Journal of Clinical Medicine,
Год журнала:
2023,
Номер
13(1), С. 3 - 3
Опубликована: Дек. 19, 2023
The
progressive
aging
and
comorbidities
of
the
population
have
led
to
an
increase
in
number
patients
with
polypharmacy
attended
emergency
department.
Drug-related
problems
(DRPs)
become
a
major
cause
admission
these
units,
as
well
high
rate
short-term
readmissions.
Anticoagulants,
antibiotics,
antidiabetics,
opioids
been
shown
be
most
common
drugs
involved
this
issue.
Inappropriate
has
pointed
out
one
causes
visits.
Different
ways
conducting
chronic
medication
reviews
at
discharge,
primary
care
coordination,
phone
contact
discharge
reduce
new
hospitalizations
room
visits
due
DRPs,
they
are
key
elements
for
improving
quality
provided
by
services.
European Geriatric Medicine,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 9, 2025
Abstract
Purpose
To
summarise
the
association
between
potentially
inappropriate
prescribing
(PIP)
and
health-related
quality
of
life
(HRQOL)
in
older
adults,
with
a
special
focus
on
those
atrial
fibrillation
(AF)
multimorbidity,
while
exploring
potential
interventions
to
improve
their
impact
HRQOL.
Methods
A
comprehensive
search
strategy
was
conducted
MEDLINE
using
PubMed
interface
August
16th,
2024,
focusing
key
terms
related
“potentially
prescribing”
“quality
life”.
Additionally,
reference
lists
included
studies
were
screened.
Only
utilising
validated
assessment
tools
for
HRQOL
or
measuring
global
self-perceived
health
status
considered.
Studies
involving
populations
an
average
age
≥
65
years
included.
Results
Of
1810
articles
screened,
35
The
findings
indicate
that
prescribing,
independent
polypharmacy,
may
negatively
influence
review
identified
range
aimed
at
improving
among
including
pharmacist-driven,
general
practitioner-driven,
multidisciplinary
approaches.
Interventions
assessed
distinct
population
groups
specifically
residential
care
homes.
While
some
demonstrated
improvements
quality,
overall
evidence
regarding
remains
limited.
Conclusion
relationship
underexplored
adults
AF
despite
high
prevalence
PIP.
Effective
pharmacotherapy
should
be
coupled
patients'
clinical
functional
parameters,
considering
Adopting
multidisciplinary,
integrated,
patient-centred
approach
is
essential
sustainable
appropriate
practices
enhance
Journal of Pain and Symptom Management,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 1, 2025
Polypharmacy
and
inappropriate
prescribing
are
prevalent
among
end-of-life
cancer
patients,
potentially
compromising
symptom
management
quality
of
life.
Limited
data
available
on
medications
(PIMs)
omissions
(PPOs)
opioid
in
South
Korea,
particularly
home-based
hospice
care
settings.
This
study
aimed
to
evaluate
the
prevalence
PIMs
PPOs
advanced
patients
referred
identify
factors
associated
with
these
issues.
A
retrospective
observational
included
102
a
single
center's
between
November
2022
2023.
were
assessed
using
STOPPFrail
criteria,
while
defined
as
inadequate
for
moderate
severe
pain.
Logistic
regression
analysis
identified
PPOs.
observed
40.2%
higher
those
over
70
years
old
(48.7%)
multiple
comorbidities.
Statins
(25.5%)
antihypertensives
(29.4%)
most
common
PIMs.
Among
pain,
45.5%
experienced
due
prescriptions.
Older
age
(OR
3.90,
p
<
0.01)
comorbidities
20.90,
significantly
PIMs,
diabetes
was
linked
2.00,
=
0.01).
The
findings
highlight
critical
gaps
medication
patients.
Systematic
deprescribing
protocols
improved
strategies
address
stigma
hesitancy
essential
align
treatments
goals
enhance
patient
Geriatrics and gerontology international/Geriatrics & gerontology international,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 14, 2025
As
people
age,
the
prevalence
of
frailty,
multimorbidity,
and
polypharmacy
increases,
presenting
significant
challenges
in
geriatric
medicine.
These
three
elements
are
interrelated
a
bidirectional
manner,
forming
what
can
be
termed
“geriatric
triangle.”
The
complexity
their
interconnections
means
that
addressing
each
issue
isolation
is
insufficient
for
achieving
an
effective
resolution.
Thus,
comprehensive
understanding
this
triangle
essential
appropriate
management.
This
review
aims
to
illuminate
relationships
within
offer
insights
into
potential
strategies
managing
these
interconnected
challenges.
Geriatr
Gerontol
Int
2025;
••:
••–••
.
Acta Médica Portuguesa,
Год журнала:
2024,
Номер
37(10), С. 684 - 696
Опубликована: Окт. 1, 2024
The
importance
of
deprescribing
in
clinical
practice
is
growing,
particularly
aging
populations
with
polypharmacy
scenarios,
making
it
a
crucial
matter
Portugal,
one
Europe's
most
aged
nations.
aim
this
study
was
to
investigate
awareness,
training,
attitudes,
and
practices
among
Portuguese
physicians
inform
future
healthcare
strategies.
Folia Medica,
Год журнала:
2024,
Номер
66(2), С. 161 - 170
Опубликована: Апрель 30, 2024
Inappropriate
polypharmacy
is
a
common
occurrence
in
elderly
patients,
resulting
increased
adverse
drug
reactions,
nonadherence,
and
healthcare
costs.
Medication
review
deprescribing
are
the
primary
strategies
described
literature
for
dealing
with
problematic
polypharmacy.
To
effectively
carry
out
medication
review,
various
tools
have
been
developed.
These
can
support
variety
of
ways.
Some
include
list
medications
requiring
detailed
attention,
while
others
guide
medical
professionals
principles
algorithms
reviewing
prescribing
medicines.
A
third
category
focuses
on
tracking
identifying
symptoms
that
may
be
due
to
drug-related
problems.
This
article
aims
present
used
management
geriatric
population,
emphasizing
their
advantages
disadvantages.
