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Reconsidering Medication Appropriateness for Patients Late in Life

Reconsidering Medication Appropriateness for Patients Late in Life COMMENTARY Reconsidering Medication Appropriateness for Patients Late in Life ROVIDING GUIDELINE- derly persons that was developed for patients’remaininglifeexpectancyand adherent care for many the nursing home setting and up- goals of care as major components. medical conditions in- dated for patients 65 years and older. Thesecomponentsparallelthoseused creasingly means the The Medication Appropriateness In- whenconsideringwhethertoconduct P addition of more medi- dex is a list of implicit criteria con- cancer screening in older persons. cations to reach disease-specific tar- sisting of 10 questions to identify po- gets. When might it be best to with- tentially inappropriate elements of REMAINING LIFE hold or discontinue medications that prescribing, including indication, in- EXPECTANCY are otherwise appropriate on the ba- teractions, and others (Figure 1). sis of guidelines? Receiving facsimi- Numerous other tools to evaluate Byusinglifetables,lifeexpectancycan les from the pharmacy serving a lo- medication appropriateness have been be stratified into the top 25th, middle cal nursing home encouraging us to suggested, and the application of them 50th, and lowest 25th percentiles prescribe statins for residents there has demonstrated widespread inap- (Figure2) such that 75%, 50%, and symbolizes the issues. Most of these propriate prescribing in a variety of 25% of people will live fewer than the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Reconsidering Medication Appropriateness for Patients Late in Life

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Publisher
American Medical Association
Copyright
Copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinte.166.6.605
pmid
16567597
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY Reconsidering Medication Appropriateness for Patients Late in Life ROVIDING GUIDELINE- derly persons that was developed for patients’remaininglifeexpectancyand adherent care for many the nursing home setting and up- goals of care as major components. medical conditions in- dated for patients 65 years and older. Thesecomponentsparallelthoseused creasingly means the The Medication Appropriateness In- whenconsideringwhethertoconduct P addition of more medi- dex is a list of implicit criteria con- cancer screening in older persons. cations to reach disease-specific tar- sisting of 10 questions to identify po- gets. When might it be best to with- tentially inappropriate elements of REMAINING LIFE hold or discontinue medications that prescribing, including indication, in- EXPECTANCY are otherwise appropriate on the ba- teractions, and others (Figure 1). sis of guidelines? Receiving facsimi- Numerous other tools to evaluate Byusinglifetables,lifeexpectancycan les from the pharmacy serving a lo- medication appropriateness have been be stratified into the top 25th, middle cal nursing home encouraging us to suggested, and the application of them 50th, and lowest 25th percentiles prescribe statins for residents there has demonstrated widespread inap- (Figure2) such that 75%, 50%, and symbolizes the issues. Most of these propriate prescribing in a variety of 25% of people will live fewer than the

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Mar 27, 2006

References