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Table 2 Baseline characteristics of the participating patients (n total = 579)

From: Expert-based medication reviews to reduce polypharmacy in older patients in primary care: a northern-Italian cluster-randomised controlled trial

Characteristics patients

Intervention group (n = 307)

Control group (n = 272)

p-value

Age

Median (IQR)

81 (78–85)

81 (79–85)

0.413 i

Gender

Female: n (%)

180 (58.6%)

169 (62.1%)

0.396 ii

Drug prescriptions

Total number of drugs

2914

2700

–

Median number of drugs (IQR)

9 (8–10)

9 (8–11)

0.006 i

Most frequently prescribed drug classes

[number of patients concerned per drug class]

ARBs, ACE-inhibitors

256 (134, 122)

225 (117, 108)

–

 PPIs

161

159

–

 Statins

163

156

–

 Platelet-aggregation inhibitors

167

144

–

 Beta-blockers

159

147

–

 Minor diuretics (predominantly hydrochlorothiazide)

153

120

–

 CCBs

133

115

–

 Loop diuretics (predominantly Furosemide)

126

118

–

 Vitamins (predominantly vit. D)

118

109

–

 Antidepressants, antipsychotics

117

98

–

 Oral anticoagulants

100

90

–

 Anxiolytics/hypnotics (Benzodiazepines, Zolpidem)

79

94

–

 Dietary supplements (predominantly Calcium)

86

85

–

 Oral antidiabetic drugs

85

71

–

 Antiasthmatic agents, beta-adrenergics, anticholinergics

71

63

–

Chronic conditions

Total number of chronic diseases

1664

1479

–

Median number of chronic diseases (IQR)

5 (4–6)

5 (4–6)

0.346 i

EQ-5D-5L index

Median (IQR)

0.815 (0.710–0.910)

0.810 (0.716–0.909)

0.762 i

EQ-VAS score

Median (IQR)

60.0 (50.0–80.0)

65.0 (50.0–78.8)

0.581 i

5-GDS: Score ≥ 2 points (affective impairment)

n patients (%)

94 (30.6%)

76 (27.9%)

0.522 ii

6-CIT: Score ≥ 8 points (cognitive impairment)

n patients (%)

77 (25.1%)

81 (29.8%)

0.225 ii

Biometric and laboratory parameters

Unit

   

BMI: Median (IQR)

kg/m2

26.7 (23.9–29.7)

26.2 (23.5–29.4)

0.522 i

Creatinine: Median (IQR)

mg/dl

1.1 (0.9–1.3)

1.0 (0.8–1.4)

0.307 i

Number of events within last 12 months before T0

Intervention group (n = 307)

Control group (n = 272)

p-value

Patients with ≥1 hospitalisation (% of patients)

85 (27.7%)

37 (13.6%)

< 0.001ii

Patients with ≥1 falls requiring medical treatment (%)

66 (21.5%)

28 (10.3%)

< 0.001ii

Patients with ≥1 fractures (%)

23 (7.5%)

11 (4.0%)

0.110 ii

Symptoms within 1 month before T0 §

Intervention group (n = 307)

Control group (n = 272)

p-value

Total number of symptoms

358

193

–

Patients with ≥1 symptom (%)

173 (54.4%)

107 (39.3%)

< 0.001ii

Median (IQR)

1 (0–2)

0 (0–1)

< 0.001 i

PIMs and DDIs

Intervention group (n = 307)

Control group (n = 272)

p-value

n drugs Beers list [32]

Total number (% of total prescriptions)

181 (6.2%)

160 (5.9%)

–

n patients with ≥1 Beers-listed drug

142 (46.3%)

124 (45.6%)

0.993ii

Median (IQR)

0 (0–1)

0 (0–1)

0.993 i

D or X drug-drug interactions §§ [34]

Total number

396

380

–

n patients with ≥1 D/X drug-drug interaction (%)

203 (66.1%)

188 (69.1%)

0.477ii

Median (IQR)

1 (0–2)

1 (0–2)

0.424 i

  1. i Mann-Whitney U test, ii Fisher exact test
  2. § The following symptoms were considered: nausea, vertigo, pain, obstipation, diarrhoea, dyspnoea, angina pectoris, weight loss ≥2 kg; full list: Supplementary Tab.I
  3. §§ Drug-drug interactions: category D = consider drug modification, category X = avoid combination [34]
  4. IQR Interquartile range, EQ-5D 5-Item questionnaire measuring health-related quality of life, VAS Visual analogue scale, 5-GDS 5-Item Geriatric Depression Scale, 6-CIT 6-Item Cognitive Impairment Test, BMI Body mass index, PIMs Potentially inappropriate drugs, DDIs Drug-drug interactions