New insights for the polypharmacy use in elderly with Diabetes-An update about effect of education level
Journal Title: Journal of Endocrinology and Diabetes - Year 2017, Vol 4, Issue 5
Abstract
Aim: To assess the effect of education diabetics in polypharmacy use and correlate with the scores of tests Medtake (MT), Diabetes Complications (DC) Morisky-Green (MGT) and pharmacotherapy complexity (PC). Methods: We conducted a cross-sectional study and included diabetics attended done in basic Brazilian health unit. The patients were divided into two groups, one group being that takes less than five (≤5) medicines and other that takes more than five (>5) medicines. Then, we further separated the groups by education levels, basic and more advanced, and compared the results of the MT, MGT, DC and PC. Results: The MT (r=0.33, p. < 0.00) and PC were positively correlated with less education in the patients that were taking ≤5 medicines. Prescribed drug amounts (r= 0.25, p.< 0.04), co morbidities (r=0.31, p.< 0.01), age (r = 0.41, p.< 0.01) and PC (r= 0.65, p.< 0.00) were positive in patients with more education. Conclusions: Clinically, diabetics with lower education levels have a poor knowledge of diabetic therapeutic and high pharmacotherapy complexity, contributing to higher co morbidities that influence a prescribed drug increase.
Authors and Affiliations
Heverton Alves Peres, Maria Cristina Foss de Freitas, Leonardo Régis Leira Pereira, Carlos Manuel Viana
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