TY - JOUR
T1 - Nonprescription medication use in patients with heart failure
T2 - Assessment methods, utilization patterns, and discrepancies with medical records
AU - Mattila, Matthew
AU - Boehm, Lucas
AU - Burke, Stuart
AU - Kashyap, Anita
AU - Holschbach, Leah
AU - Miller, Tim
AU - Vardeny, Orly
PY - 2013/12
Y1 - 2013/12
N2 - Background The use of over-the-counter products, herbals, and vitamins or supplements (collectively termed "nonprescription medications") is common among individuals with cardiovascular disease. We sought to determine patterns and predictors of nonprescription medication use and assessed whether different survey methodology may result in variable patient reporting of these products. Methods and Results We surveyed 161 patients with heart failure. The first 80 participants were provided a written survey to complete during their clinic appointment, and the next 80 age-matched participants met with study personnel for survey administration via face-to-face interview. Over-the-counter product use was reported by 88% of participants, whereas 34.8% took herbal supplements, and 65.2% took vitamins or supplements. Users of nonprescription medications were older, more likely to have an ischemic etiology, and concomitant chronic conditions. No differences in reporting were noted for patient versus provider-administered surveys. Discrepancies between survey and medical record data were common (40.4%), occurring most frequently with nonprescription aspirin, proton pump inhibitors, magnesium, and acetaminophen. Conclusions The majority of study participants used nonprescription medications, and often did not report usage to health care providers. Patient education regarding importance of disclosure of nonprescription medications is crucial, as is consistent querying of use by heart failure providers.
AB - Background The use of over-the-counter products, herbals, and vitamins or supplements (collectively termed "nonprescription medications") is common among individuals with cardiovascular disease. We sought to determine patterns and predictors of nonprescription medication use and assessed whether different survey methodology may result in variable patient reporting of these products. Methods and Results We surveyed 161 patients with heart failure. The first 80 participants were provided a written survey to complete during their clinic appointment, and the next 80 age-matched participants met with study personnel for survey administration via face-to-face interview. Over-the-counter product use was reported by 88% of participants, whereas 34.8% took herbal supplements, and 65.2% took vitamins or supplements. Users of nonprescription medications were older, more likely to have an ischemic etiology, and concomitant chronic conditions. No differences in reporting were noted for patient versus provider-administered surveys. Discrepancies between survey and medical record data were common (40.4%), occurring most frequently with nonprescription aspirin, proton pump inhibitors, magnesium, and acetaminophen. Conclusions The majority of study participants used nonprescription medications, and often did not report usage to health care providers. Patient education regarding importance of disclosure of nonprescription medications is crucial, as is consistent querying of use by heart failure providers.
KW - Heart failure
KW - Herbal supplements
KW - Over-the-counter medications
KW - Vitamins
UR - http://www.scopus.com/inward/record.url?scp=84890268477&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84890268477&partnerID=8YFLogxK
U2 - 10.1016/j.cardfail.2013.10.009
DO - 10.1016/j.cardfail.2013.10.009
M3 - Article
C2 - 24184371
AN - SCOPUS:84893183278
SN - 1071-9164
VL - 19
SP - 811
EP - 815
JO - Journal of Cardiac Failure
JF - Journal of Cardiac Failure
IS - 12
ER -