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Deprescribing in advanced illness

Lookup NU author(s): Professor Andy Husband, Professor Simon Forrest, Dr Adam Todd

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


Abstract

© 2016 Informa UK Limited, trading as Taylor & Francis Group. Patients with advanced illness such as cancer, chronic obstructive pulmonary disease, and Parkinson's disease experience acute symptoms and are usually prescribed medications to manage these, alongside drugs to treat other co-morbid, long-term conditions. As such, the pharmacotherapeutic burden for these patients is high and polypharmacy is common. Previous studies have revealed the prevalence of potentially inappropriate prescribing within this group of patients, and identified the need for attention to ‘deprescribing’. Deprescribing can be defined as a process of optimization of medication regimens through cessation of potentially inappropriate or unnecessary medications. Patients usually have reservations about taking medications and may be willing to discontinue one or more medications considered ‘inappropriate’. Similarly, healthcare professionals experience some challenges discussing deprescribing approaches to patients with advanced illness. This article reviews research on prescribing medicines to patients with advanced illness, focusing on the identification of the prevalence of inappropriate or unnecessary medicines to the initiation of the deprescribing process. The review demonstrates the paramount importance of further research exploring the perspective of healthcare professionals and patients on the subject of deprescribing to facilitate its further acceptance in practice.


Publication metadata

Author(s): Akinbolade O, Husband A, Forrest S, Todd A

Publication type: Article

Publication status: Published

Journal: Progress in Palliative Care

Year: 2016

Volume: 24

Issue: 5

Pages: 268-271

Online publication date: 26/07/2016

Acceptance date: 02/04/2016

ISSN (print): 0969-9260

ISSN (electronic): 1743-291X

Publisher: Taylor and Francis Ltd

URL: https://doi.org/10.1080/09699260.2016.1192321

DOI: 10.1080/09699260.2016.1192321


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