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Prescription of benzodiazepines and Z-drugs among older patients in primary care: a French, national, cohort study.
Yana, Jonathan; Moscova, Laura; Le Breton, Julien; Boutin, Emmanuelle; Siess, Tiphaine; Clerc, Pascal; Bastuji-Garin, Sylvie; Ferrat, Emilie.
Afiliación
  • Yana J; Univ Paris-Est Creteil, School of Medicine, Primary Care Department, F-94010 Creteil, France.
  • Moscova L; Maison de Santé pluri-professionnelle Universitaire de St-Maur des Fossés, F-94100, France.
  • Le Breton J; Univ Paris-Est Creteil, School of Medicine, Primary Care Department, F-94010 Creteil, France.
  • Boutin E; Univ Paris-Est Creteil, School of Medicine, Primary Care Department, F-94010 Creteil, France.
  • Siess T; Univ Paris Est Creteil, INSERM, IMRB, F-94010 Creteil, France.
  • Clerc P; Société Française de Médecine Générale, Issy Les Moulineaux, F-92130, France.
  • Bastuji-Garin S; Centre de santé universitaire Salvador Allende, F-93120 La Courneuve, France.
  • Ferrat E; Univ Paris Est Creteil, INSERM, IMRB, F-94010 Creteil, France.
Fam Pract ; 2022 Oct 29.
Article en En | MEDLINE | ID: mdl-36308516
In France, general practitioners (GPs) prescribe benzodiazepines and Z-drugs (BZD/ZDs) widely, and especially to older adults. Even though BZD/ZDs may not have a favorable risk­benefit ratio in older patients, we lack data on GP-related factors that might influence BZD/ZD overprescription in our population. The objectives of the present study were to (i) estimate the proportion of GP consultations by patients aged 65 and over that resulted in a BZD/ZD prescription and (ii) identify GP-related factors that were predictive of overprescription. To achieve this goal, we analyzed consultation notes registered by 117 GPs in a database curated by the French Society of General Practice between 2000 and 2010. About 22% of consultations by patients aged 65 and over resulted in a BZD/ZD prescription. With regard to the GPs, we did not find any sociodemographic or practice-related characteristics associated with overprescription. A greater chronic disease burden and the number of drug prescriptions (other than BZD/ZDs) per consultation was independently associated with overprescription. Targeted actions are therefore needed to help GPs limit their prescription of BZD/ZDs in older patients with multimorbidity and polypharmacy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Fam Pract Año: 2022 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Fam Pract Año: 2022 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido