Capsule Commentary on Steinman et al., Epidemic Use of Benzodiazepines among Older Adults in Israel: Epidemiology and Leverage Points for Improvement

Journal of General Internal Medicine, May 2017

Gad Segal MD

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Capsule Commentary on Steinman et al., Epidemic Use of Benzodiazepines among Older Adults in Israel: Epidemiology and Leverage Points for Improvement

Capsule Commentary on Steinman et al., Epidemic Use of Benzodiazepines among Older Adults in Israel: Epidemiology and Leverage Points for Improvement Gad Segal ) 0 1 2 3 0 Israel Society of Internal Medicine , Kfar Sava , Israel 1 Compliance with Ethical Standards: 2 St. Georges school of medicine, University of Nicosia at Sheba Medical Center , Tel-Hashomer , Israel 3 Sackler Faculty of Medicine, Tel-Aviv University , Tel Aviv , Israel Conflict of Interest: The author has no conflict of interest with this article. - It is only reasonable to assume that targeting this indication would offer a wide array of potential quality-improvement efforts. Some are suggested by the authors, and some have been previously addressed by others.3 Even more important than discrete indications, the mix of indications for use of these drugs is crucial. The results of a 12-year prospective study of hypnotics and their detrimental effects in the elderly population4 did not find that these drugs were associated with increased risk for mortality. As the authors noted, underlying psychiatric disorders appear to be the principal confounders of the observed association. This further emphasizes the need for future research addressing the whole list of patient diagnoses as contributors to this epidemic. 1. Steinman MA , Low M , Balicer RB , Shadmi E. Epidemic use of benzodiazepines among older adults in Israel: Epidemiology and leverage points for improvement . J Gen Intern Med. DOI: 10.1007/s11606-017- 4059-1 2. Batalden PB , Davidoff F. What is Bquality improvement^ and how can it transform healthcare? Qual Saf Health Care 2007 ; 16 ( 1 ): 2 - 3 . 3. Goonratne NS , Vitiello MV . Sleep in older adults: normative changes, sleep disorders and treatment options . Clin Geriatr Med 2014 ; 30 ( 3 ): 591 - 627 . 4. Jaussent I , Ancelin ML , Berr C , et al. Hypnotics and mortality in an elderly general population: a 12-year prospective study . BMC Med 2013 ; 11 : 212 .


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Gad Segal MD. Capsule Commentary on Steinman et al., Epidemic Use of Benzodiazepines among Older Adults in Israel: Epidemiology and Leverage Points for Improvement, Journal of General Internal Medicine, 2017, DOI: 10.1007/s11606-017-4075-1