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An international case-vignette study to assess general practitioners’ willingness to deprescribe (LESS)
Tabea Jungo, Katharina; Mantelli, Sophie; Rozsnyai, Zsofia et al.
2018In Collins, Claire (Ed.) Abstract Book of the 87th EGPRN Meeting
Peer reviewed
 

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Abstract :
[en] Background: Globally, many oldest-old (>80 years of age) suffer from several chronic conditions and take multiple medications. Ideally, their general practitioners (GPs) regularly and systematically search for inappropriate medications and, if necessary, deprescribe those. However, deprescribing is challenging due to numerous barriers not only within patients, but also within GPs. Research questions: How does the willingness to deprescribe in oldest-old with polypharmacy differ in GPs from different countries? What factors do GPs in different contexts perceive as important for deprescribing? Method: We assess GPs' willingness to deprescribe and the factors GPs perceive to influence their deprescribing decisions in a cross-sectional survey using case-vignettes of oldest-old patients with polypharmacy. We approach GPs in 28 European countries as well as in Israel, Brazil and New Zealand through national coordinators, who administer the survey in their GP network. The case vignettes differ in how dependent patients are and whether or not they have a history of cardiovascular disease (CVD). For each case vignette, GPs are asked if and which medication they would deprescribe. GPs further rate to what extent pre-defined factors influence their deprescribe decisions. We will compare the willingness to deprescribe and the factors influencing deprescribing across countries. Multilevel models will be used to analyze the proportions of the deprescribed medications per case along the continuum of dependency and history of CVD and to analyze the factors perceived as influencing deprescribing decisions. Results: As of early-July 2018, the survey has been distributed in 14 countries and >650 responses have been returned. We will present first results at the conference. Conclusions: First, assessing GPs’ willingness to deprescribe and comparing the factors influencing GPs’ deprescribing decisions across countries will allow an understanding of the expected variation in the willingness to deprescribe across different contexts. Second, it will enable the tailoring of specific interventions that might facilitate deprescribing in oldest-old patients. Points for discussion: How can we explain differences across countries? How can the results be translated into practice in order to help GPs to optimize deprescribing practices? What factors could help GPs to implement deprescribing in oldest-old patients with polypharmacy?
Disciplines :
Public health, health care sciences & services
Author, co-author :
Tabea Jungo, Katharina
Mantelli, Sophie
Rozsnyai, Zsofia
Missiou, Aristea
Gerasimovska Kitanovska, Biljana
Weltermann, Birgitta
Tuz, Canan
Mallen, Christian
Collins, Claire
Kurpas, Donata
De Mello Franco, Fabio Gazelato
Petrazzuoli, Ferdinando
Thulesius, Hans
Lingner, Heidrun
Johansen, Kasper Lorenz
Wallis, Katharine
Hoffmann, Kathryn
Peremans, Lieve
Pilv, Liina
Petek Šter, Marija
Sattler, Martin
Van Der Ploeg, Milly
Torzsa, Péter
Kánská, Petra
Vinker, Shlomo
Assenova, Radost
Gomez Bravo, Raquel ;  University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE)
Viegas, Rita
Tsopra, Rosy
Kreitmayer Pestić, Sanda
Gintere, Sandra
Koskela, Tuomas
Lazic, Vanja
Tkachenko, Victoria
Reeve, Emily
Luymes, Clare
Poortvliet, Rosalinde
Chiolero, Arnaud
Rodondi, Nicolas
Gussekloo, Jacobijn
Streit, Sven
More authors (31 more) Less
External co-authors :
yes
Language :
English
Title :
An international case-vignette study to assess general practitioners’ willingness to deprescribe (LESS)
Publication date :
14 November 2018
Event name :
87th Meeting of the European General Practice Research Network
Event date :
4-10-2018 to 7-10-2018
Audience :
International
Main work title :
Abstract Book of the 87th EGPRN Meeting
Author, co-author :
Collins, Claire
ISBN/EAN :
978-90-829673-1-9
Pages :
33
Peer reviewed :
Peer reviewed
Available on ORBilu :
since 05 December 2019

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