The therapeutic structure of health systems relies heavily on medical prescription, which generates a marked tendency to add drugs to a patient's medical history. There is an absence of incentives for professionals to reassess prescriptions and withdraw those with a negative or neutral risk/benefit. This can create a deviation of medical resources to the maintenance of useless or even harmful treatments. Deprescribing, a process of thoughtful medication withdrawal that complements moderate prescribing, is aimed to stop this unfair deviation of resources towards non-beneficial, if not maleficent, prescription.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.medcli.2014.02.026 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Gradually tapering off antipsychotics: lessons for practice from case studies and neurobiological principles.
Curr Opin Psychiatry
July 2024
Division of Psychiatry, University College London, Maple House, Fitzrovia, London.
Purpose Of Review: There has been an increasing focus on deprescribing in psychiatry recently, particularly of antipsychotic medication, with recognition that not all patients with psychotic disorders require lifelong medication. We summarize some empirical and theoretical papers, and examine case studies to provide instruction on this topic.
Recent Findings: Recent studies have found that slower tapering (over months or longer) of antipsychotics is associated with a lower relapse rate than quicker tapering (weeks).
Potentially inappropriate medications and anticholinergic and sedative burden in older patients with haemophilia or von Willebrand disease: The M'HEMORRH-AGE study.
J Clin Pharm Ther
June 2022
PERMEDES Group « Plateforme d'Echange et de Recherche sur les MEdicaments DErivés du Sang, Société française de pharmacie clinique, France.
What Is Known And Objective: In older patients, multiple chronic conditions lead to the intake of multiple medications and a higher risk of adverse drug events. The exposure to inappropriate medications in older patients with bleeding disorders is poorly explored. The aim of this study was to describe the exposure to potentially inappropriate medications (PIMs) and medications with anticholinergic and sedative properties in older community-dwelling patients with haemophilia or von Willebrand Disease (VWD).
View Article and Find Full Text PDFUsefulness of Long-Term Anticoagulation After Catheter Ablation of Atrial Fibrillation.
Am J Cardiol
August 2020
Johns Hopkins Hospital Division of Cardiology, Baltimore, Maryland.
Although atrial fibrillation (AF) is strongly associated with stroke, previous studies have shown suboptimal use of anticoagulation (AC). In particular, there is a lack of data on the long-term use of AC after AF catheter ablation. We followed up patients 1 to 5 years out from catheter ablation at the Johns Hopkins Hospital (JHH) to assess their long-term use of AC.
View Article and Find Full Text PDF[A prudent deprescription model].
Med Clin (Barc)
April 2015
Unidad de Urgencias y Hospitalización Polivalente, Hospital de Alta Resolución de Guadix, Guadix, Granada, España.
The therapeutic structure of health systems relies heavily on medical prescription, which generates a marked tendency to add drugs to a patient's medical history. There is an absence of incentives for professionals to reassess prescriptions and withdraw those with a negative or neutral risk/benefit. This can create a deviation of medical resources to the maintenance of useless or even harmful treatments.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!