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10 October 2017

Meaningful Deprescribing in the Nursing Home

Authors: Holly M. Holmes, MD, MS, and Greg A. Sachs, MDAuthor, Article, & Disclosure Information
Publication: Annals of Internal Medicine
Volume 167, Number 9
https://doi.org/10.7326/M17-2268
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Despite efforts to reduce potentially inappropriate medication (PIM) use, prescribing quality has worsened in the nursing home setting. Twenty-seven percent to 71% of nursing home residents use at least 1 PIM, and PIM use is associated with increased risk for falls, delirium, and cognitive impairment (1). Medication use is particularly risky in nursing homes given that they have a frail population with a high prevalence of dementia and multimorbidity.
In this issue, Wouters and colleagues report the results of a deprescribing study targeting PIM use in nursing homes (2). In this cluster randomized trial, 426 nursing home residents …

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References

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Information & Authors

Information

Published In

cover image Annals of Internal Medicine
Annals of Internal Medicine
Volume 167 • Number 9 • 7 November 2017
Pages: 671 - 672

History

Published online: 10 October 2017
Published in issue: 7 November 2017

Keywords

  1. Beer
  2. Dementia
  3. Disclosure
  4. Forecasting
  5. Frailty
  6. Geriatrics
  7. Life expectancy
  8. Nursing homes
  9. Pharmacists
  10. Quality of life

Copyright

© 2017 American College of Physicians.

Authors

Affiliations

Holly M. Holmes, MD, MS
From University of Texas Health Science Center McGovern Medical School, Houston, Texas, and Indiana University School of Medicine and Regenstrief Institute, Indianapolis, Indiana.
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Greg A. Sachs, MD
From University of Texas Health Science Center McGovern Medical School, Houston, Texas, and Indiana University School of Medicine and Regenstrief Institute, Indianapolis, Indiana.
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Corresponding Author: Holly M. Holmes, MD, MS, Division of Geriatric and Palliative Medicine, University of Texas Health Science Center McGovern Medical School, 6431 Fannin, MSB 5.111, Houston, TX 77030; e-mail, [email protected].
Current Author Addresses: Dr. Holmes: Division of Geriatric and Palliative Medicine, University of Texas Health Science Center McGovern Medical School, 6431 Fannin, MSB 5.111, Houston, TX 77030.
Dr. Sachs: Department of Medicine (F2-624), Indiana University, 5/3 Faculty Office Building, 720 Eskenazi Avenue, Indianapolis, IN 46202.
This article was published at Annals.org on 10 October 2017.

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Holly M. Holmes, Greg A. Sachs. Meaningful Deprescribing in the Nursing Home. Ann Intern Med.2017;167:671-672. [Epub 10 October 2017]. doi:10.7326/M17-2268

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