Publications by authors named "Ann S Doherty"
Article Synopsis
- Diabetes is increasingly common worldwide, leading to diabetes-related complications, particularly diabetic foot disease, which poses significant health risks and economic burdens; however, its prevalence in Ireland is largely unknown.
- This paper outlines a protocol for a systematic review that aims to identify and analyze the incidence and prevalence of diabetic foot disease among the Irish population, following established research guidelines and utilizing multiple health databases.
- The findings from this review will provide valuable insights for stakeholders, helping guide resource allocation and management strategies to prevent and treat diabetic foot disease in Ireland.
Introduction: Problematic polypharmacy is the prescribing of five or more medications potentially inappropriately. Unintentional prescribing cascades represent an under-researched aspect of problematic polypharmacy and occur when an adverse drug reaction (ADR) is misinterpreted as a new symptom resulting in the initiation of a new medication. The aim of this study was to elicit key stakeholders' perceptions of and attitudes towards problematic polypharmacy, with a focus on prescribing cascades.
View Article and Find Full Text PDFBackground: People living with multimorbidity may hold complex beliefs about medicines, potentially influencing adherence. Polynomial regression offers a novel approach to examining the multidimensional relationship between medication beliefs and adherence, overcoming limitations associated with difference scores.
Purpose: To explore the multidimensional relationship between medication beliefs and adherence among people living with multimorbidity.
Background: To date, research on adverse drug reactions (ADRs) has focused on secondary care, and there is a paucity of studies that have prospectively examined ADRs affecting older adults in general practice.
Aim: To examine the cumulative incidence and severity of ADRs and associated patient characteristics in a sample of community-dwelling older adults.
Design And Setting: Prospective cohort study of older adults (aged ≥70 years, = 592) recruited from 15 general practices in the Republic of Ireland.
Prescribing cascades in community-dwelling adults: A systematic review.
Pharmacol Res Perspect
October 2022
The misattribution of an adverse drug reaction (ADR) as a symptom or illness can lead to the prescribing of additional medication, referred to as a prescribing cascade. The aim of this systematic review is to identify published prescribing cascades in community-dwelling adults. A systematic review was reported in line with the PRISMA guidelines and pre-registered with PROSPERO.
View Article and Find Full Text PDFBackground: Whilst attention has been paid within the literature to examining potentially inappropriate prescribing (PIP) for older adults in a variety of care settings, less is known about the extent within intermediate care. Furthermore, few studies have examined the utility of clinical pharmacist involvement in this care context.
Objective(s): Determine the prevalence of PIP in intermediate care (IC) settings in Northern Ireland (NI), explore the utility of a novel pharmacist case management model at reducing PIP and to examine the association with subsequent healthcare utilisation.
Background: This study investigated the role of a large range psychological, attitudinal and health related variables as predictors of depression trajectories amongst older adults over a 4-year time period.
Methods: Data from three consecutive waves of the TILDA survey of older community dwelling adults aged 50+ in Ireland were combined for analysis. Depression symptom scores were assessed using the Center for Epidemiological Studies- Depression scale (CES-D).
Background: Older adults likely exhibit considerable differences in healthcare need and usage. Identifying differences in healthcare utilisation both between and within individuals over time may support future service development.
Objectives: To characterise temporal changes in healthcare utilisation among a nationally representative sample of community-dwelling older adults.