PMID- 33598916 OWN - NLM STAT- MEDLINE DCOM- 20211006 LR - 20211006 IS - 1532-5415 (Electronic) IS - 0002-8614 (Linking) VI - 69 IP - 6 DP - 2021 Jun TI - Attitudes towards deprescribing: The perspectives of geriatric patients and nursing home residents. PG - 1508-1518 LID - 10.1111/jgs.17054 [doi] AB - BACKGROUND/OBJECTIVES: Successful deprescribing requires insight into patients' thoughts about deprescribing. We described attitudes towards deprescribing in a large sample of geriatric patients and nursing home residents. DESIGN: Interview-based questionnaire study. SETTING: Denmark. PARTICIPANTS: Geriatric inpatients (n = 44), geriatric outpatients (n = 94), and nursing home residents (n = 162) with an Orientation-Memory-Concentration score of >/=8. MEASUREMENTS: Participants completed the validated Danish version of the revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire by interview. Attitudes were reported descriptively, and rPATD factor scores were compared between participant groups and across participant characteristics. RESULTS: Participants had a median age of 82 years (interquartile range [IQR] 76-89) and used a median of 8 medications (IQR 5-10). Thirty-three percent of participants would like to try stopping one of their medications on their own, while 87% were willing to stop one on their physician's advice. Geriatric inpatients reported slightly greater perceived burden of taking medication compared to geriatric outpatients and nursing home residents (median "burden" score 50 vs 42, p = 0.11), while geriatric outpatients reported slightly more involvement in their medication use compared to nursing home residents (median "involvement" score 80 vs 75, p < 0.05) and geriatric inpatients (median "involvement" score 80 vs 70, p < 0.01). An increasing number of medications was associated with an increased "burden" score (p(trend) = 0.001): Those using 1-4 medications daily had a median score of 25 (IQR 17-33) compared to 58 (IQR 42-75) among those using >/=10 medications daily. Similarly, an increasing number of medications was associated with a higher "concerns about stopping" score (p(trend) = 0.001) and a lower "appropriateness" score (p(trend) < 0.001), respectively. CONCLUSION: Geriatric patients and nursing home residents are generally open towards deprescribing, particularly if proposed by their physician. Some differences exist between populations and across individual patient characteristics. Clinicians should increase awareness of deprescribing as a possibility in these populations and tailor their deprescribing approach to the individual patient. CI - (c) 2021 The American Geriatrics Society. FAU - Lundby, Carina AU - Lundby C AUID- ORCID: 0000-0002-2121-6252 AD - Hospital Pharmacy Funen, Odense University Hospital, Odense C, Denmark. AD - OPEN, Open Patient data Explorative Network, Odense University Hospital, Odense C, Denmark. AD - Clinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense C, Denmark. AD - Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense C, Denmark. AD - ODIN, Odense Deprescribing INitiative, Odense University Hospital and University of Southern Denmark, Odense C, Denmark. FAU - Glans, Peter AU - Glans P AD - Hospital Pharmacy Funen, Odense University Hospital, Odense C, Denmark. FAU - Simonsen, Trine AU - Simonsen T AD - Hospital Pharmacy Funen, Odense University Hospital, Odense C, Denmark. FAU - Sondergaard, Jens AU - Sondergaard J AUID- ORCID: 0000-0002-1629-1864 AD - Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense C, Denmark. AD - ODIN, Odense Deprescribing INitiative, Odense University Hospital and University of Southern Denmark, Odense C, Denmark. FAU - Ryg, Jesper AU - Ryg J AUID- ORCID: 0000-0002-8641-3062 AD - ODIN, Odense Deprescribing INitiative, Odense University Hospital and University of Southern Denmark, Odense C, Denmark. AD - Department of Geriatric Medicine, Odense University Hospital, Odense C, Denmark. AD - Geriatric Research Unit, Department of Clinical Research, University of Southern Denmark, Odense C, Denmark. FAU - Lauridsen, Henrik Hein AU - Lauridsen HH AUID- ORCID: 0000-0001-5198-5215 AD - Research Unit of Clinical Biomechanics, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark. FAU - Pottegard, Anton AU - Pottegard A AUID- ORCID: 0000-0001-9314-5679 AD - Hospital Pharmacy Funen, Odense University Hospital, Odense C, Denmark. AD - Clinical Pharmacology, Pharmacy and Environmental Medicine, Department of Public Health, University of Southern Denmark, Odense C, Denmark. AD - ODIN, Odense Deprescribing INitiative, Odense University Hospital and University of Southern Denmark, Odense C, Denmark. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210217 PL - United States TA - J Am Geriatr Soc JT - Journal of the American Geriatrics Society JID - 7503062 SB - IM MH - Aged, 80 and over MH - *Attitude MH - Denmark MH - *Deprescriptions MH - Female MH - Geriatrics MH - Humans MH - Inpatients/*statistics & numerical data MH - Interviews as Topic MH - Male MH - Nursing Homes/*statistics & numerical data MH - Outpatients/*statistics & numerical data MH - Physicians MH - Surveys and Questionnaires OTO - NOTNLM OT - attitudes OT - deprescribing OT - geriatric patients OT - nursing home residents EDAT- 2021/02/19 06:00 MHDA- 2021/10/07 06:00 CRDT- 2021/02/18 06:16 PHST- 2021/01/15 00:00 [revised] PHST- 2020/09/10 00:00 [received] PHST- 2021/01/21 00:00 [accepted] PHST- 2021/02/19 06:00 [pubmed] PHST- 2021/10/07 06:00 [medline] PHST- 2021/02/18 06:16 [entrez] AID - 10.1111/jgs.17054 [doi] PST - ppublish SO - J Am Geriatr Soc. 2021 Jun;69(6):1508-1518. doi: 10.1111/jgs.17054. Epub 2021 Feb 17.