Continuing versus New Antidepressant Use in Older Adults: US Prescribing Trends from 2006 to 2015

Taeho Greg Rhee

doi:10.1007/s41999-018-0075-x

Continuing versus New Antidepressant Use in Older Adults: US Prescribing Trends from 2006 to 2015

Taeho Greg Rhee

Pharmaceutical Care and Health Systems

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Objectives: Antidepressant use has increased in older adults recently. This study examines the trends of antidepressant prescribing by prescription status (continuing vs. new prescriptions). Methods: Data were collected from 2006 to 2015 National Ambulatory Medical Care Survey (NAMCS), a nationally representative sample of office-based outpatient visits. I limited the sample to adults aged 65 or older (n = 10,708 unweighted). Using a repeated cross-sectional design with survey sampling techniques, prevalence rates of antidepressant prescriptions were estimated by prescription status. Stratified analyses were also performed by key variables (e.g., age, gender, and race/ethnicity). Results: Continuing antidepressant prescriptions increased over time significantly (OR = 1.07; 95% CI, 1.03–1.11), and no temporal trend was found in new antidepressant prescriptions. In stratified analyses, the increasing trends of continuing antidepressant prescriptions were pronounced in visits to primary care physicians (OR = 1.06; 95% CI, 1.01–1.12). Conclusion: Increasing antidepressant prescribing trends were found in continuing prescriptions. Continued antidepressant prescribing among older adults should be monitored for appropriate use.

Original language	English (US)
Pages (from-to)	551-555
Number of pages	5
Journal	European Geriatric Medicine
Volume	9
Issue number	4
DOIs	https://doi.org/10.1007/s41999-018-0075-x
State	Published - Aug 1 2018

Bibliographical note

Funding Information:
Funding The study received funding support from the National Institute on Aging of National Institutes of Health (#T32AG019134).

Funding Information:
Disclaimers Publicly available data were obtained from the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). Analyses, interpretation, and conclusions are solely those of the author and do not necessarily reflect the views of the Division of Health Interview Statistics or NCHS of the CDC.

Publisher Copyright:
© 2018, European Geriatric Medicine Society.

Keywords

Antidepressant
Office-based care
Older adults
Prescribing patterns

Publisher link

10.1007/s41999-018-0075-x

Find It

Find It at U of M Libraries

Cite this

@article{9749cd137ec6487da9109b36848e0d4a,

title = "Continuing versus New Antidepressant Use in Older Adults: US Prescribing Trends from 2006 to 2015",

abstract = "Objectives: Antidepressant use has increased in older adults recently. This study examines the trends of antidepressant prescribing by prescription status (continuing vs. new prescriptions). Methods: Data were collected from 2006 to 2015 National Ambulatory Medical Care Survey (NAMCS), a nationally representative sample of office-based outpatient visits. I limited the sample to adults aged 65 or older (n = 10,708 unweighted). Using a repeated cross-sectional design with survey sampling techniques, prevalence rates of antidepressant prescriptions were estimated by prescription status. Stratified analyses were also performed by key variables (e.g., age, gender, and race/ethnicity). Results: Continuing antidepressant prescriptions increased over time significantly (OR = 1.07; 95% CI, 1.03–1.11), and no temporal trend was found in new antidepressant prescriptions. In stratified analyses, the increasing trends of continuing antidepressant prescriptions were pronounced in visits to primary care physicians (OR = 1.06; 95% CI, 1.01–1.12). Conclusion: Increasing antidepressant prescribing trends were found in continuing prescriptions. Continued antidepressant prescribing among older adults should be monitored for appropriate use.",

keywords = "Antidepressant, Office-based care, Older adults, Prescribing patterns",

author = "Rhee, {Taeho Greg}",

note = "Funding Information: Funding The study received funding support from the National Institute on Aging of National Institutes of Health (#T32AG019134). Funding Information: Disclaimers Publicly available data were obtained from the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). Analyses, interpretation, and conclusions are solely those of the author and do not necessarily reflect the views of the Division of Health Interview Statistics or NCHS of the CDC. Publisher Copyright: {\textcopyright} 2018, European Geriatric Medicine Society.",

year = "2018",

month = aug,

day = "1",

doi = "10.1007/s41999-018-0075-x",

language = "English (US)",

volume = "9",

pages = "551--555",

journal = "European Geriatric Medicine",

issn = "1878-7649",

publisher = "Springer Science and Business Media Deutschland GmbH",

number = "4",

}

TY - JOUR

T1 - Continuing versus New Antidepressant Use in Older Adults: US Prescribing Trends from 2006 to 2015

AU - Rhee, Taeho Greg

N1 - Funding Information: Funding The study received funding support from the National Institute on Aging of National Institutes of Health (#T32AG019134). Funding Information: Disclaimers Publicly available data were obtained from the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). Analyses, interpretation, and conclusions are solely those of the author and do not necessarily reflect the views of the Division of Health Interview Statistics or NCHS of the CDC. Publisher Copyright: © 2018, European Geriatric Medicine Society.

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Objectives: Antidepressant use has increased in older adults recently. This study examines the trends of antidepressant prescribing by prescription status (continuing vs. new prescriptions). Methods: Data were collected from 2006 to 2015 National Ambulatory Medical Care Survey (NAMCS), a nationally representative sample of office-based outpatient visits. I limited the sample to adults aged 65 or older (n = 10,708 unweighted). Using a repeated cross-sectional design with survey sampling techniques, prevalence rates of antidepressant prescriptions were estimated by prescription status. Stratified analyses were also performed by key variables (e.g., age, gender, and race/ethnicity). Results: Continuing antidepressant prescriptions increased over time significantly (OR = 1.07; 95% CI, 1.03–1.11), and no temporal trend was found in new antidepressant prescriptions. In stratified analyses, the increasing trends of continuing antidepressant prescriptions were pronounced in visits to primary care physicians (OR = 1.06; 95% CI, 1.01–1.12). Conclusion: Increasing antidepressant prescribing trends were found in continuing prescriptions. Continued antidepressant prescribing among older adults should be monitored for appropriate use.

AB - Objectives: Antidepressant use has increased in older adults recently. This study examines the trends of antidepressant prescribing by prescription status (continuing vs. new prescriptions). Methods: Data were collected from 2006 to 2015 National Ambulatory Medical Care Survey (NAMCS), a nationally representative sample of office-based outpatient visits. I limited the sample to adults aged 65 or older (n = 10,708 unweighted). Using a repeated cross-sectional design with survey sampling techniques, prevalence rates of antidepressant prescriptions were estimated by prescription status. Stratified analyses were also performed by key variables (e.g., age, gender, and race/ethnicity). Results: Continuing antidepressant prescriptions increased over time significantly (OR = 1.07; 95% CI, 1.03–1.11), and no temporal trend was found in new antidepressant prescriptions. In stratified analyses, the increasing trends of continuing antidepressant prescriptions were pronounced in visits to primary care physicians (OR = 1.06; 95% CI, 1.01–1.12). Conclusion: Increasing antidepressant prescribing trends were found in continuing prescriptions. Continued antidepressant prescribing among older adults should be monitored for appropriate use.

KW - Antidepressant

KW - Office-based care

KW - Older adults

KW - Prescribing patterns

UR - http://www.scopus.com/inward/record.url?scp=85050398778&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85050398778&partnerID=8YFLogxK

U2 - 10.1007/s41999-018-0075-x

DO - 10.1007/s41999-018-0075-x

M3 - Article

SN - 1878-7649

VL - 9

SP - 551

EP - 555

JO - European Geriatric Medicine

JF - European Geriatric Medicine

IS - 4

ER -

Continuing versus New Antidepressant Use in Older Adults: US Prescribing Trends from 2006 to 2015

Abstract

Bibliographical note

Keywords

Publisher link

Find It

Other files and links

Fingerprint

Cite this