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General practitione...
General practitioners' deprescribing decisions in older adults with polypharmacy : a case vignette study in 31 countries
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- Jungo, Katharina Tabea (författare)
- Univ Bern, Switzerland,University of Bern
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- Mantelli, Sophie (författare)
- Univ Bern, Switzerland,University of Bern
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- Rozsnyai, Zsofia (författare)
- Univ Bern, Switzerland,University of Bern
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- Missiou, Aristea (författare)
- Univ Ioannina, Greece,University of Ioannina
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- Kitanovska, Biljana Gerasimovska (författare)
- Univ St Cyril & Metodius Skopje, North Macedonia,The Saints Cyril and Methodius University of Skopje
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- Weltermann, Birgitta (författare)
- Univ Duisburg Essen, Germany;Univ Bonn, Germany,University Hospital Essen,University of Bonn
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- Mallen, Christian (författare)
- Keele Univ, UK,Keele University
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- Collins, Claire (författare)
- Irish Coll Gen Practitioners, Ireland,Irish College of General Practitioners
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- Bonfim, Daiana (författare)
- Hosp Israelita Albert Einstein, Brazil,Albert Einstein Israelite Hospital
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- Kurpas, Donata (författare)
- Wroclaw Med Univ, Poland,Wrocław Medical University
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- Petrazzuoli, Ferdinando (författare)
- Lund University,Lunds universitet,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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- Dumitra, Gindrovel (författare)
- Romanian Soc Family Med, Romania,Romanian National Society of Family Medicine
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- Thulesius, Hans (författare)
- Linnaeus University,Lunds universitet,Linnéuniversitetet,Institutionen för medicin och optometri (MEO),Lund University, Sweden,Allmänmedicin och samhällsmedicin,Forskargrupper vid Lunds universitet,Family Medicine and Community Medicine,Lund University Research Groups
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- Lingner, Heidrun (författare)
- Hannover Med Sch, Germany,Hannover Medical School
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- Johansen, Kasper Lorenz (författare)
- Danish Coll Gen Practitioners, Denmark,Danish College of General Practitioners
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- Wallis, Katharine (författare)
- Univ Queensland, Australia,University of Queensland
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- Hoffmann, Kathryn (författare)
- Med Univ Vienna, Austria,Medical University of Vienna
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- Peremans, Lieve (författare)
- Univ Antwerp, Belgium,University of Antwerp
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- Pilv, Liina (författare)
- Univ Tartu, Estonia,University of Tartu
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- Ster, Marija Petek (författare)
- Univ Ljubljana, Slovenia,University of Ljubljana
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- Bleckwenn, Markus (författare)
- Univ Leipzig, Germany,Leipzig University
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- Sattler, Martin (författare)
- Soc Sci Luxembourgois Med Gen, Luxembourg,Société Scientifique Luxembourgeoise de Médecine Générale (SSLMG)
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- van der Ploeg, Milly (författare)
- Leiden Univ, Netherlands,Leiden University Medical Centre
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- Torzsa, Peter (författare)
- Semmelwe Univ, Hungary,Semmelweis University
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- Kanska, Petra Bomberova (författare)
- Charles Univ Prague, Czech Republic,Charles University in Prague
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- Vinker, Shlomo (författare)
- Tel Aviv Univ, Israel,Tel-Aviv University
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- Assenova, Radost (författare)
- Med Univ Plovdiv, Bulgaria,Medical University of Plovdiv
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- Bravo, Raquel Gomez (författare)
- Univ Luxembourg, Luxembourg,University of Luxembourg
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- Viegas, Rita P. A. (författare)
- NOVA Med Sch, Portugal,NOVA University Lisbon
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- Tsopra, Rosy (författare)
- Univ Paris, France;Hop Europeen Georges Pompidou, France,Hôpital Européen Georges-Pompidou,Paris-Sorbonne University
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- Pestic, Sanda Kreitmayer (författare)
- Univ Tuzla, Bosnia and Herzegovina,University of Tuzla
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- Gintere, Sandra (författare)
- Riga Stradins Univ, Latvia,Riga Stradins University
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- Koskela, Tuomas H. (författare)
- Tampere Univ, Finland,University of Tampere
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- Lazic, Vanja (författare)
- Dom Zdravlja Zagreb Ctr, Croatia,University Hospital of Infectious Diseases
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- Tkachenko, Victoria (författare)
- Shupyk Natl Med Acad Postgrad Educ, Ukraine,Shupyk National Healthcare University of Ukraine
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- Reeve, Emily (författare)
- Univ South Australia, Australia;Dalhousie Univ, Canada;Nova Scotia Hlth Author, Canada,University of South Australia,Dalhousie University
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- Luymes, Clare (författare)
- Leiden Univ, Netherlands;UWV Employee Insurance Agcy, Netherlands,Leiden University Medical Centre
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- Poortvliet, Rosalinde K. E. (författare)
- Leiden Univ, Netherlands,Leiden University Medical Centre
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- Rodondi, Nicolas (författare)
- Univ Bern, Switzerland,Bern University Hospital,University of Bern
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- Gussekloo, Jacobijn (författare)
- Leiden Univ, Netherlands,Leiden University Medical Centre
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- Streit, Sven (författare)
- Univ Bern, Switzerland,University of Bern
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(creator_code:org_t)
- 2021-01-07
- 2021
- Engelska.
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Ingår i: BMC Geriatrics. - : BioMed Central (BMC). - 1471-2318. ; 21:1, s. 1-12
- Relaterad länk:
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https://doi.org/10.1...
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https://bmcgeriatr.b...
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http://dx.doi.org/10... (free)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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Abstract
Ämnesord
Stäng
- Background General practitioners (GPs) should regularly review patients' medications and, if necessary, deprescribe, as inappropriate polypharmacy may harm patients' health. However, deprescribing can be challenging for physicians. This study investigates GPs' deprescribing decisions in 31 countries. Methods In this case vignette study, GPs were invited to participate in an online survey containing three clinical cases of oldest-old multimorbid patients with potentially inappropriate polypharmacy. Patients differed in terms of dependency in activities of daily living (ADL) and were presented with and without history of cardiovascular disease (CVD). For each case, we asked GPs if they would deprescribe in their usual practice. We calculated proportions of GPs who reported they would deprescribe and performed a multilevel logistic regression to examine the association between history of CVD and level of dependency on GPs' deprescribing decisions. Results Of 3,175 invited GPs, 54% responded (N = 1,706). The mean age was 50 years and 60% of respondents were female. Despite differences across GP characteristics, such as age (with older GPs being more likely to take deprescribing decisions), and across countries, overall more than 80% of GPs reported they would deprescribe the dosage of at least one medication in oldest-old patients (> 80 years) with polypharmacy irrespective of history of CVD. The odds of deprescribing was higher in patients with a higher level of dependency in ADL (OR =1.5, 95%CI 1.25 to 1.80) and absence of CVD (OR =3.04, 95%CI 2.58 to 3.57). Interpretation The majority of GPs in this study were willing to deprescribe one or more medications in oldest-old multimorbid patients with polypharmacy. Willingness was higher in patients with increased dependency in ADL and lower in patients with CVD.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Farmakologi och toxikologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Pharmacology and Toxicology (hsv//eng)
Nyckelord
- Deprescribing
- Polypharmacy
- Multimorbidity
- Primary health care
- Old age
- Gerontologi
- Gerontology
- Deprescribing
- Multimorbidity
- Old age
- Polypharmacy
- Primary health care
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- ref (ämneskategori)
- art (ämneskategori)
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Jungo, Katharina ...
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Mantelli, Sophie
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Rozsnyai, Zsofia
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Missiou, Aristea
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Kitanovska, Bilj ...
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Weltermann, Birg ...
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visa fler...
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Mallen, Christia ...
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Collins, Claire
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Bonfim, Daiana
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Kurpas, Donata
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Petrazzuoli, Fer ...
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Dumitra, Gindrov ...
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Thulesius, Hans
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Lingner, Heidrun
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Johansen, Kasper ...
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Wallis, Katharin ...
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Hoffmann, Kathry ...
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Peremans, Lieve
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Pilv, Liina
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Ster, Marija Pet ...
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Bleckwenn, Marku ...
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Sattler, Martin
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van der Ploeg, M ...
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Torzsa, Peter
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Kanska, Petra Bo ...
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Vinker, Shlomo
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Assenova, Radost
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Bravo, Raquel Go ...
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Viegas, Rita P. ...
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Tsopra, Rosy
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Pestic, Sanda Kr ...
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Gintere, Sandra
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Koskela, Tuomas ...
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Lazic, Vanja
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Tkachenko, Victo ...
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Reeve, Emily
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Luymes, Clare
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Poortvliet, Rosa ...
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Rodondi, Nicolas
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Gussekloo, Jacob ...
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Streit, Sven
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Geriatrik
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Medicinska och f ...
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och Farmakologi och ...
- Artiklar i publikationen
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BMC Geriatrics
- Av lärosätet
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Linnéuniversitetet
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Lunds universitet