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减药:以患者为中心的新目标。

Deprescribing: a new goal focused on the patient.

作者信息

Machado-Alba Jorge Enrique, Gaviria-Mendoza Andrés, Machado-Duque Manuel Enrique, Chica Laura

机构信息

a Grupo de Investigación en Farmacoepidemiología y Farmacovigilancia , Universidad Tecnológica de Pereira - Audifarma S.A. Pereira , Colombia , South America.

出版信息

Expert Opin Drug Saf. 2017 Feb;16(2):111-112. doi: 10.1080/14740338.2017.1273347. Epub 2016 Dec 26.

Abstract

It is estimated that one-fifth of adult patients are treated with polypharmacy (five or more drugs) and the prevalence of this phenomenon in the elderly is even higher, ranging from 30% to 70%, even reaching 90% in residents of residential aged care facilities. Polypharmacy in the elderly increases the risk of adverse reactions, inappropriate prescriptions, drug interactions, number of hospitalizations, costs, and even death. In a recent systematic review, the authors proposed defining deprescribing as 'the process of withdrawal of inappropriate medication supervised by a health care professional with the goal of managing polypharmacy and improving outcomes'.

摘要

据估计,五分之一的成年患者接受多种药物治疗(使用五种或更多药物),这种现象在老年人中更为普遍,患病率在30%至70%之间,在老年护理机构的居民中甚至高达90%。老年人的多种药物治疗增加了不良反应、不适当处方、药物相互作用、住院次数、费用甚至死亡的风险。在最近的一项系统评价中,作者提议将减药定义为“在医疗保健专业人员监督下停用不适当药物的过程,目的是管理多种药物治疗并改善治疗效果”。

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