Type of PIM | Medical domain and subdomain | Rejected statement | Proportion of experts who agreed or strongly agreed with the statement (%) |
Underprescription | Cardiology: Dyslipidaemia and hypolipidemics | Prescribe fibrates as a first-line treatment in case of isolated hypertriglyceridaemia when pharmacological treatment is necessary* | 56.4 |
Overprescription | Pneumology: Chronic respiratory diseases | Avoid prescribing BZD or opiates in patients with chronic respiratory disease when an alternative is available or monitor respiratory function closely | 63.2 |
Underprescription | Nephrology: Renal failure | Prescribe or continue treatment with statins in patients with chronic renal failure* | 57.1 |
Other | Neurology: Epilepsy and antiepileptics | When possible, keep the same antiepileptic brand name in hospitalised patients or re-evaluate treatment with a specialist | 55.3 |
Underprescription | Psychiatry: Insomnia, sedatives and hypnotics | Prescribe BZD or a BZD-like drug as a first-line treatment in case of insomnia when pharmacological treatment is necessary | 57.9 |
Overprescription | Psychiatry: Insomnia, sedatives and hypnotics | Avoid prescribing drugs that may exacerbate insomnia* in patients with chronic insomnia | 53.8 |
*Additional information provided to experts.