Polypharmacy and medication deprescribing: A survey among multimorbid older adults in Denmark
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Polypharmacy and medication deprescribing : A survey among multimorbid older adults in Denmark. / Schiøtz, Michaela L; Frølich, Anne; Jensen, Anette K; Reuther, Lene; Perrild, Hans; Petersen, Tonny S; Kornholt, Jonatan; Christensen, Mikkel B.
I: Pharmacology Research & Perspectives, Bind 6, Nr. 6, e00431, 2018.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Polypharmacy and medication deprescribing
T2 - A survey among multimorbid older adults in Denmark
AU - Schiøtz, Michaela L
AU - Frølich, Anne
AU - Jensen, Anette K
AU - Reuther, Lene
AU - Perrild, Hans
AU - Petersen, Tonny S
AU - Kornholt, Jonatan
AU - Christensen, Mikkel B
PY - 2018
Y1 - 2018
N2 - Polypharmacy is common among multimorbid adults and associated with increased morbidity and mortality. Excessive polypharmacy (ie, ≥10 medicine) is strongly associated with inappropriate medication use, but little is known about attitudes toward deprescribing in patients with excessive polypharmacy. We surveyed 100 Danish individuals aged 65 years and above with ≥10 prescribed medications, using the validated Patients' Attitudes Towards Deprescribing (PATD) instrument. Most participants (81, 81%) thought they took a large number of medications, and 79 (79%) believed that their medications were necessary. Even so, 85 (85%) reported that they would be willing to stop taking one or more of their regular medications if their doctor told them they could, and 11 (11%) felt that they took at least one regular medication that they no longer needed. When presented with visual presentation of various amounts of tablets and capsules, 62 (62%) of participants reported that they would be comfortable taking fewer medications than they did. Forty-two (42%) participants had experience with stopping a regular medication. Almost all participants (92%) wanted to receive follow-up by various means if a medication was discontinued. Forty-one (41%) participants were interested in a consultation at an outpatient clinic specializing in polypharmacy. Overall, the answers to the PATD questionnaire suggest that our cohort of Danish, multimorbid outpatients with extensive polypharmacy have a high confidence in their healthcare providers for medication-related decisions, even though some feel that they are taking more medications than they would like to and feel that some medications may be unnecessary. Our results underline the need for healthcare providers to offer medication reviews in patients with multimorbidity.
AB - Polypharmacy is common among multimorbid adults and associated with increased morbidity and mortality. Excessive polypharmacy (ie, ≥10 medicine) is strongly associated with inappropriate medication use, but little is known about attitudes toward deprescribing in patients with excessive polypharmacy. We surveyed 100 Danish individuals aged 65 years and above with ≥10 prescribed medications, using the validated Patients' Attitudes Towards Deprescribing (PATD) instrument. Most participants (81, 81%) thought they took a large number of medications, and 79 (79%) believed that their medications were necessary. Even so, 85 (85%) reported that they would be willing to stop taking one or more of their regular medications if their doctor told them they could, and 11 (11%) felt that they took at least one regular medication that they no longer needed. When presented with visual presentation of various amounts of tablets and capsules, 62 (62%) of participants reported that they would be comfortable taking fewer medications than they did. Forty-two (42%) participants had experience with stopping a regular medication. Almost all participants (92%) wanted to receive follow-up by various means if a medication was discontinued. Forty-one (41%) participants were interested in a consultation at an outpatient clinic specializing in polypharmacy. Overall, the answers to the PATD questionnaire suggest that our cohort of Danish, multimorbid outpatients with extensive polypharmacy have a high confidence in their healthcare providers for medication-related decisions, even though some feel that they are taking more medications than they would like to and feel that some medications may be unnecessary. Our results underline the need for healthcare providers to offer medication reviews in patients with multimorbidity.
KW - Age Factors
KW - Aged
KW - Aged, 80 and over
KW - Cohort Studies
KW - Denmark
KW - Deprescriptions
KW - Drug Prescriptions/statistics & numerical data
KW - Female
KW - Health Services Needs and Demand/statistics & numerical data
KW - Humans
KW - Male
KW - Medication Adherence/statistics & numerical data
KW - Multimorbidity
KW - Surveys and Questionnaires
U2 - 10.1002/prp2.431
DO - 10.1002/prp2.431
M3 - Journal article
C2 - 30386624
VL - 6
JO - Pharmacology Research & Perspectives
JF - Pharmacology Research & Perspectives
SN - 2052-1707
IS - 6
M1 - e00431
ER -
ID: 216566387