OBJECTIVE: To study the opinion of elderly patients with polypharmacy regarding their medication and to study the differences in valuation of this medication between patient, Community pharmacist and general practitioner (GP). DESIGN Interviews and questionnaires. METHODS: Patients with 7 or more chronically used drugs were interviewed with the Patients Attitudes Towards Deprescribing questionnaire. Furthermore patients were asked to name their medication by heart, to rate the assumed importance of each currently used drug on a numeric rating scale (0-10) and to name three drugs they wanted to continue as well as three drugs they would prefer to stop. These last two questions were also presented to their GPs and Community pharmacists. RESULTS: 40 patients (mean age 79 years, average 11 drugs) were interviewed. The median number of drugs spontaneously recalled by name by the patient was 2. Though 85% of the patients believes all used drugs are necessary, 98% of them stated they would like to stop drugs if the GP said it was possible. Patients scored the importance of their drugs slightly higher than pharmacists or GPs (mean score: 7,5 versus 6,7 versus 6,9). Rating of importance for all groups seemed not to be based on comparison of numbers needed to treat. CONCLUSION: Patients consider their current medication useful and necessary, but almost all of them are Willing to stop some drugs. Their spontaneous knowledge of the drugs used seems low. Before performing medication reviews, GPs and pharmacists should test the patients' knowledge and provide them with Information necessary for making the right decisions.
|Translated title of the contribution||Deprescribing for the elderly: Comparing opinions of patients, pharmacists and doctors|
|Number of pages||6|
|Publication status||Published - 28 Oct 2016|