Title |
Recommendations to support deprescribing medications late in life
|
---|---|
Published in |
International Journal of Clinical Pharmacy, June 2015
|
DOI | 10.1007/s11096-015-0148-6 |
Pubmed ID | |
Authors |
Adam Todd, Holly M. Holmes |
Abstract |
It is widely acknowledged that patients-particularly those late in life-are frequently exposed to the harms of medication. To minimize these harms, several frameworks have been developed by which prescribing can be optimized. In the context of diminishing life expectancy, these frameworks can be used to reduce medications that are no longer necessary, but appear to fall short of actual guidelines that incorporate a consideration of stopping medications. In this commentary, we present recommendations that could be incorporated into prescribing processes for all healthcare professionals and, ultimately, used to support the rationalization or deprescribing of medication in diminished life expectancy. We frame these recommendations in the same context as guidance for the initiation and discontinuation of implantable cardiac devices and argue that the two processes-with regards to decision-making-should be the same. We present our recommendations with preventive medication use in mind, and use statin therapy as an illustrative example. |
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Geographical breakdown
Country | Count | As % |
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United Kingdom | 4 | 19% |
Australia | 3 | 14% |
Canada | 2 | 10% |
Spain | 2 | 10% |
United States | 1 | 5% |
Italy | 1 | 5% |
El Salvador | 1 | 5% |
Unknown | 7 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 13 | 62% |
Practitioners (doctors, other healthcare professionals) | 3 | 14% |
Scientists | 3 | 14% |
Science communicators (journalists, bloggers, editors) | 2 | 10% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Spain | 1 | 1% |
France | 1 | 1% |
Unknown | 69 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 12 | 17% |
Student > Bachelor | 9 | 13% |
Researcher | 7 | 10% |
Other | 7 | 10% |
Student > Postgraduate | 6 | 8% |
Other | 17 | 24% |
Unknown | 13 | 18% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 31 | 44% |
Pharmacology, Toxicology and Pharmaceutical Science | 15 | 21% |
Nursing and Health Professions | 4 | 6% |
Arts and Humanities | 1 | 1% |
Biochemistry, Genetics and Molecular Biology | 1 | 1% |
Other | 2 | 3% |
Unknown | 17 | 24% |