Deprescribing
View article: POTENTIALLY INAPPROPRIATE MEDICATIONS IN GERIATRICS ACCORDING TO AGS BEERS' CRITERIA 2023 AT 4TH FLOOR OPD PHARMACY-HAMAD HOSPITAL-QATAR
POTENTIALLY INAPPROPRIATE MEDICATIONS IN GERIATRICS ACCORDING TO AGS BEERS' CRITERIA 2023 AT 4TH FLOOR OPD PHARMACY-HAMAD HOSPITAL-QATAR Open
The largest category of patients to whom we see inappropriate medication being prescribed is the elderly, who also tend to suffer the most from it. Additionally, because the body changes with age, that age group is more likely to be taking…
View article: POTENTIALLY INAPPROPRIATE MEDICATIONS IN GERIATRICS ACCORDING TO AGS BEERS' CRITERIA 2023 AT 4TH FLOOR OPD PHARMACY-HAMAD HOSPITAL-QATAR
POTENTIALLY INAPPROPRIATE MEDICATIONS IN GERIATRICS ACCORDING TO AGS BEERS' CRITERIA 2023 AT 4TH FLOOR OPD PHARMACY-HAMAD HOSPITAL-QATAR Open
The largest category of patients to whom we see inappropriate medication being prescribed is the elderly, who also tend to suffer the most from it. Additionally, because the body changes with age, that age group is more likely to be …
View article: Effectiveness of a multidisciplinary team-delivered deprescribing intervention for patients with chronic kidney disease: a protocol for a randomised controlled trial
Effectiveness of a multidisciplinary team-delivered deprescribing intervention for patients with chronic kidney disease: a protocol for a randomised controlled trial Open
View article: Prescribing and deprescribing of atypical antipsychotics in older multimorbid patients
Prescribing and deprescribing of atypical antipsychotics in older multimorbid patients Open
View article: Impact of an Anticoagulation Management Service-led Intervention on Rates of Antiplatelet and Gastric Bleeding Prophylaxis Use in Ambulatory Care Patients on Background Direct Oral Anticoagulants
Impact of an Anticoagulation Management Service-led Intervention on Rates of Antiplatelet and Gastric Bleeding Prophylaxis Use in Ambulatory Care Patients on Background Direct Oral Anticoagulants Open
Background: Patients on long-term anticoagulation face increased bleeding risk when antiplatelets are co-prescribed, especially upper gastrointestinal (GI) bleeding. Guidelines recommend limiting antiplatelet use to highly select patients …
View article: Identifying deprescribing profiles in older adults from 14 countries using the Patient Deprescribing Typology
Identifying deprescribing profiles in older adults from 14 countries using the Patient Deprescribing Typology Open
Background and Objectives Categorizing older adults by their medication and deprescribing beliefs may support tailored communication and shared decision-making. We aimed to identify latent classes of patients using the Patient Deprescribin…
View article: Uma abordagem sobre assistência farmacêutica no cuidado paliativo
Uma abordagem sobre assistência farmacêutica no cuidado paliativo Open
Pharmaceutical care plays a fundamental role in improving the quality of life for patients with serious and incurable diseases, such as advanced-stage cancer, within palliative care settings. This literature review aimed to analyze the rol…
View article: Expert Validation and Refinement of a Tool for Assessing Patient Experiences with Deprescribing Interventions
Expert Validation and Refinement of a Tool for Assessing Patient Experiences with Deprescribing Interventions Open
Introduction: A quality improvement tool that assesses the association between patients’ experiences with the deprescribing intervention and its translation into improved healthcare quality and medication self-management is crucial. This s…
View article: Facilitators and barriers to the deprescribing of benzodiazepines and Z-drug hypnotics in patients under 65 on adult mental health wards
Facilitators and barriers to the deprescribing of benzodiazepines and Z-drug hypnotics in patients under 65 on adult mental health wards Open
There is a place for the use of benzodiazepines/z-hypnotics on adult mental health wards, but they are often continued beyond a length of time where they are beneficial. This can result in dependence and withdrawal effects if stopped. Time…
View article: Medication Use by Older Adults with Frailty: A Scoping Review
Medication Use by Older Adults with Frailty: A Scoping Review Open
Frailty among older adults heightens their risk of negative health outcomes, and medication use plays a major role in this increased vulnerability. Various aspects of medication use elevate the risk of poor outcomes in individuals with fra…
View article: The Importance of a Relationship-Centred Approach to Deprescribing for People with Dementia or Mild Cognitive Impairment in Primary Care: A Qualitative Study
The Importance of a Relationship-Centred Approach to Deprescribing for People with Dementia or Mild Cognitive Impairment in Primary Care: A Qualitative Study Open
Polypharmacy (taking five or more regular medications) is common in people with dementia or mild cognitive impairment (MCI) and is associated with poor outcomes such as decline in cognitive and physical functioning, falls and hospital admi…
View article: Isabel de Villena visita universitats a l’Argentina
Isabel de Villena visita universitats a l’Argentina Open
La Universidad Nacional de Cuyo (Mendoza, Argentina), juntament amb el Centro Interdisciplinar de estudios sobre las mujeres (CIEM) i la Red Internacional Multidisciplinar en estudios de género (RIMEG), va celebrar els dies 13-16 de maig d…
View article: Association of Polypharmacy and Health-Related Quality of Life Among US Adults: A Cross-Sectional Analysis of the 2022 MEPS Data
Association of Polypharmacy and Health-Related Quality of Life Among US Adults: A Cross-Sectional Analysis of the 2022 MEPS Data Open
Polypharmacy is common among aging populations and is associated with adverse health outcomes. We designed this cross-sectional study to determine the association of polypharmacy with physical and mental health-related quality of life (HRQ…
View article: Medication non-adherence as a driver of pharmaceutical waste: integrating top-down policies with bottom-up practice
Medication non-adherence as a driver of pharmaceutical waste: integrating top-down policies with bottom-up practice Open
Medication non-adherence is a widespread challenge affecting up to half of patients with chronic conditions, with profound implications for health outcomes, healthcare costs, and, increasingly recognized, environmental sustainability. Unus…
View article: Medication Errors and Gaps in Medication Discharge Planning for Hospitalized Older Adults: A Prospective Cohort Study
Medication Errors and Gaps in Medication Discharge Planning for Hospitalized Older Adults: A Prospective Cohort Study Open
Background Hospitalized older adults are commonly discharged with changes to antihypertensive and glucose-lowering (cardiometabolic) medications. Though adverse drug events remain a leading cause of readmissions, there is little contempora…
View article: Medication Safety in Maternal Care: Addressing Inappropriate Prescribing during Pregnancy and Lactation
Medication Safety in Maternal Care: Addressing Inappropriate Prescribing during Pregnancy and Lactation Open
Medication use during pregnancy and lactation presents unique clinical challenges due to the profound physiological changes of the maternal body and the potential risks to fetal and neonatal health. This chapter examines the prevalence and…
View article: Diabetes Deprescribing in Older Adults
Diabetes Deprescribing in Older Adults Open
Managing type 2 diabetes in older women requires a nuanced approach, considering age-related physiological changes, multimorbidity, and variable life expectancy. In this population, the benefits of aggressive glycemic control are often out…
View article: Evaluating the clinical safety of ibuprofen arginine: a narrative review
Evaluating the clinical safety of ibuprofen arginine: a narrative review Open
View article: Prevalence of polypharmacy in octogenarians attended at an outpatient clinic in the interior of Espírito Santo
Prevalence of polypharmacy in octogenarians attended at an outpatient clinic in the interior of Espírito Santo Open
Objective: To evaluate the prevalence of polypharmacy and drug-related problems (DRP) in octogenarians treated at a SUS outpatient clinic in the interior of Espírito Santo. Methods: Exploratory, descriptive study with a qualitative-quantit…
View article: Engagement of outpatient providers in a deprescribing trial for hospitalized older patients transitioning to post-acute care facilities
Engagement of outpatient providers in a deprescribing trial for hospitalized older patients transitioning to post-acute care facilities Open
Background Deprescribing to reduce polypharmacy often involves conversations between patients and their providers. Prior studies have surveyed healthcare providers’ willingness to deprescribe medications for hypothetical patients and defin…
View article: Patients' Attitudes Towards Deprescribing Differ Across Specific Cardiovascular and Diabetes Medication: A Survey Study Assessing Within‐Patient Differences
Patients' Attitudes Towards Deprescribing Differ Across Specific Cardiovascular and Diabetes Medication: A Survey Study Assessing Within‐Patient Differences Open
Background Knowing whether patients' attitudes towards deprescribing differ by medication is important for implementing deprescribing in practice. Objective To assess whether there are within‐patient differences in attitudes towards depres…
View article: From Evidence to Impact: Bridging the Implementation Gap in Geriatric Deprescribing
From Evidence to Impact: Bridging the Implementation Gap in Geriatric Deprescribing Open
View article: The Reporting and Methodological Recommendations for Observational Studies Estimating the Effects of Deprescribing Medications (REMROSE‐D) ISPE‐Endorsed Guidance
The Reporting and Methodological Recommendations for Observational Studies Estimating the Effects of Deprescribing Medications (REMROSE‐D) ISPE‐Endorsed Guidance Open
Purpose Pharmacoepidemiologic studies on deprescribing are challenging to implement, yet little guidance exists on methods to avoid bias and minimum reporting for replicability and appraisal. We developed consensus recommendations for the …
View article: Cross-Sectional Study on Factors Associated with Hyperpolypharmacy and Medication Adherence in Older Adults with Multimorbidity and Polypharmacy
Cross-Sectional Study on Factors Associated with Hyperpolypharmacy and Medication Adherence in Older Adults with Multimorbidity and Polypharmacy Open
More than half of older adults with hyperpolypharmacy had suboptimal medication adherence. Our findings suggest that primary care physicians may contribute to reducing hyperpolypharmacy, while introduction of community nurse visits could i…
View article: Cross-Sectional Study on Factors Associated with Hyperpolypharmacy and Medication Adherence in Older Adults with Multimorbidity and Polypharmacy.
Cross-Sectional Study on Factors Associated with Hyperpolypharmacy and Medication Adherence in Older Adults with Multimorbidity and Polypharmacy. Open
Background Knowledge of multiple medication use and medication adherence is important to assess treatment effectiveness and prevent worsening of disease, re-hospitalization, and increased healthcare costs. Limited data exist on individuals…
View article: Barriers and enablers of elderly care specialists towards deprescribing practices in the nursing homes: a focus group study
Barriers and enablers of elderly care specialists towards deprescribing practices in the nursing homes: a focus group study Open
Introduction Polypharmacy increases as patients age. It is associated with a decline in quality of life and an increased risk of potentially inappropriate medications (PIMs). These are highly prevalent among long-term care residents in Eur…
View article: Ginkgo biloba L. for Cognitive Impairment in the Context of Polypharmacy and Anticholinergic Burden – Real-World Evidence from Everyday Practice
Ginkgo biloba L. for Cognitive Impairment in the Context of Polypharmacy and Anticholinergic Burden – Real-World Evidence from Everyday Practice Open
Background: Anticholinergic drugs as well as polypharmacy are frequently associated with a decline in cognitive function [ref:1] and other adverse effects. The potential to evoke undesired anticholinergic drug effects can be assessed using…
View article: The role of older adult functional, interactive and critical health literacy in deprescribing
The role of older adult functional, interactive and critical health literacy in deprescribing Open
Background Health literacy capability is thought to increase participation in shared decision-making, subsequently contributing to successful deprescribing or medication discontinuation. Deprescribing often requires complex decision-making…
View article: Comprehensive Geriatric Assessment by Primary Care Pharmacists
Comprehensive Geriatric Assessment by Primary Care Pharmacists Open
Interprofessional collaboration is critical to optimizing care for older adults, yet comprehensive geriatric assessment (CGA) remains challenging in community and primary care settings lacking team-based infrastructure. Given their accessi…
View article: Primary care physicians’ preferences for implementation strategies of deprescribing among patients with multimorbidity and polypharmacy in China: a qualitative study
Primary care physicians’ preferences for implementation strategies of deprescribing among patients with multimorbidity and polypharmacy in China: a qualitative study Open