The impact of palliative care consults on deprescribing in palliative cancer patients
| Autor: | Patrick Mayo, Vincent Thai, Spencer Ling, Carole R Chambers, Deonne Dersch-Mills, Frances Folkman, Helen Marin |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Palliative care Inappropriate Prescribing 03 medical and health sciences 0302 clinical medicine Pharmacotherapy Quality of life (healthcare) Deprescriptions Health care medicine Humans 030212 general & internal medicine Intensive care medicine Aged Retrospective Studies Polypharmacy Aged 80 and over business.industry Nursing research Palliative Care Cancer Middle Aged medicine.disease Oncology 030220 oncology & carcinogenesis Female Deprescribing business |
| Zdroj: | Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 28(9) |
| ISSN: | 1433-7339 |
| Popis: | The transition from active cancer treatment to palliative care often results in a shift in drug risk-benefit assessment which requires the deprescribing of various medications. Deprescribing in palliative cancer patients can benefit patients by reducing their pill burden, decrease potential side effects, and potentially decrease healthcare costs. In addition, a change in patients’ goals of care (GOC) necessitates the alteration of drug therapy which includes both deprescribing and the addition of medications intended to improve quality of life. Depending on a patient’s GOC, a medication can be considered as inappropriate. Primary: Comparison between potentially inappropriate medications (PIMs) prior to the palliative care consult (PCC) versus after the PCC. Secondary: Association between PIMs and GOC. The study was a 1-year retrospective database review. The study included cancer patients seen by the PCC team at the University of Alberta Hospital. The OncPal guidelines were used to identify and determine the number of PIMs prior to the PCC and after the PCC. The reduction in PIMs prior to PCC versus after the PCC was statistically significant (p value |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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