The aim of this study is to test the feasibility of this algorithm as an intervention to carry out deprescribing a targeted medication group, proton pumpinhibitors (PPI*s) and statins, among nursing home residents.
ID
Source
Brief title
Condition
- Other condition
- Gastrointestinal disorders
- Age related factors
Synonym
Health condition
Polyfarmacie
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
1. Decrease in PPI and statin use for the short and long term.
Secondary outcome
1. All possible negative effects of deprescribing
2. The feasibility and acceptance of this deprescribing proces for patients,
family and doctors.
Background summary
Deprescribing, the process of safely reducing or discontinuing unnecessary or
harmful medication, has the potential to decrease polypharmacy and improve
health outcomes. In this study a structured implicit algorithm, focusing on
both extrinsic medication factors (eg change in disease) and intrinsic patient
factors (eg. pill burden) will be used.
Study objective
The aim of this study is to test the feasibility of this algorithm as an
intervention to carry out deprescribing a targeted medication group, proton pump
inhibitors (PPI*s) and statins, among nursing home residents.
Study design
A multicentre, unblinded, single group (pre-comparison and post-comparison)
feasibility study.
Intervention
For this study an implicit, evidence-supported and patient-centred algorithm
has been developed. The outcome of the algorithm is an advice to the doctor to
deprescribe or not deprescribe the statin and/or PPI.
Study burden and risks
We expect a minimal burden for our participants.
Expected benefits for the participants: decrease in pill burden, less
medication interactions and side effects.
Possible disadvantages for the participants: symptom recurrence.
Bradleystraat 23
Sittard 6135CV
NL
Bradleystraat 23
Sittard 6135CV
NL
Listed location countries
Age
Inclusion criteria
Participant uses a statin
Or/and participant uses a proton pump inhibitor
Participant signs informed consent
Exclusion criteria
Participant is there for short term nursing home admission (<3 months)
Participant is there for hospice admission.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL64093.096.18 |