{"id":"https://openalex.org/W214189558","doi":null,"title":"Appropriate Prescribing for Elders: Disease Management Alone Is Not Enough","display_name":"Appropriate Prescribing for Elders: Disease Management Alone Is Not Enough","publication_year":2001,"publication_date":"2001-01-01","ids":{"openalex":"https://openalex.org/W214189558","mag":"214189558"},"language":"en","primary_location":{"id":"mag:214189558","doi":null,"is_oa":false,"landing_page_url":"https://www.questia.com/library/journal/1P3-69128845/appropriate-prescribing-for-elders-disease-management","pdf_url":null,"source":{"id":"https://openalex.org/S4306511226","display_name":"Generations","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"Generations","raw_type":null},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5048226798","display_name":"Courtney H. Lyder","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Courtney H. Lyder","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015191322","display_name":"Kristopher Fennie","orcid":"https://orcid.org/0000-0001-8038-7679","observed_orcids":["https://orcid.org/0000-0001-8038-7679"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kristopher P. Fennie","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-8038-7679","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066376278","display_name":"Cheryl Chen","orcid":"https://orcid.org/0000-0002-1183-6554","observed_orcids":["https://orcid.org/0000-0002-1183-6554"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Cheryl Chen","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0002-1183-6554","affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5102939368","display_name":"Terry T. Fulmer","orcid":"https://orcid.org/0000-0003-1027-7444","observed_orcids":["https://orcid.org/0000-0003-1027-7444"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Terry Fulmer","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-1027-7444","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.0854,"has_fulltext":false,"cited_by_count":6,"citation_normalized_percentile":{"value":0.87698987,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"24","issue":"4","first_page":"55","last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13970","display_name":"Pharmacy and Medical Practices","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/appropriate-prescribing","display_name":"appropriate prescribing","score":0.8360000252723694},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.8939999938011169},{"id":"https://openalex.org/keywords/polypharmacy","display_name":"polypharmacy","score":0.8569999933242798},{"id":"https://openalex.org/keywords/adverse-drug-reactions","display_name":"adverse drug reactions","score":0.8880000114440918},{"id":"https://openalex.org/keywords/non-pharmacological-treatment","display_name":"non-pharmacological treatment","score":0.7879999876022339},{"id":"https://openalex.org/keywords/fall-risk","display_name":"fall risk","score":0.4620000123977661},{"id":"https://openalex.org/keywords/delirium","display_name":"delirium","score":0.9700000286102295},{"id":"https://openalex.org/keywords/incontinence","display_name":"incontinence","score":0.7900000214576721},{"id":"https://openalex.org/keywords/dehydration","display_name":"dehydration","score":0.6320000290870667},{"id":"https://openalex.org/keywords/cognitive-impairment","display_name":"cognitive impairment","score":0.6430000066757202},{"id":"https://openalex.org/keywords/geriatric-prescribing","display_name":"geriatric prescribing","score":0.47600001096725464},{"id":"https://openalex.org/keywords/chronic-disease-management","display_name":"chronic disease management","score":0.5789999961853027},{"id":"https://openalex.org/keywords/medication-review","display_name":"medication review","score":0.38199999928474426}],"concepts":[{"id":"https://openalex.org/C36434225","wikidata":"https://www.wikidata.org/wiki/Q1895998","display_name":"Polypharmacy","level":2,"score":0.7378641366958618},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.732745885848999},{"id":"https://openalex.org/C2776484012","wikidata":"https://www.wikidata.org/wiki/Q16251540","display_name":"Deprescribing","level":3,"score":0.6637072563171387},{"id":"https://openalex.org/C54183767","wikidata":"https://www.wikidata.org/wiki/Q10384","display_name":"Geriatrics","level":2,"score":0.6368336081504822},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.5875063538551331},{"id":"https://openalex.org/C2779753318","wikidata":"https://www.wikidata.org/wiki/Q160796","display_name":"Delirium","level":2,"score":0.5807667970657349},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.5607605576515198},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.5408293604850769},{"id":"https://openalex.org/C133925201","wikidata":"https://www.wikidata.org/wiki/Q188419","display_name":"Life expectancy","level":3,"score":0.5352191925048828},{"id":"https://openalex.org/C2780904820","wikidata":"https://www.wikidata.org/wiki/Q415081","display_name":"Donepezil","level":4,"score":0.5263955593109131},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5016946792602539},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4954277276992798},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.4878721237182617},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.4721408188343048},{"id":"https://openalex.org/C2780733359","wikidata":"https://www.wikidata.org/wiki/Q331769","display_name":"Mood","level":2,"score":0.4656919240951538},{"id":"https://openalex.org/C13774568","wikidata":"https://www.wikidata.org/wiki/Q439112","display_name":"Population ageing","level":3,"score":0.4276329278945923},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.4101124405860901},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.29755687713623047},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.11552762985229492},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.10884064435958862},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.09178414940834045},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.08939734101295471}],"mesh":[],"locations_count":1,"locations":[{"id":"mag:214189558","doi":null,"is_oa":false,"landing_page_url":"https://www.questia.com/library/journal/1P3-69128845/appropriate-prescribing-for-elders-disease-management","pdf_url":null,"source":{"id":"https://openalex.org/S4306511226","display_name":"Generations","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"Generations","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W9731075","https://openalex.org/W2343094459","https://openalex.org/W13305756","https://openalex.org/W2409108911","https://openalex.org/W4247301993","https://openalex.org/W65777353","https://openalex.org/W3111771810","https://openalex.org/W823271017","https://openalex.org/W243253582","https://openalex.org/W7039694568"],"abstract_inverted_index":{"The":[0,63,304,426],"use":[1,293,308,518],"of":[2,13,22,33,48,139,145,149,159,181,188,196,217,281,294,306,309,313,338,344,361,390,428,439,477,485,494,499,503,508,519,526,535],"medications":[3,96,199,282,295,311,315,429,486,536],"must":[4],"be":[5],"balanced":[6],"with":[7,296,331,368,433],"nonpharmacological":[8,297],"strategies.":[9],"In":[10],"the":[11,26,31,37,46,69,102,111,160,166,182,218,227,238,242,248,275,279,292,307,325,357,376,386,413,533,541],"practice":[12],"geriatrics,":[14],"prescribing":[15],"medication":[16,86,112,155,214,245,322,354,411,447,481],"is":[17,90,105,114,272,328,380],"often":[18],"an":[19,42,462],"essential":[20,381],"component":[21],"disease":[23,383],"management.":[24],"During":[25],"twenty-first":[27],"century,":[28],"growth":[29],"in":[30,36,45,65,68,74,143,165,247,299,324,375,412,419],"number":[32,47,427,534],"older":[34,177,207,377,414,542],"adults":[35,208,451],"United":[38,70],"States":[39,71],"will":[40,72],"produce":[41],"unprecedented":[43],"increase":[44,64],"people":[49,173],"at":[50,443],"risk":[51],"for":[52,274],"costly":[53],"age-associated":[54],"chronic":[55,80],"diseases":[56,81],"and":[57,61,82,99,129,141,176,192,221,231,235,257,261,266,286,289,320,341,365,372,388,409,423,435,479,552],"other":[58],"health":[59,302,349,456],"conditions":[60,83],"injuries.":[62],"life":[66],"expectancy":[67],"result":[73],"more":[75,210,314],"elders":[76,441],"suffering":[77],"from":[78],"multiple":[79,310],"requiring":[84],"complex":[85],"regimens.":[87],"While":[88],"it":[89,104,271,379],"extremely":[91],"important":[92,107,162],"to":[93,108,117,135,212,252,277,290,352,400,511],"ensure":[94,109],"that":[95,110,132,206,382,394,487,532],"are":[97,209,317,366],"appropriately":[98],"adequately":[100],"managing":[101,300],"disease,":[103],"equally":[106],"regimen":[113],"not":[115],"contributing":[116],"those":[118],"common":[119,401],"geriatric":[120,150,301,402],"problem":[121],"areas":[122],"-mood,":[123],"cognition,":[124],"delirium,":[125],"nutrition,":[126],"hydration,":[127],"continence,":[128],"falls-in":[130],"ways":[131],"may":[133],"lead":[134],"excess":[136],"disability,":[137],"loss":[138],"independence,":[140],"decrease":[142],"quality":[144],"life.":[146],"A":[147],"panel":[148],"experts":[151],"has":[152,416],"identified":[153,418],"adverse":[154,213,321,353,513],"effects":[156,215,223,246,280,323,355],"as":[157,457],"one":[158,445],"most":[161],"quality-ofcare":[163],"problems":[164,350,393],"elderly":[167,249,326],"(Hanlon":[168],"et":[169,201],"al.,":[170,202],"1997).":[171],"Although":[172],"age":[174,434],"65":[175],"constitute":[178],"only":[179],"one-twelfth":[180],"U.S.":[183],"population,":[184,378],"they":[185],"consume":[186],"one-third":[187],"all":[189,197],"prescription":[190,446],"drugs":[191],"purchase":[193],"40":[194],"percent":[195,438],"over-the-counter":[198],"(Kahl":[200],"1992).":[203],"Research":[204],"suggests":[205,473],"susceptible":[211],"because":[216],"aging":[219],"process":[220],"its":[222],"on":[224,241,283],"pharmacokinetics":[225],"(how":[226,237],"body":[228],"absorbs,":[229],"distributes,":[230],"excretes":[232],"a":[233],"drug)":[234],"pharmacodynamics":[236],"drug":[239,509,514],"acts":[240],"body).":[243],"Adverse":[244],"can":[250,395],"contribute":[251,399],"increased":[253,369,539],"falls":[254],"(Leipzig,":[255],"Cumming,":[256],"Tinetti,":[258],"1999),":[259],"urinary":[260],"fecal":[262],"incontinence":[263],"(AHCPR,1996),":[264],"dehydration,":[265],"delirium":[267],"(Inouye,":[268],"1998).":[269],"Therefore":[270],"imperative":[273],"practitioner":[276],"appreciate":[278],"physical,":[284],"functional,":[285],"psychosocial":[287],"status":[288],"balance":[291],"strategies":[298],"problems.":[303,403],"combination":[305],"(especially":[312],"than":[316],"clinically":[318],"indicated)":[319],"population":[327],"associated":[329,367],"annually":[330],"approximately":[332],"32,ooo":[333],"hip":[334],"fractures,":[335],"163,000":[336],"cases":[337,343],"mental":[339],"impairment,":[340],"61,000":[342],"Parkinsonism":[345],"(Kusserow,":[346],"1989).":[347,449,470],"Moreover,":[348],"related":[351],"cost":[356],"healthcare":[358],"system":[359],"billions":[360],"dollars":[362],"each":[363],"year":[364,468],"mortality":[370],"(Johnson":[371],"Boorman,1995).":[373],"Thus,":[374],"management":[384],"include":[385],"identification":[387],"prevention":[389],"potential":[391],"medication-related":[392],"cause,":[396],"aggravate,":[397],"or":[398,546],"UNNECESSARY":[404],"AND":[405],"EXCESSIVE":[406],"MEDICATION":[407],"Unnecessary":[408],"excessive":[410,480],"patient":[415],"been":[417],"acute,":[420],"long":[421],"term,":[422],"community":[424],"settings.":[425],"taken":[430,537],"simultaneously":[431],"increases":[432],"setting.":[436],"Seventy-five":[437],"community-dwelling":[440],"take":[442],"least":[444],"(Lamy,":[448],"Older":[450],"who":[452],"rated":[453],"their":[454],"overall":[455],"poor":[458],"were":[459],"tak":[460],"ing":[461],"average":[463],"Of":[464],"P":[465],"prescriptions":[466],"per":[467],"(AHCPR,":[469],"Simonson":[471],"(1984)":[472],"seven":[474],"key":[475],"characteristics":[476],"unnecessary":[478],"use:":[482],"-":[483,492,497,506,516,522],"Use":[484,493,498,507],"have":[488],"no":[489],"apparent":[490],"indication.":[491],"duplicate":[495],"medications.":[496,501,521,527],"contraindicated":[500],"-Use":[502],"inappropriate":[504],"dosage.":[505],"therapy":[510],"treat":[512],"reactions.":[515],"Concurrent":[517],"interacting":[520],"Improvement":[523],"following":[524],"discontinuation":[525],"One":[528],"epidemiological":[529],"study":[530],"found":[531],"dramatically":[538],"when":[540],"person":[543],"was":[544],"hospitalized":[545],"entered":[547],"long-term":[548],"care":[549],"(Ray,":[550],"Federspiel,":[551],"Schaffner,":[553],"i98o).":[554],"\u2026":[555]},"counts_by_year":[],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2016-06-24T00:00:00"}