% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,401 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.2. This one is in the 23rd percentile – i.e., 23% of its peers scored the same or lower than it.
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