Deprescribing medication in very elderly patients with multimorbidity: the view of Dutch GPs. A qualitative study.

PubWeight™: 1.35‹?› | Rank: Top 10%

🔗 View Article (PMC 3391990)

Published in BMC Fam Pract on July 09, 2012

Authors

Jan Schuling1, Henkjan Gebben, Leonardus Johannes Gerardus Veehof, Flora Marcia Haaijer-Ruskamp

Author Affiliations

1: Department General Practice, University Medical Centre Groningen, A. Deusinglaan 1, 9713AV, Groningen, The Netherlands. j.schuling@umcg.nl

Articles citing this

GPs' perspectives on the management of patients with multimorbidity: systematic review and synthesis of qualitative research. BMJ Open (2013) 1.58

Medication management strategy for older people with polypharmacy in general practice: a qualitative study on prescribing behaviour in primary care. Br J Gen Pract (2016) 1.48

Deprescribing for older patients. CMAJ (2014) 1.38

Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. BMJ Open (2014) 1.33

What to give the patient who has everything? A qualitative study of prescribing for multimorbidity in primary care. Br J Gen Pract (2015) 1.08

Review of deprescribing processes and development of an evidence-based, patient-centred deprescribing process. Br J Clin Pharmacol (2014) 1.03

The expanding scope of pharmacists' practice: implications for physicians. CMAJ (2013) 1.01

"It is meaningful; I feel that I can make a difference" -A qualitative study about GPs' experiences of work at nursing homes in Sweden. BMC Fam Pract (2015) 0.96

A systematic review of the emerging definition of 'deprescribing' with network analysis: implications for future research and clinical practice. Br J Clin Pharmacol (2015) 0.93

Aging and Multimorbidity: New Tasks, Priorities, and Frontiers for Integrated Gerontological and Clinical Research. J Am Med Dir Assoc (2015) 0.92

Clinical inertia with regard to intensifying therapy in people with type 2 diabetes treated with basal insulin. Diabetes Obes Metab (2016) 0.89

Problems and challenges in relation to the treatment of patients with multimorbidity: General practitioners' views and attitudes. Scand J Prim Health Care (2015) 0.84

Modelling successful primary care for multimorbidity: a realist synthesis of successes and failures in concurrent learning and healthcare delivery. BMC Fam Pract (2015) 0.81

How GPs value guidelines applied to patients with multimorbidity: a qualitative study. BMJ Open (2015) 0.81

Barricades and brickwalls - a qualitative study exploring perceptions of medication use and deprescribing in long-term care. BMC Geriatr (2016) 0.80

Beliefs and attitudes of older adults and carers about deprescribing of medications: a qualitative focus group study. Br J Gen Pract (2016) 0.75

The role of the OncPal deprescribing guideline in end-of-life care. Support Care Cancer (2014) 0.75

What factors are important for deprescribing in Australian long-term care facilities? Perspectives of residents and health professionals. BMJ Open (2016) 0.75

Indication for pharmacological treatment is often lacking: a cross-sectional study on the quality of drug therapy among the elderly. BMC Geriatr (2015) 0.75

Potential drug interactions in patients with a history of cancer. Curr Oncol (2014) 0.75

'I don't think I'd be frightened if the statins went': a phenomenological qualitative study exploring medicines use in palliative care patients, carers and healthcare professionals. BMC Palliat Care (2016) 0.75

Effect of a patient-centered drug review on polypharmacy in primary care patients: study protocol for a cluster-randomized controlled trial. Trials (2015) 0.75

Methodology for Developing Deprescribing Guidelines: Using Evidence and GRADE to Guide Recommendations for Deprescribing. PLoS One (2016) 0.75

General Practitioners' Decision Making about Primary Prevention of Cardiovascular Disease in Older Adults: A Qualitative Study. PLoS One (2017) 0.75

Organising medication discontinuation: a qualitative study exploring the views of general practitioners toward discontinuing statins. BMC Health Serv Res (2016) 0.75

Challenges and Enablers of Deprescribing: A General Practitioner Perspective. PLoS One (2016) 0.75

Beliefs about prescribed medication among older patients with polypharmacy: a mixed methods study in primary care. Br J Gen Pract (2017) 0.75

Discontinuation of Preventive Medicines in Older People with Limited Life Expectancy: A Systematic Review. Drugs Aging (2017) 0.75

Swimming Against the Tide: Primary Care Physicians' Views on Deprescribing in Everyday Practice. Ann Fam Med (2017) 0.75

Articles cited by this

Potential pitfalls of disease-specific guidelines for patients with multiple conditions. N Engl J Med (2004) 7.82

Shared decision making and the concept of equipoise: the competences of involving patients in healthcare choices. Br J Gen Pract (2000) 6.46

Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database Syst Rev (2001) 5.94

Appropriate prescribing in elderly people: how well can it be measured and optimised? Lancet (2007) 5.20

Reconsidering medication appropriateness for patients late in life. Arch Intern Med (2006) 3.81

STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions): application to acutely ill elderly patients and comparison with Beers' criteria. Age Ageing (2008) 3.42

Prognosis communication in serious illness: perceptions of older patients, caregivers, and clinicians. J Am Geriatr Soc (2003) 3.13

Patient-reported medication symptoms in primary care. Arch Intern Med (2005) 2.89

Primary care clinicians' experiences with treatment decision making for older persons with multiple conditions. Arch Intern Med (2010) 2.56

When do patients and their physicians agree on diabetes treatment goals and strategies, and what difference does it make? J Gen Intern Med (2003) 2.51

Health outcome prioritization as a tool for decision making among older persons with multiple chronic conditions. Arch Intern Med (2011) 1.96

Views of older adults on patient participation in medication-related decision making. J Gen Intern Med (2006) 1.96

Examining the evidence: a systematic review of the inclusion and analysis of older adults in randomized controlled trials. J Gen Intern Med (2011) 1.92

Discussing overall prognosis with the very elderly. N Engl J Med (2011) 1.60

Health outcomes and polypharmacy in elderly individuals: an integrated literature review. J Gerontol Nurs (2005) 1.56

Health outcome prioritization to elicit preferences of older persons with multiple health conditions. Patient Educ Couns (2010) 1.52

Self-reported goals of older patients with type 2 diabetes mellitus. J Am Geriatr Soc (2005) 1.51

Medication withdrawal trials in people aged 65 years and older: a systematic review. Drugs Aging (2008) 1.51

Will older persons and their clinicians use a shared decision-making instrument? J Gen Intern Med (2005) 1.46

Beyond the prescription: medication monitoring and adverse drug events in older adults. J Am Geriatr Soc (2011) 1.43

The effects of polypharmacy in older adults. Clin Pharmacol Ther (2008) 1.38

Polypharmacy: one of the greatest prescribing challenges in general practice. Br J Gen Pract (2011) 1.19

Variation over time in the association between polypharmacy and mortality in the older population. Drugs Aging (2011) 1.19

Perceptions of quality-of-life effects of treatments for diabetes mellitus in vulnerable and nonvulnerable older patients. J Am Geriatr Soc (2008) 1.06

Beneath the surface: discovering the unvoiced concerns of older adults with type 2 diabetes mellitus. Health Educ Res (2007) 0.98

Older patients' perceptions of medication importance and worth: an exploratory pilot study. Drugs Aging (2008) 0.90

Impact on decisions to start or continue medicines of providing information to patients about possible benefits and/or harms: a systematic review and meta-analysis. Med Decis Making (2011) 0.86

Discussing life expectancy with surgical patients: do patients want to know and how should this information be delivered? BMC Med Inform Decis Mak (2008) 0.85

Articles by these authors

Anti-asthmatic drugs and dosage forms in children: a cross-sectional study. Pharm World Sci (2002) 0.87