title: [Many patients with suboptimal drug treatment are missed. Sensitivity, specificity and prediction value of drug-specific quality indicators for the elderly].
abstract: This study aimed to evaluate the concurrent validity of drug-specific indicators of prescribing quality developed by the National Board of Health and Welfare. In 200 hip fracture patients, quality of drug treatment was assessed according to a gold standard as well as to Swedish drug-specific indicators. As gold standard, two specialist physicians independently assessed and then agreed on the quality of treatment, after initial systematic assessments with explicit screening tools. According to the indicators and the gold standard, 82 (41%) 141 (71%) patients had inappropriate drug treatment. The sensitivity for individual indicators ranged from 0.02 to 0.32, and the specificity from 0.90 to 1.00.
authors.forename: Susanna
authors.initials: S
authors.lastname: Wallerstedt
authors.affiliation: Närhälsan vårdcentral - Dals-Ed, Sweden Närhälsan vårdcentral - Dals-Ed, Sweden.
authors.forename: Björn
authors.initials: B
authors.lastname: Belfrage
authors.affiliation: Sahlgrenska Universitetssjukhuset - Geriatrik Mölndal Mölndal, Sweden Sahlgrenska Universitetssjukhuset - Geriatrik Mölndal Mölndal, Sweden.
authors.forename: Anders
authors.initials: A
authors.lastname: Koldestam
authors.affiliation: Sahlgrenska Universitetssjukhuset - Geriatrik Mölndal Mölndal, Sweden Sahlgrenska Universitetssjukhuset - Geriatrik Mölndal Mölndal, Sweden.
authors.forename: Christina
authors.initials: C
authors.lastname: Sjöberg
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004358:Drug Therapy / Q000592:standards*; D017723:Drug Utilization Review; D005260:Female; D006620:Hip Fractures; D006801:Humans; D057970:Inappropriate Prescribing; D008297:Male; D019338:Polypharmacy; D019984:Quality Indicators, Health Care; D012680:Sensitivity and Specificity