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Table 3 Medication changes at patient level

From: Changes in prescribed medicines in older patients with multimorbidity and polypharmacy in general practice

 

Δ1 (baseline to 6-month follow-up)

Δ2 (6-month follow-up to 9-month follow-up)

Intervention group (IG)

(n = 252)

Control group (CG)

(n = 250)

Total (N = 502)

Proportion difference

IG vs. CG

(95% CI)

Intervention group (IG)

(n = 252)

Control group (CG)

(n = 250)

Total (N = 502)

Proportion difference

IG vs. CG

(95% CI)

API

 Addition

160 (63%)

153 (61%)

313 (62%)

0.02

(−0.07;0.11)

P = 0.661

93 (37%)

88 (35%)

181 (36%)

0.02

(− 0.07;0.11)

P = 0.761

 Discontinuation

176 (70%)

161 (64%)

337 (67%)

0.05

(− 0.03;0.14)

P = 0.229

119 (47%)

129 (52%)

248 (49%)

−0.04

(− 0.14;0.05)

P = 0.373

 Intraclass substitution

23 (9%)

18 (7%)

41 (8.2%)

0.02

(− 0.03;0.07)

P = 0.532

14 (6%)

7 (3%)

21 (4%)

0.03

(− 0.01;0.07), P = 0.187

 Restart of previously discontinued drugs

–

–

–

n.a.

51/176

(29%)

53/161

(30%)

104/337

(31%)

− 0.01

(− 0.08;0.07), P = 0.876

Strength of the API

 Increase

46 (18%)

36 (14%)

82 (16%)

0.04

(− 0.03;0.11)

P = 0.295

45 (18%)

35 (14%)

80 (16%)

0.04

(−0.03;0.11), P = 0.29

 Decrease

44 (17%)

49 (20%)

93 (19%)

−0.02

(− 0.09;0.05), P = 0.616

31 (12%)

37 (15%)

70 (14%)

− 0.02

(− 0.09;0.04), P = 0.492

Dosage

 Daily dosage increase

91 (36%)

80 (32%)

171 (34%)

0.04

(− 0.05;0.13), P = 0.38

67 (27%)

61 (24%)

128 (26%)

0.02

(−0.06;0.1), P = 0.646

 Daily dosage decrease

106 (42%)

79 (32%)

185 (37%)

0.1 (0.02;0.19), P = 0.019*

72 (29%)

58 (23%)

130 (26%)

0.05

(− 0.03;0.13), P = 0.203

 Application interval shortened

55 (22%)

42 (17%)

97 (19%)

0.05

(− 0.02;0.12), P = 0.189

32 (13%)

20 (8%)

52 (10%)

0.05

(− 0.01;0.1), P = 0.114

 Application interval prolonged

48 (19%)

35 (14%)

83 (17%)

0.05

(− 0.02;0.12), P = 0.161

28 (11%)

26 (10%)

54 (11%)

0.01

(−0.05;0.07), P = 0.91

 Change in application time point

145 (58%)

155 (62%)

300 (60%)

− 0.04

(− 0.13;0.05), P = 0.353

98 (39%)

118 (47%)

216 (45%)

− 0.08

(− 0.17;0.01), P = 0.073

 Pill splitting started

43 (17%)

35 (14%)

78 (16%)

0.03

(−0.04;0.1), P = 0.41

23 (9%)

19 (8%)

42 (8%)

0.02

(− 0.04;0.07), P = 0.648

 Pill splitting stopped

30 (12%)

35 (14%)

65 (13%)

−0.02

(− 0.08;0.04), P = 0.571

13 (5%)

18 (7%)

31 (6%)

− 0.02

(− 0.07;0.03), P = 0.445

Administration method

 Change in administration method

47 (19%)

32 (13%)

79 (16%)

0.06

(− 0.01;0.13), P = 0.093

37 (15%)

42 (17%)

79 (16%)

−0.02

(− 0.09;0.05), P = 0.597

  1. API active pharmaceutical ingredient
  2. *Difference between intervention group and control group was statistically significant