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. 2021 Dec;43(6):1461-1499.
doi: 10.1007/s11096-021-01328-w. Epub 2021 Sep 22.

Patient values and preferences on polypharmacy and deprescribing: a scoping review

Evan Forest  1 , Melissa Ireland  2 , Uma Yakandawala  2 , Teresa Cavett  3 , Lalitha Raman-Wilms  2 , Jamie Falk  2 , Diana McMillan  4 , Rhys Linthorst  5 , Leanne Kosowan  3 , Lisa Labine  3 , Christine Leong  6
Affiliations

Patient values and preferences on polypharmacy and deprescribing: a scoping review

Evan Forest et al. Int J Clin Pharm. 2021 Dec.

Abstract

Background Understanding how patient values and preferences towards polypharmacy and deprescribing have been studied is important to gain insight on current knowledge in this area and to identify knowledge gaps. Aim To describe methods and outcomes for studying patient values and preferences towards polypharmacy and deprescribing, and to identify gaps in the existing literature. Method A scoping review was conducted on English-language studies that examined patient preferences and values related to polypharmacy and/or deprescribing among community-dwelling adults. MEDLINE, Embase, PubMed, PsycINFO, EconLit, Social Science Citation Index, Science Citation Index Expanded, International Pharmaceutical Abstracts, and CINAHL/AgeLine were searched. Results Thirty articles were included. Surveys (n = 17, 56.7%), interviews/focus groups (n = 9, 30.0%), and mixed methods (n = 3, 10.0%), were commonly used methods. Patients Attitudes Towards Deprescribing (PATD) was the most common tool used (n = 9, 30.0%). Twelve themes related to attitudes, social pressure, and control of polypharmacy/deprescribing were identified. The most frequently-encountered themes included desire or willingness to reduce medication load and influence of healthcare provider on medication use. Conclusion PATD was commonly used to assess preferences and values towards polypharmacy and limited knowledge on patient-important outcomes were addressed. Future research should focus on shared decision-making and communicating risk versus benefit of medications.

Keywords: Deprescribing; Patient preferences; Patient values; Polypharmacy.

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References

    1. Maher RL, Hanlon J, Hajjar ER. Clinical consequences of polypharmacy in elderly. Expert Opin Drug Saf. 2014;13(1):57–65. - PubMed
    1. Cantlay A, Glyn T, Barton N. Polypharmacy in the elderly. InnovAiT. 2016;9(2):69–77.
    1. Canadian Institute for Health Information. Seniors and the health care system: what is the impact of multiple chronic conditions? (2011). Available: https://secure.cihi.ca/free_products/air-chronic_disease_aib_en.pdf . Accessed 27 Jan 2021.
    1. Reason B, Terner M, Moses McKeag A, Tipper B, Webster G. The impact of polypharmacy on the health of Canadian seniors. Fam Pract. 2012;29(4):427–32. - PubMed
    1. Fick DM, Semla TP, Steinman M, et al. American Geriatrics Society 2019 updated AGS beers criteria® for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2019;67(4):674–94.

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