Inappropriate Use of Calcium Supplements among Patients with Low Risk for Osteoporosis and its Association with Knowledge on Calcium Supplements

Calcium supplement use without medical indications may be considered inappropriate as it could cause harms. This study aimed to determine the proportion of individuals with low risk for osteoporosis who used calcium supplements inappropriately. Their practice and factors influencing the use were also examined. This cross-sectional study was conducted at a university-based primary care clinic involving 125 patients, aged 18 to 64 years with low risk for osteoporosis (based on the Osteoporosis Self-assessment Tool for Asians, personal or family history of osteoporosis or hip fracture and diseases of secondary osteoporosis). A validated self-administered questionnaire was used to assess participants’ characteristics, knowledge on calcium supplements (KnowCas-12) and its practice. About 46.4% took calcium supplements within the past one year, whereby many had never discussed the use with doctors (46.6%). However, only 25.9% were compliant and almost all (95%) with incorrect consumption. The two commonest reasons for its use were “to prevent from fracture” (70.7%) and “not enough calcium through my diet” (56.9%). The median (inter quartile range) KnowCas-12 score was 6.0 (3.0) (the possible range: 0-12; the mid-point: 6). Multiple logistic regression showed only KnowCas-12 score had a significant independent association with the use (adjusted odds ratio: 0.79; 95% confidence interval: 0.64-0.98; p=0.031). In conclusion, the inappropriate use of calcium supplements was common among the low-risk individuals, but most were non-compliant with incorrect consumption. Their knowledge of calcium supplements was still lacking. As it could influence the use, educational interventions should be imparted to ensure correct osteoprotective behaviour.

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Elderly Patients in Primary Care are Still at Risks of Receiving Potentially Inappropriate Medications

Journal of Primary Care & Community Health ◽

10.1177/21501327211035088 ◽

2021 ◽

Vol 12 ◽

pp. 215013272110350

Author(s):

Pasitpon Vatcharavongvan ◽

Viwat Puttawanchai

Keyword(s):

Primary Care ◽

Primary Care Clinic ◽

Clinical Decision ◽

Cross Sectional Study ◽

Study Data ◽

Patient Specific ◽

Potentially Inappropriate Medications ◽

Cross Sectional ◽

Care Clinic ◽

Inappropriate Medications

Background Most older adults with comorbidities in primary care clinics use multiple medications and are at risk of potentially inappropriate medications (PIMs) prescription. Objective This study examined the prevalence of polypharmacy and PIMs using Thai criteria for PIMs. Methods This study was a retrospective cross-sectional study. Data were collected from electronic medical records in a primary care clinic in 2018. Samples were patients aged ≥65 years old with at least 1 prescription. Variables included age, gender, comorbidities, and medications. The list of risk drugs for Thai elderly version 2 was the criteria for PIMs. The prevalence of polypharmacy and PIMs were calculated, and multiple logistic regression was conducted to examine associations between variables and PIMs. Results Of 2806 patients, 27.5% and 43.7% used ≥5 medications and PIMs, respectively. Of 10 290 prescriptions, 47% had at least 1 PIM. The top 3 PIMs were anticholinergics, proton-pump inhibitors, and nonsteroidal anti-inflammatory drugs (NSAIDs). Polypharmacy and dyspepsia were associated with PIM prescriptions (adjusted odds ratio 2.48 [95% confident interval or 95% CI 2.07-2.96] and 3.88 [95% CI 2.65-5.68], respectively). Conclusion Prescriptions with PIMs were high in the primary care clinic. Describing unnecessary medications is crucial to prevent negative health outcomes from PIMs. Computer-based clinical decision support, pharmacy-led interventions, and patient-specific drug recommendations are promising interventions to reduce PIMs in a primary care setting.

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A Cross Sectional Study of the Role of Family Biosocial Variables in Metabolic Syndrome among Adult Nigerians at a Primary Care Clinic in Eastern Nigeria

International Journal of Cardiovascular Research ◽

10.4172/2324-8602.1000187 ◽

2014 ◽

Vol 03 (06) ◽

Author(s):

Gabriel Uche Pascal Iloh

Keyword(s):

Primary Care ◽

Metabolic Syndrome ◽

Primary Care Clinic ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Care Clinic

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Prevalence, perceptions and practices associated with non-adherence to diabetes medications in primary care setting: A cross sectional study in urban Bangalore

Asian Journal of Medical Sciences ◽

10.3126/ajms.v7i6.15256 ◽

2016 ◽

Vol 7 (6) ◽

pp. 106-109

Author(s):

Leeberk Raja Inbaraj ◽

Carolin Elizabeth Georg ◽

Nan Lin Kham ◽

Gift Norman

Keyword(s):

Primary Care ◽

Primary Care Clinic ◽

Cross Sectional Study ◽

Blood Glucose Monitoring ◽

Adherence Rate ◽

Sectional Study ◽

Cross Sectional ◽

Care Clinic ◽

Adherence To Diet ◽

Multiple Doses

Background: Adherence to diet and drugs, blood glucose monitoring, foot care, exercise and early recognition of the complications, are the crucial elements for tertiary prevention of Diabetes Mellitus. Non compliance can lead to poor glycemic control which can eventually aggravate complications and lead to disability and mortality. This study aimed at estimating prevalence of non-adherence and identify perceptions and practices associated with non-adherence.Materials and Methods: A cross sectional study was conducted in a primary care clinic in a disadvantaged community Hundred patients with Diabetes were recruited and interviewed using a semi-structured questionnaire.Results: Non adherence rate was 30%. Those who are unable to remember multiple doses (37.5%) were 2.77 (95% CI: 0.94-8.15) times more likely to non-adhere to the treatment than those who are able to remember multiple doses (16.7%).Similarly Patients who often discontinued medications and switched over to alternative system medicines tended to be non- adherent 8.5 (95% CI:1.6- 45.0) times more than those who continued treatment without interruption. Non adherence was not associated with age, gender, education level, and cost of medication and duration of diabetes. People who were illiterate and elderly did not know the consequences of missing doses and stopped medications when they felt better as well as resorted to traditional medicinesConclusions: Counselling sessions should focus on perceptions and ideas about diabetes. Innovative health education modalities have to be developed for illiterate and elderly people.Asian Journal of Medical Sciences Vol.7(5) 2016 106-109

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Sexual Activity and Sex Hormone Levels in Aging Men

International Psychogeriatrics ◽

10.1017/s1041610293001516 ◽

1993 ◽

Vol 5 (2) ◽

pp. 181-186 ◽

Cited By ~ 12

Author(s):

Moshe Sadowsky ◽

Helen Antonovsky ◽

Reuven Sobel ◽

Benyamin Maoz

Keyword(s):

Sexual Activity ◽

Primary Care Clinic ◽

Structured Interview ◽

Cross Sectional Study ◽

Sectional Study ◽

Sexual Hormones ◽

Cross Sectional ◽

Care Clinic ◽

Aging Men ◽

The Impact

A cross-sectional study of 60 men aged 65–80 was carried out to test the impact of the aging process on sexual hormones (testoterone, FSH, LH, prolactin), sexual activity, and the relations between them. Blood samples for hormone assays were taken between 8–9 A.M. in the primary care clinic at which the participants were registered. Data on sexual activity (coitus), sexual desire (libido), marital status, and age were obtained from the respondents by means of a structured interview. No relationship was found between testosterone (T) or prolactin (PL) and sexual activity. Nevertheless, a statistically significant relationship between FSH and LH versus age, and an inverse relationship between sexual activity and age were found. Hypogonadism (T level less than 3ng/ml) with normal levels of FSH and LH was observed in 11 respondents.

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A Cross-sectional Study of Adherence to Lifestyle Modifications among Ambulatory Type 2 Diabetic Nigerians in a Resource-poor Setting of a Primary Care Clinic in Eastern Nigeria

International Journal of TROPICAL DISEASE & Health ◽

10.9734/ijtdh/2015/16069 ◽

2015 ◽

Vol 8 (3) ◽

pp. 113-123

Author(s):

Gabriel Iloh ◽

Godwin Okafor ◽

Agwu Amadi ◽

Chikere Ebirim

Keyword(s):

Primary Care Clinic ◽

Cross Sectional Study ◽

Resource Poor Setting ◽

Sectional Study ◽

Lifestyle Modifications ◽

Cross Sectional ◽

Care Clinic ◽

Resource Poor ◽

Type 2 Diabetic

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Disclosure of Traditional and Complementary Medicine Use and Its Associated Factors to Medical Doctor in Primary Care Clinics in Kuching Division, Sarawak, Malaysia

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2017/5146478 ◽

2017 ◽

Vol 2017 ◽

pp. 1-10 ◽

Cited By ~ 6

Author(s):

Anak Kelak Johny ◽

Whye Lian Cheah ◽

Safii Razitasham

Keyword(s):

Primary Care ◽

Complementary Medicine ◽

Associated Factors ◽

Primary Care Clinic ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Medical Doctor ◽

Open Communication ◽

Cross Sectional ◽

Care Clinic

The decision by the patients to disclose traditional and complementary medicine (TCM) use to their doctor is an important area to be explored. This study aimed to determine the disclosure of TCM use and its associated factors to medical doctor among primary care clinic attendees in Kuching Division, Sarawak. It was a cross-sectional study using questionnaire, interviewer administered questionnaire. A total of 1130 patients were screened with 80.2% reporting using TCM. Logistic regression analysis revealed that being female (AOR = 3.219, 95% CI: 1.385, 7.481), perceived benefits that TCM can prevent complication of illness (AOR = 3.999, 95% CI: 1.850, 8.644) and that TCM is more gentle and safer (AOR = 4.537, 95% CI: 2.332, 8.828), perceived barriers of not having enough knowledge about TCM (AOR = 0.530, 95% CI: 0.309, 0.910), patient dissatisfaction towards healthcare providers being too business-like and impersonal (AOR = 0.365, 95% CI: 0.199, 0.669) and paying more for healthcare than one can afford (AOR = 0.413, 95% CI: 0.250, 0.680), and accessibility of doctors (AOR = 3.971, 95% CI: 2.245, 7.023) are the predictors of disclosure of TCM use. An open communication between patients and doctor is important to ensure safe implementation and integration of both TCM and medical treatment.

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The association between submarine service and multimorbidity: a cross-sectional study of Korean naval personnel

BMJ Open ◽

10.1136/bmjopen-2017-017776 ◽

2017 ◽

Vol 7 (9) ◽

pp. e017776 ◽

Cited By ~ 1

Author(s):

Jihun Kang ◽

Yun-Mi Song

Keyword(s):

Disease Burden ◽

Rating Scale ◽

Smoking Status ◽

Multiple Logistic Regression Analysis ◽

Primary Care Clinic ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Care Clinic ◽

Chronic Health Problems

ObjectiveWe aimed to estimate the prevalence of multimorbidity (≥2 chronic health problems) among Korean submariners and to evaluate the association between submarine service and multimorbidity and disease burden.Study design and settingThis cross-sectional study included 590 naval personnel who visited a Korean primary care clinic during 2014–2015. Data regarding general characteristics and morbidities were collected from medical records, and disease burden was assessed using the Cumulative Illness Rating Scale (CIRS). Multiple logistic regression analysis was used to evaluate the association between submarine service and multimorbidity and disease burden.ResultsThe prevalence of multimorbidity was 11.7% among 180 non-submariners and 32.2% among 410 submariners. The prevalence of multimorbidity and the CIRS scores gradually increased with age. Submarine service was associated with higher risk of multimorbidity and disease burden compared with non-submarine service even after adjusting for age, alcohol consumption, smoking status and naval rank. However, a dose–response relationship was not evident between the duration of submarine service and the risk of multimorbidity as well as high disease burden.ConclusionsSubmarine service was significantly associated with a higher risk of multimorbidity and greater disease burden than non-submarine service. This finding suggests that multidimensional and holistic healthcare approaches are needed for submariners.

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Prevalence of obesity among hypertensive patients in Primary Care Clinic, Security Forces Hospital, Riyadh, Saudi Arabia 2017–2018: A prospective cross-sectional study

Journal of Family Medicine and Primary Care ◽

10.4103/jfmpc.jfmpc_1190_19 ◽

2020 ◽

Vol 9 (4) ◽

pp. 1885

Author(s):

EmanA AlMarri ◽

Jamal Al-Hamad

Keyword(s):

Primary Care ◽

Saudi Arabia ◽

Primary Care Clinic ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Care Clinic ◽

Security Forces ◽

Hypertensive Patients ◽

Prevalence Of Obesity

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0596 Providers Rarely Assess Obstructive Sleep Apnea Symptoms Among Patients with Chronic Obstructive Pulmonary Disease

SLEEP ◽

10.1093/sleep/zsaa056.593 ◽

2020 ◽

Vol 43 (Supplement_1) ◽

pp. A228-A228

Author(s):

L M Donovan ◽

T Keller ◽

N H Stewart ◽

L J Spece ◽

D H Au ◽

...

Keyword(s):

Primary Care ◽

Primary Care Clinic ◽

Symptom Assessment ◽

Cross Sectional Study ◽

Mixed Effects ◽

Chronic Obstructive ◽

Cross Sectional ◽

Care Clinic ◽

General Internal ◽

Obstructive Sleep

Abstract Introduction Professional societies recommend providers assess sleep symptoms in COPD, but it is unclear if this occurs. We aimed to evaluate OSA symptom assessment and documentation among patients with COPD, and the patient and provider characteristics associated with this assessment. Methods We conducted a cross-sectional study of adults aged ≥40 years with clinically diagnosed COPD and no prior diagnosis of OSA. We selected patients receiving care at two academic general internal medicine clinics between 6/1/2011 - 6/1/2013. We abstracted charts to assess how often OSA symptoms such as snoring, somnolence, witnessed apneas, or gasping/choking arousals were documented as present or absent. We performed multivariable mixed-effects logistic regression to assess associations of patient and primary care provider (PCP) factors with assessment of OSA symptoms. Patient factors included demographics, body mass index, comorbidities, healthcare utilization, and severity of COPD, and PCP factors including demographics, degree, and years of experience. Results Of 523 patients with COPD, only 26 (5.0%) had documentation of OSA symptom assessment within a one-year period. In mixed effects models, only referral to general pulmonary clinic was associated with the assessment of OSA symptoms (OR: 4.56, 95% CI 1.28-15.52). Among the 26 individuals who had OSA symptoms assessed, 9 (34.6%) reported snoring, 15 (57.7%) reported daytime somnolence, 2 (7.7%) reported gasping/choking arousals, and 5 (19.2%) reported witnessed apneas. Among those assessed for OSA symptoms, providers referred 11 (42.3%) for formal sleep consultation. Conclusion Providers rarely document OSA symptoms for patients with COPD in primary care clinic, but assessment is greater among those with pulmonary specialty consultation. Given time constraints in primary care, external facilitation of sleep symptom assessment may improve symptom recognition and receipt of appropriate services. Support NIH 5K23HL111116-05, VA Center of Innovation for Veteran-Centered and Value-Driven Care.

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