作者
Wade Thompson, Carina Lundby, Trine Graabæk, Dorthe S Nielsen, Jesper Ryg, Jens Søndergaard, Anton Pottegård
发表日期
2019/1
来源
Journal of the American Geriatrics Society
卷号
67
期号
1
页码范围
172-180
出版商
John Wiley & Sons, Inc.
简介
OBJECTIVES
To summarize available tools that can assist clinicians in identifying and reducing or stopping (deprescribing) potentially inappropriate medications and that specifically consider frailty or limited life expectancy.
DESIGN
Systematic review and narrative synthesis.
SETTING
We searched MEDLINE (via Ovid SP), EMBASE (via Ovid SP), and CINAHL from inception to December 2017, along with grey literature. We included articles that described a tool to guide deprescribing of medications.
PARTICIPANTS
Frail older persons and older persons with limited life expectancy.
MEASUREMENTS
Narrative description of tools.
RESULTS
We identified 15 tools and organized them into three main categories: tools (n = 2) that described a model or framework for approaching deprescribing, tools (n = 9) that outlined a deprescribing approach for the entire medication list, and tools (n = 4) that provided …
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