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April 10, 2024Journal of the American Geriatrics SocietyOpen Access

Among older adults taking prescription medications, 37% had at least one cognitive, physical, or sensory impairment that could affect medication use, including 31% of those who managed medications independently.

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Key result

Among older adults taking prescription medications, 37% had at least one cognitive, physical, or sensory impairment that could affect medication use, including 31% of those who managed medications independently.

Authors

BTBelinda TangEEEdie EspejoMSMichael A. Steinman

Discussion

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Overview

Provides practical alternatives to PIMs; extends Beers Criteria utility while leaving open need for prospective validation.

Study Design

Type

Cross-Sectional (n=6,592)

PICO

P
Population
6,592 older adults (representing over 35 million nationally) aged 65 and older who took prescription medications in the past month, assessed for cognitive, physical, and sensory impairments.
E
Exposure / Comparator
Cognitive, physical, and sensory impairments vs No impairments
O
Primary Outcome
Prevalence of at least one measured impairment (cognitive, physical, or sensory) that could affect medication use

Limitations

  • Using survey measures that are not validated for medication management
  • Inability to assess other impairments such as finger dexterity that can pose further challenges for medication use
  • Accuracy of proxy responses
  • Not knowing the number and type of medications taken

Cite This Study

Tang et al. (2024) conducted a cross-sectional in Older adults taking prescription medications (n=6,592). Cognitive, physical, and sensory impairments vs. No impairments was evaluated on Prevalence of at least one measured impairment (cognitive, physical, or sensory) that could affect medication use. Among older adults taking prescription medications, 37% had at least one cognitive, physical, or sensory impairment that could affect medication use, including 31% of those who managed medications independently.

synapsesocial.com/papers/6a61ad8cf5a6cede3a899e02https://doi.org/10.1111/jgs.18922
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Trends in the Chronic Use and Discontinuation of Potentially Inappropriate Medications in Older Adults2026
  2. 2GUIDELINE‐DRIVEN POLYPHARMACY IN ELDERLY, MULTIMORBID PATIENTS IS BASICALLY FLAWED: THERE ARE ALMOST NO GUIDELINES FOR THESE PATIENTS2011 · 64 citations
  3. 3Physician perspectives regarding over‐screening for breast, colorectal, and prostate cancers in older adults2024
  4. 4Medication Use Quality and Safety in Older Adults: 2018 Update2019 · 10 citations
  5. 5Psychopharmacology concerns in older individuals2012