The Views of Indian Practitioners on Deprescribing

Kumari, Sweta; Bhat, D; Saraswathy, G.R.; Maheswari, Eswaran

doi:10.1007/s11606-018-4808-9

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…2,6,17,25,29 A study done in south India to assess the attitude of physicians towards deprescribing found that nearly 56.9% of the treating physicians wanted to carry out deprescribing not only in the elderly but for all age groups. 9 Hence, in the present study, we included younger, middle-aged, and older adults (16.7%) and wanted to assess their willingness to deprescribing. The study done in Malaysia found that the participant's age and education level would influence the deprescribing behaviour.…”

Section: Discussionmentioning

confidence: 99%

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Attitudes and beliefs of patients and primary caregivers towards deprescribing in a tertiary health care facility

Narayan

Priyadharsini

Balamurugesan

et al. 2021

Pharm Pract (Granada)

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Background: Good prescribing practices form the essence of drug therapy for better patient care. The major aim of better prescribing is to improve rational prescribing. Deprescribing gained momentum in recent decades. Objective: This study aimed to explore the attitude and beliefs of deprescribing among patients and their caregivers forming dyads in a tertiary health care facility. Methods: Cross-sectional, questionnaire-based prospective study done for two months. Attitude towards deprescribing was assessed by using validated rPATD (revised Patient attitude towards deprescribing) questionnaire. Cohen's kappa coefficient was used to measure the agreement between the views of people and their caregivers forming dyads about medication cessation. Results: 312 patients and caregivers (156 forming dyads) participated in the study. Among 156 patients, 25.6% were hypertensives & 21.2% had diabetes. 41.7% were between 36-50 years of age. Only 16.7% belong to the elderly age group. 2.5% were taking >5 medications. 43.6% of patients and 62.2% of caregivers were female. 51.3% of the patients were willing to stop one or more of their regular medicine(s) under the treating physician's advice, but 62% were satisfied with their current medicine(s). 33.4% were reluctant to stop taking medicines for a long time. Conclusions: In our study, more than 50% of people and their caregivers were willing to try medication cessation under their physician's recommendation. There was moderate agreement between patients and their caregivers in the trial of medication cessation. Thus, the results obtained from this study may help towards improving rationalized prescribing practices in the institutional setup.

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Section: Discussionmentioning

confidence: 99%

“…According to Swetha et al, nearly 71.8% of Indian doctors agreed that deprescribing is beneficial for the patients. 9 Scott et al . have suggested the 10-step conceptual framework to minimize the inappropriate medications in the elderly populations.…”

Section: Introductionmentioning

confidence: 99%

Attitudes and beliefs of patients and primary caregivers towards deprescribing in a tertiary health care facility

Narayan

Priyadharsini

Balamurugesan

et al. 2021

Pharm Pract (Granada)

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“…A major hurdle faced by Indian physicians is the less evidence available about the various guidelines and algorithms for deprescribing medication in elderly patients. 4,11 Deprescribing is a very new and less familiar concept among Indian physicians, hence, this study focused on assessing their perception, identifying various enablers and barriers towards deprescribing and making physicians aware which is the first big step towards implementing the deprescribing process.…”

Section: Rationality Of the Studymentioning

confidence: 99%

“…The sample size for enrolling physicians was based on the literature, 11 with a 95% confidence interval and a relative perception of 20%, the sample size needed for the study was calculated as 75.…”

Section: Sample Sizementioning

confidence: 99%

Perceptions of Indian Physicians towards Deprescribing of Medications for Chronic Diseases in Elderly: A Questionnaire-based Study

Jawahar¹,

Selvaraj²,

Muruganantham³

et al. 2023

Ind. J. Pharm. Edu. Res

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Deprescribing is the process of reconstructing multiple medications use by review and analysis, which concludes with the modification, replacement or elimination of drugs. Medications that were once appropriate may become inappropriate due to age-related physiological changes that increase the risk of harm from medications eliminated by the liver and kidneys and other co-morbidities. In India, with a steadfast rise in the elderly population paralleled with an augmented necessity for chronic disease management, the essence of deprescribing is rarely known and less practiced by physicians. Hence, a questionnaire-based interventional study was conducted to assess their perception and attitude towards implementing the deprescribing process. The study included 75 physicians from the departments of General Medicine and Nephrology, who were initially educated on deprescribing through a self-developed and validated educational video of three minutes duration, following which they were asked to fill the Perceptions, Attitudes and Challenges of Physicians towards Deprescribing Questionnaire. About 76% of the physicians felt that deprescribing was needed to reduce medication-related problems in older patients. Involvement of multiple prescribers (54.6%) was the main challenge stated by physicians; 92% stated deprescribing to be beneficial in current clinical scenario, and 85.3% showed a positive attitude towards integrating deprescribing into their day-to-day clinical practice. Physicians below 40 years with an experience of 0 to 10 years had a significantly positive perception and attitude towards deprescribing. In view of reducing potential medication-related adverse events in the elderly, daily practice of the deprescribing process should become a norm, thereby improving the quality of life.

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A global overview of the current state of deprescribing

Lau,

Elbeddini

2023

Deprescribing and Polypharmacy in an Aging Population

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The Views of Indian Practitioners on Deprescribing

Cited by 6 publications

References 4 publications

Attitudes and beliefs of patients and primary caregivers towards deprescribing in a tertiary health care facility

Attitudes and beliefs of patients and primary caregivers towards deprescribing in a tertiary health care facility

Perceptions of Indian Physicians towards Deprescribing of Medications for Chronic Diseases in Elderly: A Questionnaire-based Study

A global overview of the current state of deprescribing

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