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- W1972391207 abstract "Two factors led to the current concern about the use of antipsychotics in nursing home residents with dementia. The first was publication of studies that found serious side effects, including increased mortality, in residents treated with these medications. 1 Ballard C. Creese B. Corbett A. et al. Atypical antipsychotics for the treatment of behavioral and psychological symptoms in dementia, with a particular focus on longer term outcomes and mortality. Expert Opin Drug Saf. 2012; 10: 35-43 Crossref Scopus (83) Google Scholar The second was recognition that 39.4% of nursing home residents who have cognitive impairment and behavior problems but no diagnosis of psychosis or related conditions receive antipsychotic drugs. 2 Centers for Medicare and Medicaid Services. MDS Quality Measure/Indicator Report, Psychotropic Drug Use, July/September 2010. www.medicareadvocasy.org/2011/03/17/reducing-antipsychotic-drug-use-in-nursing-hokmes-save-residents-lives-save-medicare-billions-of-dollars, accessed 3/2012. Google Scholar Because antipsychotics are not approved for treatment of dementia-related behaviors, this use is “off label.” In addition, it was recognized that the use of atypical antipsychotics results in significant cost for Medicare and some use did not comply with Medicare reimbursement criteria. 3 Department of Health and Human Services, OOIG. Medicare atypical antipsychotic drug claims for elderly nursing home residents. http://oig.hhs.gov/oei/reports/oei-07-08-00150.pdf, accessed 3/2012. Google Scholar" @default.
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- W1972391207 date "2012-07-01" @default.
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- W1972391207 title "Antipsychotics Do Not Have To Be Used “Off Label” in Dementia" @default.
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- W1972391207 doi "https://doi.org/10.1016/j.jamda.2012.04.006" @default.
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