老年人的多药治疗和剥夺。

IF 15.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Annual review of medicine Pub Date : 2024-01-29 Epub Date: 2023-09-20 DOI:10.1146/annurev-med-070822-101947
Wade Thompson, Emily G McDonald
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引用次数: 0

摘要

老年人通常会服用许多药物。描述是老年人个性化护理的重要组成部分。这是一个讨论治疗方案和重新审视多年来可能没有重新评估的药物的机会。该领域存在大量证据,表明去描述是可行和安全的,尽管潜在的临床益处仍存在疑问。描述性研究面临着无数的挑战,例如确定和使用最佳结果指标。此外,在什么情况下,哪些去描述的方法可能最有效,也存在不确定性。关于取消描述的障碍和促进因素的证据强调了在常规临床实践中取消描述是多么复杂和具有挑战性。因此,找到实用、可持续的方法来实施去描述是该领域未来研究的优先事项。《医学年度评论》第75卷预计最终在线出版日期为2024年1月。请参阅http://www.annualreviews.org/page/journal/pubdates用于修订估算。
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Polypharmacy and Deprescribing in Older Adults.

Older adults commonly end up on many medications. Deprescribing is an important part of individualizing care for older adults. It is an opportunity to discuss treatment options and revisit medications that may not have been reassessed in many years. A large evidence base exists in the field, suggesting that deprescribing is feasible and safe, though questions remain about the potential clinical benefits. Deprescribing research faces a myriad of challenges, such as identifying and employing the optimal outcome measures. Further, there is uncertainty about which deprescribing approaches are likely to be most effective and in what contexts. Evidence on barriers and facilitators to deprescribing has underscored how deprescribing in routine clinical practice can be complex and challenging. Thus, finding practical, sustainable ways to implement deprescribing is a priority for future research in the field.

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来源期刊
Annual review of medicine
Annual review of medicine 医学-医学:内科
CiteScore
24.90
自引率
0.00%
发文量
58
期刊介绍: The Annual Review of Medicine, which has been published since 1950, focuses on important advancements in diverse areas of medicine. These include AIDS/HIV, cardiology, clinical pharmacology, dermatology, endocrinology/metabolism, gastroenterology, genetics, immunology, infectious disease, neurology, oncology/hematology, pediatrics, psychiatry, pulmonology, reproductive medicine, and surgery. The journal's current volume has transitioned from a gated access model to an open access model through the Annual Reviews' Subscribe to Open program. All articles published in the journal are now available under a CC BY license.
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