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Drugs & Therapy Perspectives

, Volume 31, Issue 2, pp 68–76 | Cite as

Do physicians communicate the adverse effects of medications that older patients want to hear?

  • Derjung M. TarnEmail author
  • Ariela Wenger
  • Jeffrey S. Good
  • Marc Hoffing
  • Joseph E. Scherger
  • Neil S. Wenger
Original Research Article

Abstract

Background and objectives

Physicians routinely discuss the adverse effects of medications but whether these discussions match older patients’ desire for information is an area that has not been explored. This study compares patient preferences for adverse effect discussions with reported physician practice.

Methods

A cross-sectional survey of a convenience sample of 100 practicing primary care physicians from nine medical groups, and 178 patients recruited from 11 senior centers in the Los Angeles metropolitan area. Physicians listed the adverse effects they typically discuss when prescribing an ACE inhibitor. Patients were given a hypothetical scenario about a new medication prescription and, from a list of adverse effects, they were then asked to circle the three they most wanted to hear about.

Results

More than 90 % of patients wanted a physician to discuss medication adverse effects; they wanted information about both dangerous (75 % of patients) and common (66 % of patients) adverse effects. However, patients most commonly chose to hear about adverse effects occurring for <1 % of patients, and selected a wide range of adverse effects for discussion. Physicians most frequently reported educating patients about adverse effects which were more common and life-threatening. Patients wishing to discuss additional adverse effects were more worried about adverse effects than those wishing to hear fewer (4.0 vs. 3.4 on a 5-point Likert scale; p = 0.02).

Conclusions

For the studied medication, there was little concordance between the medication adverse effects physicians say they discuss and what patients want to hear. Physicians cannot practically verbally satisfy patients’ information desires about the adverse effects of new medications during time-compressed office visits. Innovative solutions are needed.

Keywords

Knee Pain Common Adverse Effect Potential Adverse Effect Senior Center Specific Adverse Effect 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

Derjung M. Tarn, Ariela Wenger, Jeffrey S. Good, Marc Hoffing, Joseph E. Scherger and Neil S. Wenger report no conflicts of interest or financial disclosures.

Dr. Tarn was supported by a University of California–Los Angeles Mentored Clinical Scientist Development Award (5K12AG001004), and by the University of California–Los Angeles Older Americans Independence Center (National Institutes of Health/National Institute on Aging grant P30-AG028748). The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of the National Institute on Aging or the National Institutes of Health.

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Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Derjung M. Tarn
    • 1
    Email author
  • Ariela Wenger
    • 1
  • Jeffrey S. Good
    • 2
  • Marc Hoffing
    • 3
  • Joseph E. Scherger
    • 4
  • Neil S. Wenger
    • 5
  1. 1.Department of Family MedicineDavid Geffen School of Medicine at UCLA, University of California–Los AngelesLos AngelesUSA
  2. 2.Department of Communication and Rhetorical StudiesSyracuse UniversitySyracuseUSA
  3. 3.Desert Medical GroupPalm SpringsUSA
  4. 4.Eisenhower Medical Center, Eisenhower Argyros Health CenterLa QuintaUSA
  5. 5.Division of General Internal Medicine and Health Services ResearchDavid Geffen School of Medicine, University of California–Los AngelesLos AngelesUSA

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