Much more medicine for the oldest old: trends in UK electronic clinical records

Age and Ageing

Volumn 44, Issue 1, 2015, Pages 46-53

  Melzer, David ^a   Tavakoly, Behrooz ^a   Winder, Rachel E ^a   Masoli, Jane A H ^a   Henley, William E ^a   Ble, Alessandro ^a   Richards, Suzanne H ^a  

^a UNIVERSITY OF EXETER MEDICAL SCHOOL   (United Kingdom)

Author keywords

Admission; Kidney; Older people; Oldest; Prescribing; Prevalence

Indexed keywords

AGED; AGING; ARTICLE; CHRONIC KIDNEY FAILURE; COHORT ANALYSIS; DIZZINESS; ELECTRONIC HEALTH RECORD; FALLING; FEMALE; FRACTURE; GERIATRIC DISORDER; HOSPITAL ADMISSION; HUMAN; INCONTINENCE; MAJOR CLINICAL STUDY; MALE; OBSERVATIONAL STUDY; SKIN ULCER; TREND STUDY; UNITED KINGDOM; VERY ELDERLY; AGE; CLINICAL PRACTICE; DIAGNOSTIC TEST; ELECTRONIC MEDICAL RECORD; GERIATRICS; HEALTH CARE PLANNING; POLYPHARMACY; PREDICTIVE VALUE; PRESCRIPTION; PREVALENCE; RENAL INSUFFICIENCY, CHRONIC; TIME; TRENDS; UTILIZATION;

AGE FACTORS; AGED; AGED, 80 AND OVER; AGING; DIAGNOSTIC TESTS, ROUTINE; DRUG PRESCRIPTIONS; ELECTRONIC HEALTH RECORDS; FEMALE; GERIATRICS; GREAT BRITAIN; HEALTH RESOURCES; HUMANS; MALE; PATIENT ADMISSION; POLYPHARMACY; PRACTICE PATTERNS, PHYSICIANS'; PREDICTIVE VALUE OF TESTS; PREVALENCE; RENAL INSUFFICIENCY, CHRONIC; TIME FACTORS;

EID: 84964314734     PISSN: 00020729     EISSN: 14682834     Source Type: Journal    
DOI: 10.1093/AGEING/AFU113     Document Type: Article

References (31)

1. Office for National Statistics. Population Ageing in the United Kingdom, its Constituent Countries and the European Union, 2012.
2. Economist Intelligence Unit. A new vision for old age: rethinking health policy for Europe's Ageing Society: a report from the economist intelligence unit. London, 2012.
3. Blunt I, Bardsley BM, Dixon J. Trends in Emergency Admissions in England 2004-2009. The Nuffield Trust, 2010. http://www.nuffieldtrust.org.uk/publications (31 July 2014, date last accessed).
4. Kaplan RM, Ong M. Rationale and public health implications of changing CHD risk factor definitions. Ann Rev Public Health 2007; 28: 321-44.
5. Mody L, Miller DK, McGloin JM et al. Recruitment and retention of older adults in aging research. J Am Geriatr Soc 2008; 56: 2340-48.
6. Boyd CM, Darer J, Boult C, Fried LP, Boult L, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases. JAMA 2005; 294: 716-24.
7. Connolly A, Gaehl E, Martin H, Morris J, Purandare N. Underdiagnosis of dementia in primary care: variations in the observed prevalence and comparisons to the expected prevalence. Aging Ment Health 2011; 15: 978-84.
8. Holman N, Forouhi N, Goyder E, Wild S. The Association of Public Health Observatories - diabetes prevalence model: estimates of total diabetes prevalence for England, 2010-2030. Diabet Med 2011; 28: 575-82.
9. Banerjee D, Chung S, Wong EC, Wang EJ, Stafford RS, Palaniappan LP. Underdiagnosis of hypertension using electronic health records. Am J Hypertens 2011; 25: 97-102.
10. Bowling CB, Muntner P. Epidemiology of chronic kidney disease among older adults: a focus on the oldest old. J Gerontol A Biol Sci Med Sci 2012; 67: 1379-86.
11. Schermer T, Smeele I, Thoonen B et al. Current clinical guideline definitions of airflow obstruction and COPD overdiagnosis in primary care. Eur Respir J 2008; 32: 945-52.
12. Draisma G, Etzioni R, Tsodikov A et al. Lead time and overdiagnosis in prostate-specific antigen screening: Importance of methods and context. J Natl Cancer Inst 2009; 101: 374-83.
13. Le Couteur DG, Doust J, Creasey H, Brayne C. Political drive to screen for pre-dementia: not evidence based and ignores the harms of diagnosis. BMJ 2013; 347: f5125.
14. Moynihan R, Doust J, Henry D. Preventing overdiagnosis: how to stop harming the healthy. BMJ 2012; 344: e3502.
15. Moynihan R, Glassock R, Doust J. Chronic kidney disease controversy: how expanding definitions are unnecessarily labelling many people as diseased. BMJ 2013; 347: f4298.
16. Martin Roland D. Linking physicians' pay to the quality of care -a major experiment in the United Kingdom. N Engl J Med 2004; 351: 1448-54.
17. Salisbury C, Johnson L, Purdy S, Valderas JM, Montgomery AA. Epidemiology and impact of multimorbidity in primary care: a retrospective cohort study. Br J Gen Pract 2011; 61: e12.
18. Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 2012; 380: 37-43.
19. Primary Care Commissioning. The NHS Quality and Outcomes Framework for Primary Care: For earlier QOF Business rules contact http://www.pcc-cic.org.uk/; (Accessed April 2012).
20. Collerton J, Davies K, Jagger C et al. Health and disease in 85 year olds: baseline findings from the Newcastle 85+ cohort study. BMJ 2009; 399: b4904.
21. Matthews FE, Arthur A, Barnes LE et al. A two-decade comparison of prevalence of dementia in individuals aged 65 years and older from three geographical areas of England: results of the cognitive function and ageing study I and II. Lancet 2013; 382: 1384-86.
22. Kelfve S, Thorslund M, Lennartsson C. Sampling and non-response bias on health-outcomes in surveys of the oldest old. Eur J Ageing 2013; 10: 237-45.
23. Andersson M, Guo X, Börjesson-Hanson A, Liebetrau M, Östling S, Skoog I. A population-based study on dementia and stroke in 97 year olds. Age Ageing 2012; 41: 529-33.
24. Martinez C, Jones RW, Rietbrock S. Trends in the prevalence of antipsychotic drug use among patients with Alzheimer's disease and other dementias including those treated with anti-dementia drugs in the community in the UK: a cohort study. BMJ Open 2013; 3: e002080.
25. Kontopantelis E, Reeves D, Valderas JM, Campbell S, Doran T. Recorded quality of primary care for patients with diabetes in England before and after the introduction of a financial incentive scheme: a longitudinal observational study. BMJ Qual Safe 2013; 22: 53-64.
26. Brettell R, Soljak M, Cecil E, Cowie MR, Tuppin P, Majeed A. Reducing heart failure admission rates in England 2004-2011 are not related to changes in primary care quality: national observational study. Eur J Heart Fail 2013; 15: 1335-42.
27. National Collaborating Centre for Chronic Conditions. Chronic Kidney Disease: National Clinical Guideline for Early Identification and Management in Adults in Primary and Secondary Care. London, September 2008.
28. Crimmins EM, Beltrán-Sánchez H. Mortality and morbidity trends: Is there compression of morbidity? J Gerontol B Psychol Sci Soc Sci 2011; 66: 75-86.
29. Khan NF, Harrison SE, Rose PW. Validity of diagnostic coding within the General Practice Research Database: a systematic review. Br J Gen Pract 2010; 60: e128.
30. Sheppard J, Singh S, Fletcher K, McManus R, Mant J. Impact of age and sex on primary preventive treatment for cardiovascular disease in the West Midlands, UK: cross sectional study. BMJ 2012; 345: e4535.
31. Heath I. Overdiagnosis: when good intentions meet vested interests-an essay by Iona Heath. BMJ 2013; 347: f6361.