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In total, 3 cases (4.5%) were potentially inappropriately kept at the HC (under-referral).
Thus 23 cases (34.9%) were potentially inappropriately referred to the DH (over-referral).
Under the best circumstances, among the more than 18 000 patients treated potentially inappropriately, nearly 15 000 (81%) may be subjected to overtreatment (table 2).
CKD prevalence differed by the estimating equation used, but metformin was potentially inappropriately prescribed in a large proportion of this study population.
Guidelines for combining estimates of interest have previously been outlined [ 16], though previous studies have shown that despite its increasing use, it is rarely adequately reported and potentially inappropriately applied [ 17].
We evaluated the prevalence of CKD among older adults prescribed metformin for type 2 diabetes mellitus using available equations to estimate kidney function and examined demographic characteristics of patients who were potentially inappropriately prescribed metformin.
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49 The finding that poor insight into potentially inappropriate prescribing (PIP) practices was only apparent in studies where prescribers were made aware of this is unsurprising given that prescribers do not intentionally prescribe medications inappropriately.
The authors have no competing interests that could potentially and inappropriately influence this work.
All the authors declare that they have no financial and personal relationships with other people or organizations that could potentially and inappropriately influence (bias) their work and conclusions.
All authors disclose any financial and personal relationships with other people or organizations that could potentially and inappropriately influence (bias) their work and conclusions.
All authors declare that they have no financial and personal relationships with other people or organizations that could potentially and inappropriately influence (bias) their work and conclusions.
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