Table 2.
Prevalence of anticholinergic prescriptions (weighted %) in office-based outpatient visits by physician specialty and medication class among US adults ages 65 and older, 2006–2015 NAMCS.
| Years (%) | Overall | Trend (2006–2015) | |||||||
|---|---|---|---|---|---|---|---|---|---|
|
|
|
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| 2006–2007 | 2008–2009 | 2010–2011 | 2012–2013 | 2014–2015 | OR† | 95% CI | P-value | ||
| Visits in which any strong anticholinergics prescribed | 6.1% | 6.8% | 6.7% | 6.5% | 4.7% | 6.2% | 0.95 | 0.91 – 0.98 | 0.004 |
| Stratified by physician specialty | |||||||||
| Primary care | 8.7% | 8.7% | 8.8% | 8.2% | 6.4% | 8.2% | 0.94 | 0.89 – 0.98 | 0.013 |
| Psychiatry | 15.9% | 11.9% | 10.1% | 13.0% | 7.6% | 11.3% | 0.85 | 0.72 – 1.01 | 0.058 |
| Neurology | 7.9% | 10.2% | 9.4% | 9.0% | 13.4% | 9.9% | 1.11 | 0.82 – 1.51 | 0.490 |
| Urology | 10.1% | 10.0% | 11.5% | 10.8% | 8.8% | 10.3% | 0.98 | 0.90 – 1.07 | 0.670 |
| Other a) | 3.6% | 4.8% | 4.6% | 4.5% | 3.0% | 4.1% | 0.96 | 0.90 – 1.02 | 0.212 |
| Stratified by medication class | |||||||||
| Antidepressants | 35.3% | 28.7% | 31.0% | 31.8% | 39.0% | 32.6% | 1.04 | 0.96 – 1.13 | 0.340 |
| Antimuscarinics | 29.5% | 38.6% | 30.0% | 27.2% | 29.6% | 31.3% | 0.94 | 0.67 – 1.02 | 0.117 |
| Antihistamines | 22.7% | 16.1% | 19.2% | 17.8% | 17.8% | 18.6% | 0.95 | 0.87 – 1.03 | 0.237 |
| Skeletal muscle relaxants | 10.5% | 13.7% | 16.5% | 19.0% | 11.6% | 14.6% | 1.09 | 0.99 – 1.19 | 0.069 |
| Antispasmodics | 7.0% | 8.4% | 9.1% | 9.1% | 7.1% | 8.3% | 1.02 | 0.93 – 1.12 | 0.673 |
|
| |||||||||
| Sample Size | Total | ||||||||
|
|
|||||||||
| Unweighted sample | 899 | 1,011 | 1,041 | 2,063 | 862 | 5,876 | |||
| Weighted visits | 2,759,559 | 3,461,389 | 3,242,283 | 3,064,665 | 2,074,460 | 14,602,357 | |||
Note:
across the 10-year period trends.
includes obstetrics/gynecology, cardiovascular diseases, dermatology, urology, neurology, ophthalmology, otolaryngology, and others.