Medication review and deprescribing in different healthcare settings: a position statement from an Italian scientific consortium

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作者
Massimo Carollo
Virginia Boccardi
Salvatore Crisafulli
Valeria Conti
Paola Gnerre
Simonetta Miozzo
Emanuela Omodeo Salè
Fabio Pieraccini
Mauro Zamboni
Alessandra Marengoni
Graziano Onder
Gianluca Trifirò
机构
[1] University of Verona,Department of Diagnostics and Public Health
[2] University of Perugia,Institute of Gerontology and Geriatrics, Department of Medicine and Surgery
[3] University of Salerno,Clinical Pharmacology Unit, Department of Medicine, Surgery and Dentistry
[4] Ligure 2 Local Health Unit,Division of Pharmacy
[5] Italian Society of General Medicine and Primary Care,Department of Medicine
[6] IEO European Institute of Oncology IRCCS,Geriatric Division
[7] IRCCS Centro Cardiologico Monzino,Department of Clinical and Experimental Sciences
[8] Romagna Local Health Unit,undefined
[9] University of Verona,undefined
[10] University of Brescia,undefined
[11] Università Cattolica del Sacro Cuore,undefined
[12] Fondazione Policlinico Gemelli IRCCS,undefined
关键词
Medication review; Deprescribing; Frailty; Multimorbidity; Patient-centered care; Polypharmacy;
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摘要
Recent medical advancements have increased life expectancy, leading to a surge in patients affected by multiple chronic diseases and consequent polypharmacy, especially among older adults. This scenario increases the risk of drug interactions and adverse drug reactions, highlighting the need for medication review and deprescribing to reduce inappropriate medications and optimize therapeutic regimens, with the ultimate goal to improving patients’ health and quality of life. This position statement from the Italian Scientific Consortium on medication review and deprescribing aims to describe key elements, strategies, tools, timing, and healthcare professionals to be involved, for the implementation of medication review and deprescribing in different healthcare settings (i.e., primary care, hospital, long-term care facilities, and palliative care). Challenges and potential solutions for the implementation of medication review and deprescribing are also discussed.
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