Implementation of medication reviews in community pharmacies and their effect on potentially inappropriate drug use in elderly patients

Teichert, Martina; Luijben, Susan Noyon; Wereldsma, Anouk; Schalk, Ton; Janssen, Jacqueline; Wensing, Michel; Smet, Peter De

doi:10.1007/s11096-013-9794-8

Cited by 12 publications

(9 citation statements)

References 18 publications

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“…Training (15). The papers had overlap, but the main issues discussed determined the theme and they have been presented below.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of studies found that all drug related hospital admissions are caused by a small number of frequently used drugs. These are anticoagulants, Non-Steroidal Anti Inflammatory Drugs (NSAIDs), opioids and blood glucose lowering drugs [15,16].Yet, multiple medications may improve quality of life and polypharmacy should not be synonymous with poor care [12,17].…”

Section: Polypharmacymentioning

confidence: 99%

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What doctors need to know: Prescribing or not for the oldest old

Kydd

Fleming

2016

Maturitas

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Given the global increase in the number of people over the age of 85, there is a growing body of work concerning this group, termed the oldest old. Much of this work is confined to the literature specialising in geriatrics and the more generic health care papers refer to 'older people' with little definition of what is meant by 'older'. Iatrogenesis (ill health caused by doctors) is a major issue and general practitioners (GPs) need practical help in prescribing for the oldest old. This paper presents a narrative review of the literature on prescribing and the oldest old. The results showed that all papers sourced referred to prescribing for the 'old' as those aged over 65, with only scant mention of oldest old. Yet prescribing for the oldest old involves clinical judgement and knowledge of the patient. It includes weighing up what will do good, cause no harm and is acceptable to the individual. GPs have to make treatment choices mostly in isolation from colleagues, during time-limited consultations and with few relevant guidelines on managing multi-morbidities in the oldest old. A major issue in prescribing for people over the age of 85 is that guidelines for diseases are based on trials with younger adults, outline the best practice for one disease in isolation (i.e. not in the presence of other diseases) and take little account of the interactions between the drugs used in managing several diseases in frail older people. There is a growing body of work, however, calling for specialist services for the oldest old.

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“…Training (15). The papers had overlap, but the main issues discussed determined the theme and they have been presented below.…”

Section: Resultsmentioning

confidence: 99%

Section: Polypharmacymentioning

confidence: 99%

What doctors need to know: Prescribing or not for the oldest old

Kydd

Fleming

2016

Maturitas

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show abstract

“…В обзор включали исследования, в которых производился либо изолированный депрескрайбинг сахароснижающих средств, либо полидепрескрайбинг с выделением подгруппы сахароснижающих средств. Среди 431 ссылки были отобраны 6 исследований [33][34][35][37][38][39], в том числе 1 ран-ОБЗОР ЛИТЕРАТУРЫ КЛИНИЧЕСКАЯ ФАРМАКОЛОГИЯ И ТЕРАПИЯ, 2019, 28 (3) домизированное контролируемое исследование, 1 нерандомизированное сравнительное исследование и 4 неконтролируемых исследования.…”

Section: обзор исследований по депрескрайбингу сахароснижающих средствunclassified

“…В исследовании М. Teichert и соавт. [35] не была подтверждена эффективность анализа лекарственной терапии обученными фармацевтами на основании листа HARM [36] с целью выявления неадекватно назначенных препаратов и их отмены у пациентов в возрасте ≥65 лет, постоянно получавших по крайней мере 5 ЛС.…”

Section: обзор исследований по депрескрайбингу сахароснижающих средствunclassified

Deprescribing of glucose-lowering medications in the elderly

Ткачева¹,

Остроумова²,

Kotovskaya³

et al. 2019

CPT

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“…Medications are essential for the prevention and treatment of disease (2) whereas they can also cause harm due to their adverse effects, medication errors and medication complexity (2) in health services (3). Preventable medication errors are prominent factors in patient safety since improving patient safety and quality of care has become a major focus in healthcare (4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%