Use of medications and polypharmacy are increasing among the elderly

Lamy, 1980, The health status of the elderly, 113 Klaukka T. Health and need of health services of adults. In: Kalimo E, Nyman K, Klaukka T, Tuomikoski H, Savolainen E, editors. Need, use and expenses of health services in Finland 1964–1976. Helsinki: Publications of the Social Insurance Institution. A:18; 1982; p. 62–5 [in Finnish with an English summary]. Arinen, 1998 Population projection by municipalities 1998–2030. Helsinki: Statistics Finland; 1998. Klaukka, 1996, Nearly forty percent of drug reimbursements are paid to the elderly, TABU—drug information from the National Agency for Medicines in Finland, 4, 57 Mehl, 1999, Projecting future drug expenditures 1999, Am J Health Syst Pharm, 56, 31, 10.1093/ajhp/56.1.31 Lee, 1998, Polypharmacy, J Am Board Fam Pract, 11, 140, 10.3122/15572625-11-2-140 Hanlon, 2001, Suboptimal prescribing in older inpatients and outpatients, J Am Geriatr Soc, 49, 200, 10.1046/j.1532-5415.2001.49042.x Veehof, 2000, The development of polypharmacy. A longitudinal study, Fam Pract, 17, 261, 10.1093/fampra/17.3.261 Veehof, 1999, Chronic polypharmacy in one-third of the elderly in family practice, Ned Tijdschr Geneeskd, 143, 93 Iliffe, 1991, Assessment of elderly people in general practice. 2. Functional abilities and medical problems, Br J Gen Pract, 41, 13 Barat, 2000, The consumption of drugs by 75-year-old individuals living in their own homes, Eur J Clin Pharmacol, 56, 501, 10.1007/s002280000157 Chrischilles, 1992, Use of medications by persons 65 and over, J Gerontol, 47, M137, 10.1093/geronj/47.5.M137 Fillit, 1999, Polypharmacy management in Medicare managed care, Am J Manag Care, 5, 587 Flaherty, 2000, Polypharmacy and hospitalization among older home care patients, J Gerontol, 55A, M554, 10.1093/gerona/55.10.M554 Klaukka, 1993, Multiuse of medicines in Finland, Med Care, 31, 445, 10.1097/00005650-199305000-00006 Jörgensen, 1993, Presciption drug use among ambulatory elderly in a Swedish municipality, Ann Pharmacother, 27, 1120, 10.1177/106002809302700918 Linjakumpu, 2001, Polypharmacy and the use of psychotropics and analgesic drugs among the community-dwelling elderly, Gerontologia, 15, 117 Laukkanen, 1992, Use of drugs by non- institutionalized urban Finns born in 1904–1923 and the association of drug use with mood and self-rated health, Age Ageing, 21, 343, 10.1093/ageing/21.5.343 Purves, 1994 Bjerrum, 1998, Polypharmacy, Eur J Clin Pharmacol, 54, 197, 10.1007/s002280050445 Bardel, 2000, Reported current use of prescription drugs and some of its determinants among 35 to 65-year-old women in mid- Sweden, J Clin Epidemiol, 53, 637, 10.1016/S0895-4356(99)00228-0 Tune, 1992, Anticholinergic effects of drugs commonly prescribed for the elderly, Am J Psychiatry, 149, 1393, 10.1176/ajp.149.10.1393 Mannesse, 2000, Contribution of adverse drug reactions to hospital admission of older patients, Age Ageing, 29, 35, 10.1093/ageing/29.1.35 Rosholm, 1998, Polypharmacy and the risk of drug-drug interactions among Danish elderly. A prescription database study, Dan Med Bull, 45, 210 Isoaho R. Asthma and chronic obstructive pulmonary disease in the elderly—prevalence and associations with functional abilities. Oulu: Acta Univ Oul D 347; 1995 [in Finnish with an English summary]. Structure of population 1990. Helsinki: Central Statistical Office of Finland; 1991. Population structure 1999. Helsinki: Statistics Finland; 2000. Employment statistics 1998–99. Helsinki: Statistics Finland; 2001. Nordic statistics on medicines 1992–1995. Uppsala: Nordic Council on Medicines; 1996. Classification of medicines (ATC) and defined daily doses (DDD) 2000. Helsinki: National Agency for Medicines; 2000. Guidelines for ATC classification and DDD assignment. Oslo: WHO Collaborating Centre for Drug Statistics Methodology; 1995. Finnish Statistics on Medicines 1998. Helsinki: National Agency for Medicines and Social Insurance Institution; 1999. SAS Institute Inc, 1990 Ryynänen, 1993, Medications and chronic diseases as risk factors for falling injuries in the elderly, Scand J Soc Med, 21, 264, 10.1177/140349489302100406 Stewart, 1991, Changing patterns of therapeutic agents in the elderly, Age Ageing, 20, 182, 10.1093/ageing/20.3.182 Klaukka T, Rajaniemi S. Medication costs in Finland in 2005. TABU—drug information from the National Agency for Medicines in Finland 1998;6:29–30 [in Finnish with an English summary]. Hansten, 1994 Beers, 1997, Explicit criteria for determining potentially inappropriate medication by the elderly, Arch Intern Med, 157, 1531, 10.1001/archinte.157.14.1531 McLeod, 1997, Defining inappropriate practices in prescribing for elderly people, Can Med Assoc J, 156, 385 Jörgensen, 2001, Presciption drug use, diagnoses, and healthcare utilization among the elderly, Ann Pharmacother, 35, 1004, 10.1345/aph.10351 Fries, 1980, Aging, natural death, and the compression of morbidity, N Engl J Med, 303, 130, 10.1056/NEJM198007173030304 Joint National Committee, 1997, The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure, Arch Intern Med, 157, 2413, 10.1001/archinte.157.21.2413 Hughes, 1998, Prescribing for the elderly patient, Br J Clin Pharmacol, 46, 531, 10.1046/j.1365-2125.1998.00842.x Pollock, 1998, Psychotropic drugs and the aging patient, Geriatrics, 53, S20 Lipton, 1992, Undermedication among geriatric outpatients, Ann Rev Gerontol Geriatr, 12, 95