Deciding when to stop - towards evidence-based de-prescribing of drugs in older populations

Scott, Ian A., Gray, Leoard C., Martin, Jennifer H., Pillans, Peter I. and Mitchell, Charles A. (2012) Deciding when to stop - towards evidence-based de-prescribing of drugs in older populations. Evidence-Based Medicine, 18 4: 121-124. doi:10.1136/eb-2012-100930

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Author Scott, Ian A.
Gray, Leoard C.
Martin, Jennifer H.
Pillans, Peter I.
Mitchell, Charles A.
Title Deciding when to stop - towards evidence-based de-prescribing of drugs in older populations
Journal name Evidence-Based Medicine   Check publisher's open access policy
ISSN 1356-5524
1473-6810
Publication date 2012-11-07
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1136/eb-2012-100930
Open Access Status
Volume 18
Issue 4
Start page 121
End page 124
Total pages 4
Place of publication London, United Kingdom
Publisher BMJ Group
Collection year 2013
Language eng
Formatted abstract
Minimising the harm from inappropriate prescribing in older populations is a major urgent concern for modern healthcare systems. In everyday encounters between prescribers and patients, opportunities should be taken to identify patients at high risk of harm from polypharmacy and reappraise their need for specific drugs. Attempts to reconcile life expectancy, comorbidity burden, care goals and patient preferences with the benefits and harms of medications should be made in every patient at significant risk. Drugs identified by this process of reconciliation as conferring little or no benefit and/or excessive risk of harm should be candidates for discontinuation. Evidence supporting a structured approach to drug discontinuation (or deprescribing) is emerging, and while many barriers to deprescribing exist in routine practice, various enabling strategies can help overcome them.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published Online First: 7 November 2012

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2013 Collection
School of Medicine Publications
School of Pharmacy Publications
UQ Diamantina Institute Publications
 
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Citation counts: Scopus Citation Count Cited 34 times in Scopus Article | Citations
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Created: Mon, 19 Nov 2012, 13:19:03 EST by Dr Jennifer Martin on behalf of School of Medicine