scholarly journals Health care professionals' attitudes towards deprescribing in older patients with limited life expectancy: A systematic review

2019 ◽  
Vol 85 (5) ◽  
pp. 868-892 ◽  
Author(s):  
Carina Lundby ◽  
Trine Graabæk ◽  
Jesper Ryg ◽  
Jens Søndergaard ◽  
Anton Pottegård ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Life Expectancy ◽  
Health Care Professionals ◽  
Older Patients ◽  
Limited Life Expectancy ◽  
Limited Life

scholarly journals “… Above All, It’s a Matter of  This Person’s Quality of Life”: Health Care Professionals’ Perspectives on Deprescribing in Older Patients With Limited Life Expectancy

2019 ◽  
Vol 60 (3) ◽  
pp. 439-449 ◽  
Author(s):  
Carina Lundby ◽  
Trine Graabæk ◽  
Jesper Ryg ◽  
Jens Søndergaard ◽  
Anton Pottegård ◽  
...  
Keyword(s):  
Health Care ◽  
Life Expectancy ◽  
Older People ◽  
Health Care Professionals ◽  
Older Patients ◽  
Full Spectrum ◽  
Limited Life Expectancy ◽  
Limited Life ◽  
Primary Responsibility ◽  
Group Interviews

Abstract Background and Objectives Deprescribing may be particularly relevant in older people with limited life expectancy. In order to effectively carry out deprescribing in this population, it is important to understand the perspectives of the full spectrum of health care professionals (HCPs) involved in the management of these patients’ medication. Thus, we aimed to explore different HCPs’ perspectives on deprescribing in older patients with limited life expectancy. Research Design and Methods Six qualitative focus group interviews were conducted using a semistructured approach. The groups comprised HCPs from both primary and secondary care, including family physicians (FPs), geriatricians, clinical pharmacologists, clinical pharmacists, nurses, and health care assistants. Interviews were audio recorded and transcribed verbatim. Results were analyzed using systematic text condensation. Results A total of 32 HCPs participated in the study (median age of 40.5 years; 22% male). The analysis elicited three main themes related to HCPs’ perspectives on deprescribing in older patients with limited life expectancy: (a) Approaching deprescribing, (b) Taking responsibility, and (c) Collaboration across professions. Within themes, subthemes were identified and analyzed. Discussion and Implications Our results imply that different groups of HCPs consider deprescribing an essential aspect of providing good care for older people with limited life expectancy and find that all HCPs play a crucial role in the deprescribing process, with FPs having the primary responsibility. In order to facilitate deprescribing among this population, however, the collaboration between different HCPs should be improved.

Does deprescribing in older people improve outcomes?

2020 ◽  
Vol 58 (9) ◽  
pp. 132-132
Keyword(s):  
Systematic Review ◽  
Life Expectancy ◽  
Older People ◽  
Older Patients ◽  
Limited Life Expectancy ◽  
Limited Life

AbstractReview of: Shrestha S, Poudel A, Steadman K, et al. Outcomes of deprescribing interventions in older patients with life-limiting illness and limited life expectancy: a systematic review. Br J Clin Pharmacol 2019; doi: 10.1111/bcp.14113 [Epub ahead of print 4 September 2019].

Potential Overdiagnosis of Basal Cell Carcinoma in Older Patients With Limited Life Expectancy

JAMA ◽  
2014 ◽  
Vol 312 (10) ◽  
pp. 997 ◽  
Author(s):  
Eleni Linos ◽  
Steven A. Schroeder ◽  
Mary-Margaret Chren
Keyword(s):  
Basal Cell Carcinoma ◽  
Life Expectancy ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Older Patients ◽  
Limited Life Expectancy ◽  
Limited Life

scholarly journals Tools for Deprescribing in Frail Older Persons and Those with Limited Life Expectancy: A Systematic Review

2018 ◽  
Vol 67 (1) ◽  
pp. 172-180 ◽  
Author(s):  
Wade Thompson ◽  
Carina Lundby ◽  
Trine Graabaek ◽  
Dorthe S. Nielsen ◽  
Jesper Ryg ◽  
...  
Keyword(s):  
Systematic Review ◽  
Life Expectancy ◽  
Older Persons ◽  
Limited Life Expectancy ◽  
Limited Life ◽  
Frail Older Persons
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