Det går att minska D-interaktioner : Interaktioner åtgärdades ofta efter patientspecifika brev till allmänläkare
Cronberg, Olof LU
; Nordquist, Cecilia
and Quittenbaum, Stephan
(2014)
In Lakartidningen
110.
p.1-3
- Abstract
During 2012, one Swedish national goal for better health for elderly was to decrease drug-drug interactions. We performed an intervention, where the physicians in primary health care were alerted to which of their patients had a drug-drug interaction. The physicians received a letter with patient information and recommendations on how to act. They were requested to review if the interactions still were present and consider changing the medication. They were also asked to answer a questionnaire. The four interactions studied were: potassium-amiloride, warfarin-aspirin, warfarin-NSAIDs and clopidogrel-omeprazole. Less than half of the drug-drug interactions were intentional. More than half had appeared during the last year, although the... (More)
During 2012, one Swedish national goal for better health for elderly was to decrease drug-drug interactions. We performed an intervention, where the physicians in primary health care were alerted to which of their patients had a drug-drug interaction. The physicians received a letter with patient information and recommendations on how to act. They were requested to review if the interactions still were present and consider changing the medication. They were also asked to answer a questionnaire. The four interactions studied were: potassium-amiloride, warfarin-aspirin, warfarin-NSAIDs and clopidogrel-omeprazole. Less than half of the drug-drug interactions were intentional. More than half had appeared during the last year, although the drug prescription systems warn of the interactions. Two months after sending 261 interaction alert letters to the physicians 110 (42%) of the prescriptions were changed. However, during the same period 44 new interactions appeared.
(Less)- Abstract (Swedish)
- För att se om antalet D-interaktioner kunde minskas skickades information om interaktioner på individnivå till vårdcentraler.
Allmänläkarna ombads att utifrån medföljande rekommendationer ompröva behandlingen och besvara en enkät.
Mindre än hälften av D-interaktionerna berodde på medvetna ordinationsval.
Mer än hälften av interaktionerna hade uppkommit det senaste året, trots tydlig varning vid ordinationen.
Antalet interaktioner minskade med 42 procent efter utskicket.
Acceptansen för att åtgärda interaktionerna, oavsett var de uppkommit, var hög bland allmänläkarna.
- author
- Cronberg, Olof
LU
; Nordquist, Cecilia
and Quittenbaum, Stephan
- publishing date
- 2014
- type
- Contribution to specialist publication or newspaper
- publication status
- published
- in
- Lakartidningen
- volume
- 110
- pages
- 1 - 3
- publisher
- Swedish Medical Association
- external identifiers
-
- pmid:24432498
- scopus:84888406968
- ISSN
- 0023-7205
- language
- Swedish
- LU publication?
- no
- id
- b42b24fd-d2a4-444f-81a6-cf54fc408d8d
- alternative location
- https://lakartidningen.se/wp-content/uploads/EditorialFiles/M4/%5bCHM4%5d/CHM4.pdf
- date added to LUP
- 2022-12-14 06:54:55
- date last changed
- 2024-01-13 20:16:17
@misc{b42b24fd-d2a4-444f-81a6-cf54fc408d8d,
abstract = {{<p>During 2012, one Swedish national goal for better health for elderly was to decrease drug-drug interactions. We performed an intervention, where the physicians in primary health care were alerted to which of their patients had a drug-drug interaction. The physicians received a letter with patient information and recommendations on how to act. They were requested to review if the interactions still were present and consider changing the medication. They were also asked to answer a questionnaire. The four interactions studied were: potassium-amiloride, warfarin-aspirin, warfarin-NSAIDs and clopidogrel-omeprazole. Less than half of the drug-drug interactions were intentional. More than half had appeared during the last year, although the drug prescription systems warn of the interactions. Two months after sending 261 interaction alert letters to the physicians 110 (42%) of the prescriptions were changed. However, during the same period 44 new interactions appeared.</p>}},
author = {{Cronberg, Olof and Nordquist, Cecilia and Quittenbaum, Stephan}},
issn = {{0023-7205}},
language = {{swe}},
pages = {{1--3}},
publisher = {{Swedish Medical Association}},
series = {{Lakartidningen}},
title = {{Det går att minska D-interaktioner : Interaktioner åtgärdades ofta efter patientspecifika brev till allmänläkare}},
url = {{https://lakartidningen.se/wp-content/uploads/EditorialFiles/M4/%5bCHM4%5d/CHM4.pdf}},
volume = {{110}},
year = {{2014}},
}