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Letter to the Editor| Volume 19, ISSUE 8, P719-720, August 2018

“Eeny, Meeny, Miny, Moe”: Prioritizing Medications on the Prescription as an Unexplored Avenue Towards Optimizing Geriatric Pharmacotherapy

Published:May 04, 2018DOI:https://doi.org/10.1016/j.jamda.2018.03.014
“Eeny, Meeny, Miny, Moe”: Prioritizing Medications on the Prescription as an Unexplored Avenue Towards Optimizing Geriatric Pharmacotherapy
Previous ArticleConsolidated Medication Review Algorithm to Improve Medications Use in Older Adults: Components, Scoring Scheme, and Implementation
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      As clinicians practicing in the field of geriatric care, we are interested in the research perspectives that may help us to improve practices in terms of prescription, dispensing, administration, and follow-up of medications in elderly patients. In this regard, we read with avid interest the recent article by Tan et al, outlining research priorities for optimizing geriatric pharmacotherapy.
      • Tan E.C.K.
      • Sluggett J.K.
      • Johnell K.
      • et al.
      Research priorities for optimizing geriatric pharmacotherapy: An international consensus.
      J Am Med Dir Assoc. 2018; 19: 193-199
      In their article, reporting an expert consensus further to an international workshop, Tan et al propose a range of areas that merit particular research focus, including overuse/underuse/misuse of medications, deprescribing and regimen simplification, and understanding and informing prescribing in patients with multimorbidity and polypharmacy.
      • Farrell B.
      • Tsang C.
      • Raman-Wilms L.
      • et al.
      What are priorities for deprescribing for elderly patients? Capturing the voice of practitioners: A modified delphi process.
      PLoS One. 2015; 10: e0122246
      , 
      • George J.
      • Phun Y.T.
      • Bailey M.J.
      • et al.
      Development and validation of the medication regimen complexity index.
      Ann Pharmacother. 2004; 38: 1369-1376
      , 
      • Herr M.
      • Sirven N.
      • Grondin H.
      • et al.
      Frailty, polypharmacy, and potentially inappropriate medications in old people: Findings in a representative sample of the French population.
      Eur J Clin Pharmacol. 2017; 73: 1165-1172
      , 
      • Smith S.M.
      • Soubhi H.
      • Fortin M.
      • et al.
      Interventions for improving outcomes in patients with multimorbidity in primary care and community settings.
      Cochrane Database Syst Rev. 2012; : CD006560
      , 
      • Wyatt K.D.
      • Stuart L.M.
      • Brito J.P.
      • et al.
      Out of context: Clinical practice guidelines and patients with multiple chronic conditions: A systematic review.
      Med Care. 2014; 52: S92-S100
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      References

        • Tan E.C.K.
        • Sluggett J.K.
        • Johnell K.
        • et al.
        Research priorities for optimizing geriatric pharmacotherapy: An international consensus.
        J Am Med Dir Assoc. 2018; 19: 193-199
        View in Article
        • Farrell B.
        • Tsang C.
        • Raman-Wilms L.
        • et al.
        What are priorities for deprescribing for elderly patients? Capturing the voice of practitioners: A modified delphi process.
        PLoS One. 2015; 10: e0122246
        View in Article
        • George J.
        • Phun Y.T.
        • Bailey M.J.
        • et al.
        Development and validation of the medication regimen complexity index.
        Ann Pharmacother. 2004; 38: 1369-1376
        View in Article
        • Herr M.
        • Sirven N.
        • Grondin H.
        • et al.
        Frailty, polypharmacy, and potentially inappropriate medications in old people: Findings in a representative sample of the French population.
        Eur J Clin Pharmacol. 2017; 73: 1165-1172
        View in Article
        • Smith S.M.
        • Soubhi H.
        • Fortin M.
        • et al.
        Interventions for improving outcomes in patients with multimorbidity in primary care and community settings.
        Cochrane Database Syst Rev. 2012; : CD006560
        View in Article
        • Wyatt K.D.
        • Stuart L.M.
        • Brito J.P.
        • et al.
        Out of context: Clinical practice guidelines and patients with multiple chronic conditions: A systematic review.
        Med Care. 2014; 52: S92-S100
        View in Article
        • Nieuwlaat R.
        • Wilczynski N.
        • Navarro T.
        • et al.
        Interventions for enhancing medication adherence.
        Cochrane Database Syst Rev. 2014; : CD000011
        View in Article

      Article info

      Publication history

      Published online: May 04, 2018

      Identification

      DOI: https://doi.org/10.1016/j.jamda.2018.03.014

      Copyright

      © 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.

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