{"id":"https://openalex.org/W7203444547","doi":"https://doi.org/10.1590/1516-3180.2026.3658.08062026","title":"Potentially inappropriate medication use among older outpatients-prevalence and contributing factors: a retrospective study","display_name":"Potentially inappropriate medication use among older outpatients-prevalence and contributing factors: a retrospective study","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7203444547","doi":"https://doi.org/10.1590/1516-3180.2026.3658.08062026","pmid":"https://pubmed.ncbi.nlm.nih.gov/42615764","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13475865"},"language":"en","primary_location":{"id":"doi:10.1590/1516-3180.2026.3658.08062026","doi":"https://doi.org/10.1590/1516-3180.2026.3658.08062026","is_oa":true,"landing_page_url":"https://doi.org/10.1590/1516-3180.2026.3658.08062026","pdf_url":null,"source":{"id":"https://openalex.org/S158351634","display_name":"Sao Paulo Medical Journal","issn_l":"0035-0362","issn":["0035-0362","1516-3180","1806-9460"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","medline","poland-40","russia-white-list-2","scielo","vabb-shw"],"host_organization":"https://openalex.org/P4310312490","host_organization_name":"Medical Association of S\u00e3o Paulo","host_organization_lineage":["https://openalex.org/P4310312490"],"host_organization_lineage_names":["Medical Association of S\u00e3o Paulo"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sao Paulo Medical Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.1590/1516-3180.2026.3658.08062026","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5042513931","display_name":"Meri\u015f Esra Bozkurt","orcid":"https://orcid.org/0000-0003-2823-1647","observed_orcids":["https://orcid.org/0000-0003-2823-1647"]},"institutions":[{"id":"https://openalex.org/I51780484","display_name":"Mersin \u00dcniversitesi","ror":"https://ror.org/04nqdwb39","country_code":"TR","type":"education","lineage":["https://openalex.org/I51780484"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Meris Esra Bozkurt","raw_affiliation_strings":["Mersin University,  T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0000-0003-2823-1647","affiliations":[{"raw_affiliation_string":"Mersin University,  T\u00fcrkiye","institution_ids":["https://openalex.org/I51780484"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5056496179","display_name":"Erc\u00fcment \u00d6zt\u00fcrk","orcid":"https://orcid.org/0000-0003-4850-7567","observed_orcids":["https://orcid.org/0000-0003-4850-7567"]},"institutions":[{"id":"https://openalex.org/I4405267937","display_name":"Mersin \u015eehir E\u011fitim ve Ara\u015ft\u0131rma Hastanesi","ror":"https://ror.org/053mrpy11","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4405267937"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Ercument Ozturk","raw_affiliation_strings":["Mersin City Hospital,  T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0000-0003-4850-7567","affiliations":[{"raw_affiliation_string":"Mersin City Hospital,  T\u00fcrkiye","institution_ids":["https://openalex.org/I4405267937"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5042513931"],"corresponding_institution_ids":["https://openalex.org/I51780484"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"144","issue":"4","first_page":"e20263658","last_page":"e20263658"},"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/potentially-inappropriate-medications","display_name":"potentially inappropriate medications","score":0.9330000281333923},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.9700000286102295},{"id":"https://openalex.org/keywords/polypharmacy","display_name":"polypharmacy","score":0.9319999814033508},{"id":"https://openalex.org/keywords/geriatric-outpatients","display_name":"geriatric outpatients","score":0.8659999966621399},{"id":"https://openalex.org/keywords/stopp-criteria","display_name":"STOPP criteria","score":0.7570000290870667},{"id":"https://openalex.org/keywords/start-criteria","display_name":"START criteria","score":0.9900000095367432},{"id":"https://openalex.org/keywords/dementia","display_name":"dementia","score":0.8560000061988831},{"id":"https://openalex.org/keywords/fall-history","display_name":"fall history","score":0.7549999952316284},{"id":"https://openalex.org/keywords/chronic-comorbidities","display_name":"chronic comorbidities","score":0.9649999737739563},{"id":"https://openalex.org/keywords/geriatric-syndromes","display_name":"geriatric syndromes","score":0.9449999928474426}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9747999906539917},{"id":"https://openalex.org/C36434225","wikidata":"https://www.wikidata.org/wiki/Q1895998","display_name":"Polypharmacy","level":2,"score":0.9739999771118164},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.7372000217437744},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.7146000266075134},{"id":"https://openalex.org/C53875530","wikidata":"https://www.wikidata.org/wiki/Q814106","display_name":"Beers Criteria","level":3,"score":0.676800012588501},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.659600019454956},{"id":"https://openalex.org/C54183767","wikidata":"https://www.wikidata.org/wiki/Q10384","display_name":"Geriatrics","level":2,"score":0.5613999962806702},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5435000061988831},{"id":"https://openalex.org/C3019887659","wikidata":"https://www.wikidata.org/wiki/Q191089","display_name":"Older people","level":2,"score":0.5194000005722046},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4104999899864197},{"id":"https://openalex.org/C2776484012","wikidata":"https://www.wikidata.org/wiki/Q16251540","display_name":"Deprescribing","level":3,"score":0.39879998564720154},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.36550000309944153},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.3594000041484833},{"id":"https://openalex.org/C3020110884","wikidata":"https://www.wikidata.org/wiki/Q695416","display_name":"Outpatient clinic","level":2,"score":0.3531999886035919},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.3409000039100647},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.32600000500679016},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.31700000166893005},{"id":"https://openalex.org/C3018697994","wikidata":"https://www.wikidata.org/wiki/Q191089","display_name":"Elderly people","level":2,"score":0.2802000045776367},{"id":"https://openalex.org/C23276603","wikidata":"https://www.wikidata.org/wiki/Q158230","display_name":"Pharmacoepidemiology","level":3,"score":0.2791999876499176},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2754000127315521},{"id":"https://openalex.org/C3018553135","wikidata":"https://www.wikidata.org/wiki/Q67004728","display_name":"Medication adherence","level":2,"score":0.26440000534057617},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.25130000710487366}],"mesh":[{"descriptor_ui":"D000067561","descriptor_name":"Potentially Inappropriate Medication List","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010045","descriptor_name":"Outpatients","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015897","descriptor_name":"Comorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015995","descriptor_name":"Prevalence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019338","descriptor_name":"Polypharmacy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057970","descriptor_name":"Inappropriate Prescribing","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1590/1516-3180.2026.3658.08062026","doi":"https://doi.org/10.1590/1516-3180.2026.3658.08062026","is_oa":true,"landing_page_url":"https://doi.org/10.1590/1516-3180.2026.3658.08062026","pdf_url":null,"source":{"id":"https://openalex.org/S158351634","display_name":"Sao Paulo Medical Journal","issn_l":"0035-0362","issn":["0035-0362","1516-3180","1806-9460"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","medline","poland-40","russia-white-list-2","scielo","vabb-shw"],"host_organization":"https://openalex.org/P4310312490","host_organization_name":"Medical Association of S\u00e3o Paulo","host_organization_lineage":["https://openalex.org/P4310312490"],"host_organization_lineage_names":["Medical Association of S\u00e3o Paulo"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sao Paulo Medical Journal","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13475865","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13475865/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13475865/pdf/1806-9460-spmj-144-04-e20263658.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sao Paulo Med J","raw_type":"Text"},{"id":"pmid:42615764","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42615764","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sao Paulo medical journal = Revista paulista de medicina","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:6dd9e1d1da0b455cb31c83439607a120","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/6dd9e1d1da0b455cb31c83439607a120","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"S\u00e3o Paulo Medical Journal, Vol 144, Iss 4 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1590/1516-3180.2026.3658.08062026","doi":"https://doi.org/10.1590/1516-3180.2026.3658.08062026","is_oa":true,"landing_page_url":"https://doi.org/10.1590/1516-3180.2026.3658.08062026","pdf_url":null,"source":{"id":"https://openalex.org/S158351634","display_name":"Sao Paulo Medical Journal","issn_l":"0035-0362","issn":["0035-0362","1516-3180","1806-9460"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","medline","poland-40","russia-white-list-2","scielo","vabb-shw"],"host_organization":"https://openalex.org/P4310312490","host_organization_name":"Medical Association of S\u00e3o Paulo","host_organization_lineage":["https://openalex.org/P4310312490"],"host_organization_lineage_names":["Medical Association of S\u00e3o Paulo"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sao Paulo Medical Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7203444547.pdf","grobid_xml":"https://content.openalex.org/works/W7203444547.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W2059796825","https://openalex.org/W2741843293","https://openalex.org/W2969588911","https://openalex.org/W2981414419","https://openalex.org/W2989123330","https://openalex.org/W3003640351","https://openalex.org/W3157607233","https://openalex.org/W3183306404","https://openalex.org/W3191902826","https://openalex.org/W3209183846","https://openalex.org/W4241984066","https://openalex.org/W4285271931","https://openalex.org/W4288085012","https://openalex.org/W4302435679","https://openalex.org/W4310020185","https://openalex.org/W4368359338","https://openalex.org/W4382344250","https://openalex.org/W4385475943","https://openalex.org/W4386936166","https://openalex.org/W4387617136","https://openalex.org/W4396976242","https://openalex.org/W4400039857","https://openalex.org/W4400416616","https://openalex.org/W4401758668"],"related_works":["https://openalex.org/W2949712992","https://openalex.org/W3033284897","https://openalex.org/W3136287578","https://openalex.org/W3157794844","https://openalex.org/W2592601564","https://openalex.org/W2947469840","https://openalex.org/W4410521842","https://openalex.org/W3134364055","https://openalex.org/W7158658883","https://openalex.org/W7220127226"],"abstract_inverted_index":{"BACKGROUND:":[0],"Adverse":[1],"outcomes":[2],"associated":[3,204,229],"with":[4,32,121,139,165,205,230],"potentially":[5],"inappropriate":[6],"medication":[7],"(PIM)":[8],"use":[9,25,84,98,132,164,210,233],"are":[10],"prevalent":[11,136],"among":[12,137,211],"older":[13,26,43,71,212],"adults.":[14,213],"OBJECTIVES:":[15],"This":[16,62],"study":[17,64],"aimed":[18],"to":[19,50,52],"determine":[20],"the":[21,39,88,97,106,155,216],"frequency":[22],"of":[23,42,99,124,162,189,208,225],"PIM":[24,83,131,163,209,232],"outpatients":[27],"and":[28,35,47,79,186,222],"assess":[29],"its":[30],"association":[31],"chronic":[33],"comorbidities":[34],"geriatric":[36,74],"syndromes":[37],"using":[38,87],"screening":[40,48],"tool":[41,49],"persons'":[44],"prescriptions":[45],"(STOPP)":[46],"alert":[51],"right":[53],"treatment":[54],"(START)":[55],"version":[56,90,218],"3":[57,91,219],"criteria.":[58,92],"DESIGN":[59],"AND":[60],"SETTING:":[61],"retrospective":[63],"included":[65],"patients":[66,108,138],"aged":[67],"65":[68],"years":[69],"or":[70,101],"who":[72],"attended":[73],"outpatient":[75],"clinics":[76],"between":[77],"January":[78],"June":[80],"2024.":[81],"METHODS:":[82],"was":[85,94,133,202],"evaluated":[86],"STOPP/START":[89],"Polypharmacy":[93,201],"defined":[95],"as":[96],"five":[100],"more":[102,135],"medications.":[103],"RESULTS:":[104],"Among":[105],"107":[107],"(median":[109],"age,":[110],"77":[111],"years;":[112],"range,":[113],"65-91),":[114],"71%":[115],"(n":[116],"=":[117,144,150,168,174,178,184,192,198],"76)":[118],"used":[119],"PIM,":[120],"a":[122,187,223],"median":[123],"two":[125],"PIMs":[126],"per":[127],"patient":[128],"(range,":[129],"0-6).":[130],"significantly":[134,203],"polypharmacy":[140,176],"(odds":[141],"ratio":[142],"[OR]":[143],"3.986;":[145],"95%":[146,170,180,194],"CI:":[147,171,181,195],"1.493-10.639;":[148],"p":[149,173,183,197],"0.006).":[151],"Analyses":[152],"based":[153],"on":[154,215],"STOPP":[156,217],"criteria":[157],"also":[158,228],"revealed":[159],"significant":[160],"associations":[161],"dementia":[166,221],"(OR":[167,177,191],"13.240;":[169],"1.504-116.529;":[172],"0.02),":[175],"4.352;":[179],"1.476-12.827;":[182],"0.008),":[185],"history":[188,224],"falls":[190,226],"3.131;":[193],"1.017-9.634;":[196],"0.047).":[199],"CONCLUSION:":[200],"greater":[206],"odds":[207],"Based":[214],"criteria,":[220],"were":[227],"increased":[231],"in":[234],"this":[235],"population.":[236]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-08-15T00:00:00"}
