Abstract:
BACKGROUND:Deprescribing is a partnership between practitioners, patients and caregivers. External characteristics including age, comorbidities and polypharmacy are poor predictors of attitude towards deprescribing. This hospital-based study aimed to describe the desire of patients and caregivers to be involved in medicine decision-making, and identify attitudinal predictors of desire to try stopping a medicine. METHODS:Patients and caregivers recruited from seven Older People's Medicine wards across two UK hospitals completed the revised Patients'Attitudes Towards Deprescribing (rPATD) questionnaire. Patients prescribed polypharmacy and caregivers involved in medication decision-making of such patients were eligible. A target of 150 patients and caregivers provided a 95% confidence interval of ±11.0% or smaller around rPATD item agreement. Descriptive statistics characterised participants and rPATD responses. Responses to items regarding desire to be involved in medication decision-making and desire to try stopping a medicine were used to address the aims. Binary logistic regression provided the adjusted odds ratios (OR) for predictors of desire to try stopping a medicine. RESULTS:Patient participants (N = 75) were a median (IQ) 87.0 (83.0, 90.0) years old and the median (IQ) number of pre-admission medication was 8.0 (6.0, 10.0). Caregiver participants (N = 76) were a median (IQ) 70.0 (57.0, 83.0) years old and the majority were a spouse (63.2%). For patients and caregivers respectively, the following were reported: 58.7 and 65.8% wanted to be involved in medication decision-making; 29.3 and 43.5% reported a desire to try stopping a medicine. Attitudinal predictors of low desire to try stopping a medicine for patients and caregivers are a perception that there are no unnecessary prescribed medicines [OR = 0.179 (patients) and 0.044 (caregivers)] and no desire for dose reduction [OR = 0.199 (patients) and 0.024 (caregivers)]. A perception of not being prescribed too many medicines also predicted low patient desire to try stopping a medicine [OR = 0.195]. CONCLUSION:A substantial proportion of patients and caregivers did not want to be involved medication decision-making, however this should not result in practitioners dismissing deprescribing opportunities. The three diagnostic indicators for establishing desire to try stopping a medicine are perceived necessity of the medicine, appropriateness of the number prescribed medications and a desire for dose reduction.
journal_name
BMC Geriatrjournal_title
BMC geriatricsauthors
Scott S,Clark A,Farrow C,May H,Patel M,Twigg MJ,Wright DJ,Bhattacharya Ddoi
10.1186/s12877-019-1127-xsubject
Has Abstractpub_date
2019-04-15 00:00:00pages
108issue
1issn
1471-2318pii
10.1186/s12877-019-1127-xjournal_volume
19pub_type
杂志文章,多中心研究相关文献
BMC Geriatrics文献大全abstract:BACKGROUND:Frailty is frequently found to be associated with increased healthcare utilisation in western countries, but little is known in Asian population. This study was conducted to investigate the association between frailty and healthcare utilisation in different care settings among community-dwelling older adults...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01800-8
更新日期:2020-10-06 00:00:00
abstract:BACKGROUND:Osteoporosis is an important morbidity factor for ageing populations in developed countries. However, compared to the amount of information available on diabetes and cardiovascular disease, little is known about the direct impact of osteoporosis on general mortality in older age. METHODS:We obtained data fr...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0809-0
更新日期:2018-05-15 00:00:00
abstract:BACKGROUND:Physical activity is of vital importance to older peoples' health. Physical activity intervention studies with older people often have low recruitment, yet little is known about non-participants. METHODS:Patients aged 60-74 years from three UK general practices were invited to participate in a nurse-support...
journal_title:BMC geriatrics
pub_type: 临床试验,杂志文章
doi:10.1186/1471-2318-14-46
更新日期:2014-04-12 00:00:00
abstract:BACKGROUND:Collaborative medication review (CMR) practices for older adults are evolving in many countries. Development has been under way in Finland for over a decade, but no inventory of evolved practices has been conducted. The aim of this study was to identify and describe CMR practices in Finland after 10 years of...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1317-6
更新日期:2019-11-21 00:00:00
abstract:BACKGROUND:The prevalence of major depression (MD) according to population studies is the same for old (65 years and older) and younger adults. In contrast, an elevated proportion of old MD patients are hospitalized compared to younger adults with MD, indicating a need to expand the characteristics of old inpatients wi...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0836-x
更新日期:2018-06-25 00:00:00
abstract:BACKGROUND:Super-Seniors are healthy, long-lived individuals who were recruited at age 85 years or older with no history of cancer, cardiovascular disease, diabetes, dementia, or major pulmonary disease. In a 10-year follow-up, we aimed to determine whether surviving Super-Seniors showed compression of morbidity, and t...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1080-8
更新日期:2019-02-28 00:00:00
abstract:BACKGROUND:Many health and social needs can be assessed and met in community settings, where lower-cost, person-centered, preventative and proactive services predominate. This study reports on the development and implementation of a person-centered care model integrating dental, social, and health services for low-inco...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-1502-7
更新日期:2020-06-05 00:00:00
abstract:BACKGROUND:The dose response relationship of nine-year cumulative anticholinergic exposure and dementia onset was investigated using the Korean version anticholinergic burden scale (KABS) in comparison with the Anticholinergic Cognitive Burden Scale (ACB). We also examined the effect of weak anticholinergics in the pre...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01671-z
更新日期:2020-07-29 00:00:00
abstract:BACKGROUND:People with dementia describe experiences of loss that threaten their autonomy and ability to contribute to society. They often have difficulties with orientation, loss of roll function, and fear about the future, and need help from others. An increasing body of literature also focuses on how people with dem...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-019-1306-9
更新日期:2019-10-30 00:00:00
abstract:BACKGROUND:The ELSA 85 project is a population-based study with the purpose to learn more about the "elderly elderly". The aim of this part of the ELSA 85 study is to explore the effects of childlessness on the psychological wellbeing, living situation and social support of 85-year old individuals. METHODS:A postal qu...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-11-78
更新日期:2011-11-23 00:00:00
abstract:BACKGROUND:Delirium is a neuropsychiatric syndrome frequently observed in elderly hospitalised patients and can be found in any medical condition. Due to the severe consequences, early recognition of delirium is important in order to start treatment in time. Despite the high incidence rate, the occurrence of delirium i...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-5-6
更新日期:2005-04-13 00:00:00
abstract:INTRODUCTION:To examine the impact of frailty on medical and social care utilisation among the Irish community-dwelling older population to inform strategies of integrated care for older people with complex needs. METHODS:Participants aged ≥65 years from the Irish Longitudinal Study on Ageing (TILDA) representative of...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-017-0579-0
更新日期:2017-09-05 00:00:00
abstract:BACKGROUND:Femoral neck fractures (FNFs), which are common in the older population, are associated with high mortality and morbidity. Some 20% of FNFs are undisplaced (uFNFs). The routine surgical procedure for uFNFs is internal fixation (IF) with 2-3 screws/pins with a reported reoperation rate in older patients (age ...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12877-020-1418-2
更新日期:2020-01-21 00:00:00
abstract:BACKGROUND:Older persons represent a growing share of the population, yet very little is known about their specific healthcare needs, problems, and expectations. IMPROVE is an international research project that seeks to improve elderly persons' involvement in their healthcare. This paper analyzes perceptions of patien...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2318-8-9
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:Frail older adults living in long term care (LTC) homes have a high fracture risk, which can result in reduced quality of life, pain and death. The Fracture Risk Scale (FRS) was designed for fracture risk assessment in LTC, to optimize targeting of services in those at highest risk. This study aims to examin...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-1010-1
更新日期:2018-12-27 00:00:00
abstract:BACKGROUND:In long-term care (LTC) homes in the province of Ontario, implementation of the Minimum Data Set (MDS) assessment and The Braden Scale for predicting pressure ulcer risk were occurring simultaneously. The purpose of this study was, using available data sources, to develop a bedside MDS-based scale to identif...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-10-67
更新日期:2010-09-20 00:00:00
abstract:BACKGROUND:Previous studies suggest that psychotropic drug changes may signal an acute period of time whereby a person is highly vulnerable to fall. It is unknown whether certain classes of psychotropic agents are less safe with respect to the acute risk of falls. Our purpose was to compare fall rates in the 7 days fol...
journal_title:BMC geriatrics
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2318-13-19
更新日期:2013-02-22 00:00:00
abstract:BACKGROUND:Physical inactivity is a health issue that often occurs after serious disaster. Social factors, which can be disrupted by disaster, are important determinants of physical activity levels in everyday living. This study was designed to confirm the association between social factors and physical activity among ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0203-8
更新日期:2016-01-27 00:00:00
abstract:BACKGROUND:Physical activity affects physical and mental health, prevents disease, and improves quality of life. However, physical activity also decreases with age in older persons, and is affected by adverse climatic periods. This study examined changes in physical activity during the winter season in older persons (≥...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-015-0034-z
更新日期:2015-04-10 00:00:00
abstract:BACKGROUND:Most prior studies have focused on short-term (≤ 2 years) functional declines. But those studies cannot address aging effects inasmuch as all participants have aged the same amount. Therefore, the authors studied the extent of long-term functional decline in older Medicare beneficiaries who were followed for...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-11-43
更新日期:2011-08-16 00:00:00
abstract:BACKGROUND:Many balance and strength tests exist that have been designed for older seniors, often aged ≥70 years. To guide strategies for preventing functional decline, valid and reliable tests are needed to detect early signs of functional decline in young seniors. Currently, little is known about which tests are bein...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-1011-0
更新日期:2019-01-09 00:00:00
abstract:BACKGROUND:Frailty represents a public health priority and an increasingly prevalent condition in the ageing population. It is seen as reflecting an interaction among individual factors and a range of environmental elements. This study aims to examine the association between frailty and individual factors, physical and...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0982-1
更新日期:2018-12-14 00:00:00
abstract:BACKGROUND:In the 1990s, epidemiological studies estimated the prevalence of stroke caused by atrial fibrillation (AF) at about 15 %. Given the aging population, there is a rise in the number of AF patients. AF prevention guidelines based on clinical practice and the literature have been published and updated since 200...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-015-0067-3
更新日期:2015-06-11 00:00:00
abstract:BACKGROUND:There are knowledge gaps about the life situation for people ageing with Parkinson's disease (PD), with virtually no understanding of home and health dynamics. Therefore, the aim of the present study was to explore the association between aspects of health and objective as well as perceived housing in people...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0319-x
更新日期:2016-07-27 00:00:00
abstract:BACKGROUND:Cross-sectional relationships between physical activity and health have been explored extensively, but less is known about how physical activity changes with time in older people. The aim of this study was to assess baseline predictors of how objectively measured physical activity changes with time in older ...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-017-0578-1
更新日期:2017-08-14 00:00:00
abstract:BACKGROUND:A cross sectional survey was carried out on 120 hospitalised geriatric patients aged 60 and above in Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur to investigate their nutrient intakes and food preferences. METHODS:Food intakes were recorded using a one day weighed method and diet recall. Food prefe...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/1471-2318-2-3
更新日期:2002-08-06 00:00:00
abstract:BACKGROUND:Using Singapore as a case study, this paper aims to understand the effects of the current long-term care policy and various alternative policy options on the labor market participation of primary informal family caregivers of elderly with disability. METHODS:A model of the long-term care system in Singapore...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-016-0243-0
更新日期:2016-03-23 00:00:00
abstract:BACKGROUND:The aim of the present paper is to assess the gait pattern of patients with Peripheral Artery Disease (PAD). A more specific aim is to compare the gait pattern of PAD patients before and after the appearance of intermittent claudication symptoms. METHODS:The study involved 34 PAD patients with a claudicatio...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-018-0727-1
更新日期:2018-02-20 00:00:00
abstract:BACKGROUND:Seventy percent of people with advanced dementia live and die in care homes. Multisensory approaches, such as Namaste Care, have been developed to improve the quality of life and dying for people with advanced dementia but little is known about effectiveness or optimum delivery. The aim of this review was to...
journal_title:BMC geriatrics
pub_type: 杂志文章,评审
doi:10.1186/s12877-018-0995-9
更新日期:2018-12-06 00:00:00
abstract:BACKGROUND:Dementia is an increasing public health threat worldwide. The pathogenesis of dementia has not been fully elucidated yet. Inflammatory processes are hypothesized to play an important role as a driver for cognitive decline but the origin of inflammation is not clear. We hypothesize that disturbances in gut mi...
journal_title:BMC geriatrics
pub_type: 杂志文章
doi:10.1186/s12877-020-01644-2
更新日期:2020-07-20 00:00:00