Heeft het nog wel zin? Medicatie minderen bij kwetsbare ouderen

Translated title of the contribution: Does it still make sense?: Deprescribing in the frail elderly

Rob J van Marum, Raymond T Koopmans, Marcel Bouvy

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Elderly patients with multimorbidity often take several chronically used medicines. A large part of this polypharmacy is preventive in intention. Although one would expect that, at the end of life, the ratio of preventive therapy, would decrease in proportion to symptomatic treatment, this appears often not to be the case in practice. Although patients seem to be open to stopping medication, physicians seem to find it difficult to deprescribe preventive medication in particular. One of the major reasons for this is uncertainty about the potential clinical consequences of deprescribing. Since frail elderly people seldom participate in clinical drug trials, clear information is not available for this patient group on the balance between the chance of efficacy and the risk of harm of drug therapy. Discussion with the patient about his or her preferences and options with respect to drug therapy is the basis for all subsequent steps and must form part of the periodic reviews of medication.

Translated title of the contributionDoes it still make sense?: Deprescribing in the frail elderly
Original languageDutch
JournalNederlands Tijdschrift voor Geneeskunde
Volume159
Issue number22
Publication statusPublished - 2015

Keywords

  • Aged
  • Chronic Disease
  • Drug Prescriptions
  • Female
  • Frail Elderly
  • Humans
  • Polypharmacy
  • Preventive Medicine
  • Vulnerable Populations

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