Deprescribing in older people.

Abstract:

:Older people with chronic disease have great potential to benefit from their medications but are also at high risk of harm from their medications. The use of medications is particularly important for symptom control and disease progression in older people. Under-treatment means older people can miss out on the potential benefits of useful medications, while over-treatment (polypharmacy) puts them at increased risk of harm. Deprescribing attempts to balance the potential for benefit and harm by systematically withdrawing inappropriate medications with the goal of managing polypharmacy and improving outcomes. The evidence base for deprescribing in older people is growing. Studies to reduce polypharmacy have used a range of methods. Most evidence for deprescribing relates to the withdrawal of specific medications, and evidence supports attempts to deprescribe potentially inappropriate medicines (such as long-term benzodiazepines). There is also evidence that polypharmacy can be reduced by withdrawing specific medications using individualised interventions. More work is needed to identify the sub-groups of older people who may most benefit from deprescribing and the best approaches to undertaking the deprescribing interventions.

journal_name

Maturitas

journal_title

Maturitas

authors

Page AT,Potter K,Clifford R,Etherton-Beer C

doi

10.1016/j.maturitas.2016.06.006

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

115-34

eissn

0378-5122

issn

1873-4111

pii

S0378-5122(16)30138-4

journal_volume

91

pub_type

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