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dc.creatorMejías Trueba, Martaes
dc.creatorRodríguez-Pérez, Aitanaes
dc.creatorHernández-Quiles, Carloses
dc.creatorOllero Baturone, Manueles
dc.creatorNieto Martín, María Doloreses
dc.creatorSánchez Fidalgo, Susanaes
dc.date.accessioned2024-02-13T14:03:22Z
dc.date.available2024-02-13T14:03:22Z
dc.date.issued2023
dc.identifier.citationMejías-Trueba, M., Rodríguez-Pérez, A., Hernández-Quiles, C., Ollero Baturone, M., Nieto Martín, M.D. y Sánchez Fidalgo, S. (2023). Feasibility of the implementation of LESS-CHRON in clinical practice: a pilot intervention study in older patients with multimorbidity. Innovation in Aging, 7 (5), igad042. https://doi.org/10.1093/geroni/igad042.
dc.identifier.issn2399-5300es
dc.identifier.urihttps://hdl.handle.net/11441/155189
dc.description.abstractBackground and Objectives: Potentially inappropriate medication refers to the prescription of drugs whose risks outweigh the benefits. There are different pharmacotherapeutic optimization strategies to detect and avoid potentially inappropriate medications (PIMs), namely deprescription. The List of Evidence-Based Deprescribing for Chronic Patients (LESS-CHRON) criteria were designed as a tool to systematize the deprescribing process. LESS-CHRON has established itself as one of the most suitable to be applied in older (≥65 years) multimorbid patients. However, it has not been applied to these patients, to measure the impact on their treatment. For this reason, a pilot study was conducted to analyze the feasibility of implementing this tool in a care pathway. Research Design and Methods: A pre–post quasi-experimental study was conducted. Older outpatients with multimorbidity from the Internal Medicine Unit of a benchmark Hospital were included. The main variable was feasibility in clinical practice, understood as the likelihood that the deprescribing intervention recommended by the pharmacist would be applied to the patient. Success rate, therapeutic, and anticholinergic burden, and other variables related to health care utilization were analyzed. Results: A total of 95 deprescribing reports were prepared. Forty-three were evaluated by the physician who assessed the recommendations made by pharmacists. This translates into an implementation feasibility of 45.3%. The application of LESS-CHRON identified 92 PIMs. The acceptance rate was 76.7% and after 3 months 82.7% of the stopped drugs remained deprescribed. A reduction in anticholinergic burden and enhanced adherence was achieved. However, no improvement was found in clinical or health care utilization variables. Discussion and Implications: The implementation of the tool in a care pathway is feasible. The intervention has achieved great acceptance and deprescribing has been successful in a not insignificant percentage. Future studies with a larger sample size are necessary to obtain more robust results in clinical and health care utilization variableses
dc.formatapplication/pdfes
dc.format.extent9 p.es
dc.language.isoenges
dc.publisherOxford Academices
dc.relation.ispartofInnovation in Aging, 7 (5), igad042.
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectDeprescribinges
dc.subjectLESS-CHRONes
dc.subjectMultimorbidityes
dc.subjectOlder adultses
dc.subjectPolymedicatedes
dc.titleFeasibility of the implementation of LESS-CHRON in clinical practice: a pilot intervention study in older patients with multimorbidityes
dc.typeinfo:eu-repo/semantics/articlees
dc.type.versioninfo:eu-repo/semantics/publishedVersiones
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
dc.contributor.affiliationUniversidad de Sevilla. Departamento de Medicinaes
dc.contributor.affiliationUniversidad de Sevilla. Departamento de Medicina Preventiva y Salud Públicaes
dc.contributor.affiliationUniversidad de Sevilla. Instituto de Biomedicina de Sevilla (IBIS)es
dc.relation.publisherversionhttps://academic.oup.com/innovateage/article/7/5/igad042/7157066es
dc.identifier.doi10.1093/geroni/igad042es
dc.journaltitleInnovation in Aginges
dc.publication.volumen7es
dc.publication.issue5es
dc.publication.initialPageigad042es

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