Potentially Inappropriate Medications in Older Adults: Deprescribing with a Clinical Pharmacist

Potentially Inappropriate Medications in Older Adults: Deprescribing with a Clinical Pharmacist

Objectives To compare the effects of a Geriatric Patient‐Aligned Care Team (GeriPACT) on deprescribing of potentially inappropriate medications (PIMs) in individuals aged 80 and older with usual care (UC) in the Veterans Affairs setting. Design Retrospective cohort study. Setting Veterans Affairs Me...

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Veröffentlicht in:Journal of the American Geriatrics Society (JAGS) 2019-01, Vol.67 (1), p.115-118
Hauptverfasser: Ammerman, Catherine A., Simpkins, Brent A., Warman, Nora, Downs, Tara N.
Format: Artikel
Sprache:eng
Schlagworte:
Aging
deprescribing
inappropriate
Older people
pharmacist
Pharmacists
Veterans
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Zusammenfassung:Objectives To compare the effects of a Geriatric Patient‐Aligned Care Team (GeriPACT) on deprescribing of potentially inappropriate medications (PIMs) in individuals aged 80 and older with usual care (UC) in the Veterans Affairs setting. Design Retrospective cohort study. Setting Veterans Affairs Medical Center in Lexington, Kentucky. Participants Individuals aged 80 and older who filled a PIM at least 90 days before a GeriPACT or primary care appointment between January 1, 2015, and September 6, 2017 (N = 568). Measurements The primary outcome was to determine whether an interdisciplinary team (IDT) including a clinical pharmacy specialist (CPS) resulted in greater deprescribing of PIMs for older adults than UC. Results One hundred twenty‐one (26.8%) PIMs were deprescribed in GeriPACT, compared with 73 (16.1%) in UC (p =
ISSN:0002-8614
1532-5415
DOI:10.1111/jgs.15623