アブストラクト

 
Japanese
Title :
高齢者における医薬品適正使用とポリファーマシー
Subtitle :
誌上シンポジウム
Authors :
大井一弥
Authors (kana) :
Organization :
鈴鹿医療科学大学薬学部
Journal :
YAKUGAKU ZASSHI
Volume :
139
Number :
4
Page :
571-574
Year/Month :
2019 / 4
Article :
報告
Publisher :
日本薬学会
Abstract :
「高齢者の社会背景」わが国は急速な少子高齢化が進行し, これまでに経験のない超高齢社会の最中にある. 高齢者の平均寿命は, 2018年発表のデータによると, 男性は81.09歳, 女性は87.26歳と年々延び続け, 前年と比較して男性は0.11年, 女性は0.13年上回っている. このため高齢者の薬物治療では, 特に, 75歳以上の後期高齢者の増加に注視すべき様相が高まっている. 2017年6月総務省は, 日本の総人口が1億2674万人になったとする人口推計を発表した. また, 65歳以上の高齢者の割合が比較可能な統計がある1950年以降, 初めて総人口の4分の1を超え, 人口減少は6年連続である. 他方, 厚生労働省の2014年患者調査(厚生労働統計協会)で65歳以上の1日当たりの外来患者が2014年は, 351万200人と推計され, 2011年の調査から, 約180万人増えている.
Practice :
薬学
Keywords :
older patient, geriatric syndrome, polypharmacy, geriatric pharmacotherapy
  
English
Title :
Appropriate Use of Medicine and Polypharmacy in Older Patients
Subtitle :
Symposium Reviews
Authors :
Kazuya Ooi
Authors (kana) :
Organization :
Faculty of Pharmaceutical Sciences, Suzuka University of Medical Science
Journal :
YAKUGAKU ZASSHI (Journal of the Pharmaceutical Society of Japan)
Volume :
139
Number :
4
Page :
571-574
Year/Month :
2019 / 4
Article :
Report
Publisher :
Pharmaceutical Society of Japan
Abstract :
In Japan, the population aged 65 years and older exceeds 28% of the total population. Since the birth rate is also declining, aging of the population is likely to continue. According to a patient survey conducted by the Ministry of Health, Labour and Welfare in 2014, the number of outpatients aged >- 65 years was higher by approximately 1.8 million since the previous survey in 2011. Drug therapy for the elderly is, thus, a matter of rapidly growing importance. The older generation has poorer physiological functions than younger adults. Therefore they are more likely to experience variable efficacy of drugs administered. The incidence of adverse effects is known higher in elderly people, and multidrug regimens are often unavoidable, especially when patients have more than one disease. In elderly patients, chronic lifestyle-related diseases are usually associated with geriatric syndrome. Given these circumstances, the potential area to be covered by pharmacists is very broad, and they should be involved in drug treatment of elderly people from hospital to home. We therefore propose the establishment of a new scientific field of geriatric pharmacology. We will consider novel approaches to geriatric pharmacotherapy from the viewpoints of basic science and clinical practice, deliberating the role that pharmacists should play in the provision of polypharmacy in older patients.
Practice :
Pharmaceutical sciences
Keywords :
older patient, geriatric syndrome, polypharmacy, geriatric pharmacotherapy
  

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