Publications by authors named "Rachel Livecchi"
Article Synopsis
- Thyroid hormones are frequently prescribed in the U.S., especially to older adults, where misuse and overtreatment pose risks like heart and bone issues.
- The study involved interviews with 19 healthcare professionals about the challenges and supports for deprescribing thyroid hormones in older patients, analyzing responses through a structured framework.
- Key barriers included patient anxiety and misinformation, and systemic issues like time constraints and lack of knowledge among doctors; facilitators were strong communication and trust between patients and their physicians.
Context: Thyroid hormone management in older adults is complicated by comorbidities and polypharmacy.
Objective: Determine the prevalence of concurrent use of thyroid hormone and medications that can interfere with thyroid hormone metabolism (amiodarone, prednisone, prednisolone, carbamazepine, phenytoin, phenobarbital, tamoxifen), and patient characteristics associated with this practice.
Design: Retrospective cohort study between 2004 and 2017 (median follow-up, 56 months).