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PJ Online homeThe Pharmaceutical Journal
Vol 274 No 7342 p351
26 March 2005

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Inappropriate use of medicines by elderly is lower in UK than in other European countries

Inappropriate use of medicines by elderly patients who are cared for in their own homes is lower in the UK than in many other European countries, a retrospective study of 2,707 elderly patients reveals.

Combining three models used to define inappropriate use of medicines, researchers found that across the 11 countries studied 19.8 per cent of patients had used at least one medicine that was inappropriate for them.

The prevalence of potentially inappropriate medication use in this group of patients varied greatly between European countries, with the Czech Republic having the highest levels (41.1 per cent) and Denmark having the lowest (5.8 per cent). The UK had relatively low levels compared with much of Europe, at 14.2 per cent.

The researchers suggest that differences between European countries may be a consequence of different regulatory measures, clinical practices or inequalities in socioeconomic background. They say that drug policies across Europe need to be harmonised to ensure that prescribing for older patients is consistent (JAMA 2005;293:1348).

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