{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T02:40:02Z","timestamp":1777516802878,"version":"3.51.4"},"reference-count":45,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001711","name":"Schweizerischer Nationalfonds zur F\u00d6rderung der Wissenschaftlichen Forschung","doi-asserted-by":"publisher","award":["P2LAP3_184042"],"award-info":[{"award-number":["P2LAP3_184042"]}],"id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Multimorbidity and Comorbidity"],"published-print":{"date-parts":[[2021,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Inappropriate prescribing is frequent in older adults and associated with adverse outcomes. Prescribing indications aim to optimize prescribing, but little is known about the focus and features of prescribing indications for the most common chronic conditions in older adults. Understanding the conditions, medications, and issues addressed (e.g., patient perspective, drug-disease interaction, adverse drug event) in current prescribing indications may help to identify missing indications and develop standardized measures to improve prescribing quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We searched Ovid\/MEDLINE and EMBASE for articles published between 2015 and 2020 reporting prescribing indications for older adults. Prescribing indication included 1) prescribing \u201ccriteria,\u201d or statements that guide prescribing action, and 2) prescribing \u201cmeasures,\u201d or prescribing actions observed in a population. We categorized their focus by conditions, medications and issues addressed, as well as level of evidence provided.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 16 sets of prescribing indications, we identified 748 criteria and 47 measures. The most common addressed medications were antihypertensives, analgesics\/antirheumatics, and antiplatelets\/anticoagulants. The most frequently addressed issues were drug-disease interaction, adverse drug event, administration, better therapeutic alternative, and (co-)prescription omission (20.8\u201336.1%). Age\/functioning, drug-drug interaction, monitoring, and efficacy\/safety ratio were found in only 9.9\u201316.5% of indications. Indications rarely focused on the patient perspective or issues with multiple providers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Most prescribing indications for chronic conditions in older patients are criteria rather than measures. Indications accounting for patient perspective and multiple providers are limited. The gaps identified in this review may help improve the development of prescribing measures for older adults and ultimately improve quality of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26335565211012876","type":"journal-article","created":{"date-parts":[[2021,4,28]],"date-time":"2021-04-28T13:47:23Z","timestamp":1619617643000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Focus and features of prescribing indications spanning multiple chronic conditions in older adults: A narrative review"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8325-8784","authenticated-orcid":false,"given":"Carole E","family":"Aubert","sequence":"first","affiliation":[{"name":"Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland"},{"name":"Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland"},{"name":"Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA"},{"name":"Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eve A","family":"Kerr","sequence":"additional","affiliation":[{"name":"Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA"},{"name":"Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA"},{"name":"Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mandi L","family":"Klamerus","sequence":"additional","affiliation":[{"name":"Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy P","family":"Hofer","sequence":"additional","affiliation":[{"name":"Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA"},{"name":"Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA"},{"name":"Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa Y","family":"Wei","sequence":"additional","affiliation":[{"name":"Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA"},{"name":"Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA"},{"name":"Department of Medicine, David Geffen School of Medicine at the University of California, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,28]]},"reference":[{"key":"bibr1-26335565211012876","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2710.2007.00793.x"},{"key":"bibr2-26335565211012876","doi-asserted-by":"publisher","DOI":"10.1007\/s00228-015-1950-8"},{"key":"bibr3-26335565211012876","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60240-2"},{"key":"bibr4-26335565211012876","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2016.05.022"},{"key":"bibr5-26335565211012876","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/aft038"},{"key":"bibr6-26335565211012876","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afs100"},{"key":"bibr7-26335565211012876","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.6.716"},{"key":"bibr8-26335565211012876","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15767"},{"key":"bibr9-26335565211012876","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu145"},{"key":"bibr10-26335565211012876","unstructured":"National Institute for Health and Care Excellence (NICE). 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