Prudent prescribing and deprescribing drugs as tools for quaternary prevention
DOI:
https://doi.org/10.5712/rbmfc10(35)1021Keywords:
Deprescribing, Drug Prescriptions, Quaternary Prevention, Patient SafetyAbstract
The consequences of inappropriate medication are diverse and have great clinical impact: from adverse effects and medication interactions to fractures from falls and increased morbidity and mortality. To avoid or ameliorate such consequences, as well as to address its causes, bearing in mind patients’ safety, deprescription has emerged as a safer, more prudent and humane practice. Primary care is in a privileged position to address this challenge of deprescription and it should be part of any strategy of quaternary prevention.Downloads
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Starfield B, Hyde J, Gérvas J, Heath I. The concept of prevention: a good idea gone astray? J Epidemiol Community Health. 2008;62(7):580-583.
http://dx.doi.org/10.1136/jech.2007.071027. PMid:18559439. DOI: https://doi.org/10.1136/jech.2007.071027
Gavilán E, Jimenez L, Villafaina L. Deprescripción de medicamentos en ancianos: paradojas y contradicciones. FMC. 2013;20(1):22-26. DOI: https://doi.org/10.1016/S1134-2072(13)70506-1
Schiff GD, Galanter WL, Duhig J, Lodolce AE, Koronkowski MJ, Lambert BL. Principles of conservative prescribing. Arch Intern Med. 2011;171(16):1433-1440. http://dx.doi.org/10.1001/archinternmed.2011.256. PMid:21670331. DOI: https://doi.org/10.1001/archinternmed.2011.256
Wise J. Polypharmacy: a necessary evil. BMJ. 2013;347:f7033. http://dx.doi.org/10.1136/bmj.f7033. PMid:24286985. DOI: https://doi.org/10.1136/bmj.f7033
Kaur S, Mitchell G, Vitetta L, Roberts MS. Interventions that can reduce inappropriate prescribing in the elderly: a systematic review. Drugs Aging. 2009;26(12):1013-1028. http://dx.doi.org/10.2165/11318890-000000000-00000. PMid:19929029. DOI: https://doi.org/10.2165/11318890-000000000-00000
Gavilán E, Villafaina A, Jimenez L. Polimedicación en personas mayores. AMF. 2012;8:426-433.
Gavilán-Moral E, Villafaina-Barroso A, Jiménez-de Gracia L, Gómez Santana MC. Ancianos frágiles polimedicados: ¿es la deprescripción de medicamentos la salida? Rev Esp Geriatr Gerontol. 2012;47(4):162-167. http://dx.doi.org/10.1016/j.regg.2012.01.003. PMid:22683145. DOI: https://doi.org/10.1016/j.regg.2012.01.003
Barsky AJ. Nonpharmacologic aspects of medication. Arch Intern Med. 1983;143(8):1544-1548. http://dx.doi.org/10.1001/archinte.1983.00350080050013. PMid:6870436. DOI: https://doi.org/10.1001/archinte.1983.00350080050013
Bikowski RM, Ripsin CM, Lorraine VL. Physician-patient congruence regarding medication regimens. J Am Geriatr Soc. 2001;49(10):1353-1357. http://dx.doi.org/10.1046/j.1532-5415.2001.49265.x. PMid:11890495. DOI: https://doi.org/10.1046/j.1532-5415.2001.49265.x
Gallagher P, O’Mahony D. STOPP (Screening Tool of Older Persons’ potentially inappropriate Prescriptions): application to acutely ill elderly patients and comparison with Beers’ criteria. Age Ageing. 2008;37(6):673-679. http://dx.doi.org/10.1093/ageing/afn197. PMid:18829684. DOI: https://doi.org/10.1093/ageing/afn197
Holmes HM, Hayley DC, Alexander GC, Sachs GA. Reconsidering medication appropriateness for patients late in life. Arch Intern Med. 2006;166(6):605-609. http://dx.doi.org/10.1001/archinte.166.6.605. PMid:16567597. DOI: https://doi.org/10.1001/archinte.166.6.605
Leydon GM, Rodgers L, Kendrick T. A qualitative study of patient views on discontinuing long-term selective serotonin reuptake inhibitors. Fam Pract. 2007;24(6):570-575. http://dx.doi.org/10.1093/fampra/cmm069. PMid:18032401. DOI: https://doi.org/10.1093/fampra/cmm069
Garfinkel D, Mangin D. Feasibility study of a systematic approach for discontinuation of multiple medications in older adults. Arch Intern Med. 2010;170(18):1648-1654. http://dx.doi.org/10.1001/archinternmed.2010.355. PMid:20937924. DOI: https://doi.org/10.1001/archinternmed.2010.355
Carey EC, Covinsky KE, Lui LY, Eng C, Sands LP, Walter LC. Prediction of mortality in community-living frail elderly people with long-term care needs. J Am Geriatr Soc. 2008;56(1):68-75. http://dx.doi.org/10.1111/j.1532-5415.2007.01496.x. PMid:18031487. DOI: https://doi.org/10.1111/j.1532-5415.2007.01496.x
Moen J, Bohm A, Tillenius T, Antonov K, Nilsson JL, Ring L. “I don’t know how many of these [medicines] are necessary.” - a focus group study among elderly users of multiple medicines. Patient Educ Couns. 2009;74(2):135-141. http://dx.doi.org/10.1016/j.pec.2008.08.019. PMid:18845412. DOI: https://doi.org/10.1016/j.pec.2008.08.019
Reeve E, To J, Hendrix I, Shakib S, Roberts MS, Wiese MD. Patient barriers to and enablers of deprescribing: a systematic review. Drugs Aging. 2013;30(10):793-807. http://dx.doi.org/10.1007/s40266-013-0106-8. PMid:23912674. DOI: https://doi.org/10.1007/s40266-013-0106-8
Anthierens S, Tansens A, Petrovic M, Christiaens T. Qualitative insights into general practitioners views on polypharmacy. BMC Fam Pract. 2010;11(1):65. http://dx.doi.org/10.1186/1471-2296-11-65. PMid:20840795. DOI: https://doi.org/10.1186/1471-2296-11-65
Fournier JP, Escourrou B, Dupouy J, Bismuth M, Birebent J, Simmons R, et al. Identifying competencies required for medication prescribing for general practice residents: a nominal group technique study. BMC Fam Pract. 2014;15(1):139.
http://dx.doi.org/10.1186/1471-2296-15-139. PMid:25084813. DOI: https://doi.org/10.1186/1471-2296-15-139
Gérvas J. Prevención cuaternaria: teoría y práctica en la consulta, la enseñanza y la política sanitaria, y su relación con la equidad y el coste [Internet]. In: Equipo CESCA. 2011 [última consulta el ano mês dia]. Disponible en: http://equipocesca.org/prevencion-cuaternaria-teoria-y-practica-en-la-consulta-la-ensenanza-y-la-politica-sanitaria-y-su-relacion-con-la-equidad- y-el-coste/2011
Jamoulle M, Gomes LF. Prevenção quaternária e limites em medicina. Rev Bras Med Fam Comunidade. 2013;9(31):186-191. http://dx.doi.org/10.5712/rbmfc9(31)867. DOI: https://doi.org/10.5712/rbmfc9(31)867
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