Medication Discontinuation at the End of Life: A Questionnaire Study on Physicians' Experiences and Opinions
| Autor: | Roberto S.G.M. Perez, Lia van Zuylen, Carin C.D. van der Rijt, Marianne Dees, Eric C T Geijteman, Agnes van der Heide, Bregje A. A. Huisman |
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| Přispěvatelé: | Medical Oncology, Public Health |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Palliative care Attitude of Health Personnel media_common.quotation_subject Inappropriate Prescribing Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Medication Adherence Scientific evidence 03 medical and health sciences All institutes and research themes of the Radboud University Medical Center 0302 clinical medicine General Practitioners Surveys and Questionnaires Medication therapy management Humans Medicine 030212 general & internal medicine General Nursing Netherlands Questionnaire study media_common Response rate (survey) Terminal Care business.industry General Medicine Middle Aged Anesthesiology and Pain Medicine Feeling Vignette 030220 oncology & carcinogenesis Family medicine Practice Guidelines as Topic Female business Medication Discontinuation |
| Zdroj: | Geijteman, E C T, Huisman, B A A, Dees, M K, Perez, R S G M, van der Rijt, C C D, van Zuylen, L & van der Heide, A 2018, ' Medication Discontinuation at the End of Life: A Questionnaire Study on Physicians' Experiences and Opinions ', Journal of Palliative Medicine, vol. 21, no. 8, pp. 1166-1170 . https://doi.org/10.1089/jpm.2017.0501 Journal of Palliative Medicine, 21, 8, pp. 1166-1170 Journal of Palliative Medicine, 21(8), 1166-1170. Mary Ann Liebert Inc. Journal of Palliative Medicine, 21, 1166-1170 |
| ISSN: | 1557-7740 1096-6218 |
| Popis: | Background: Many patients who are in the last phase of life use multiple medications that are continued until shortly before they ultimately die. Little is known about physicians' opinions and experiences regarding medication discontinuation at the end of patients' lives. Objective: To explore physicians' opinions and experiences regarding medication discontinuation during the last phase of life, and to identify factors influencing the continuation of potentially inappropriate medications. Design: Questionnaire study, including a vignette and several statements. Setting/Subjects: A random sample of general practitioners and clinical specialists working in three regions in the Netherlands that represent more than half of the Dutch population. Results: Questionnaires were returned by 321 physicians (response rate: 37%). The majority of them (73%) agreed with the statement that patients who are in the last phase of life use too many medications. When presented with a vignette of a patient with end-stage COPD with different limited life expectancies, preventive medications would be stopped right early before death. Medications to relieve symptoms would not be stopped or stopped right before death. For medications to treat (chronic) illnesses, there was a huge interphysician variability. All statements about possible reasons why medications are continued in the last phase of life, for example, patients feeling abandoned and lack of time, were agreed upon by a small minority of respondents. Conclusions: Although physicians agree that patients use too many medications at the end of life, they quite regularly seem to give patients medications for chronic diseases, for which the benefit at the end of life may be debatable. More scientific evidence on whether or not these types of medication might be discontinued in the last phase of life is needed. |
| Databáze: | OpenAIRE |
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