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Origin ID
QD326
Preferred Label
deadoption
déadoptionCategory label
Deadoption and deprescriptionDéadoption et déprescriptionQ-Code supplementary keywords
deintensificationdeprescribingdeprescriptiondeprescriptions low-value caremedical reversaldéadoptiondéprescriptionQ-Code acronym
START STOPP Q-Code scope note
the discontinuation of a clinical practice after it was previously adopted (Niven & all 2015)abandon d'une pratique clinique qui avait été précédemment adoptée (Niven et all. 2015)Q-Code conceptual content
Deadoption ; the discontinuation of a clinical practice after it was previously adopted (Niven & all 2015)Deprescribing; is the process of tapering, withdrawing, discontinuing or stopping medications to reduce polypharmacy, adverse drug effects and inappropriate or ineffective medication use (babelnet)Deprescriptions ; Directions written to discontinue use of PRESCRIPTION DRUGS in order to reduce unnecessary and/or excessive medications (see POLYPHARMACY), DRUG SIDE EFFECTS and ADVERSE DRUG REACTION. (MeSH 2016)Medication Therapy Management (MTM) ; assistance in managing and monitoring drug therapy for patients receiving treatment for cancer or chronic conditions such as asthma and diabetes, consulting with patients and their families on the proper use of medication; conducting wellness and disease prevention programs to improve public health; overseeing medication use in a variety of settings.(MeSH)Potentially Inappropriate Medication List ; A list, criteria, or screening tool designed to improve PATIENT SAFETY by determining an individual's exposure to potentially inappropriate drugs. They are designed to prevent MEDICATION ERRORS by INAPPROPRIATE PRESCRIBING. Analysis for a list includes factors such as DOSE-RESPONSE RELATIONSHIP, DRUG; DRUG-RELATED SIDE EFFECTS AND ADVERSE REACTIONS; AGE FACTORS; GENDER; and existing medical conditions. (MeSH2016)Bibliographic link
Citation
Ai AL, Carretta H, Beitsch LM, Watson L, Munn J, Mehriary S. Medication therapy management programs: promises and pitfalls. Journal of managed care & specialty pharmacy. 2014; 20(12): 1162-82. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25443511
Buist DS, Chang E, Handley M, Pardee R, Gundersen G, Cheadle A, Reid RJ. Primary Care Clinicians' Perspectives on Reducing Low-Value Care in an Integrated Delivery System. The Permanente journal. 2016; 20(1): 41-6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26562308
Dalleur O, Boland B, De Groot A, Vaes B, Boeckxstaens P, Azermai M, Wouters D, Degryse JM, Spinewine A. Detection of potentially inappropriate prescribing in the very old: cross-sectional analysis of the data from the BELFRAIL observational cohort study. BMC geriatrics. 2015; 15: 156. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26630873
Farrell B, Shamji S, Monahan A, Merkley VF. Clinical vignettes to help you deprescribe medications in elderly patients: Introduction to the polypharmacy case series. Canadian family physician Médecin de famille canadien. 2013; 59(12): 1257-8, 1263-4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24336529
Farrell B, Tsang C, Raman-Wilms L, Irving H, Conklin J, Pottie K. What are priorities for deprescribing for elderly patients? Capturing the voice of practitioners: a modified delphi process. PloS one. 2015; 10(4): e0122246. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25849568
Jenkins HJ, Hancock MJ, French SD, Maher CG, Engel RM, Magnussen JS. Effectiveness of interventions designed to reduce the use of imaging for low-back pain: a systematic review. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne. 2015; 187(6): 401-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25733741
KERR, Eve A., KLAMERUS, Mandi L., MARKOVITZ, Adam A., et al. Identifying Recommendations for Stopping or Scaling Back Unnecessary Routine Services in Primary Care. JAMA Internal Medicine, 2020. https://pubmed.ncbi.nlm.nih.gov/32926088/
Maund, E., Stuart, B., Moore, M., Dowrick, C., Geraghty, A. W., Dawson, S., & Kendrick, T. (2019). Managing antidepressant discontinuation: a systematic review. The Annals of Family Medicine, 17(1), 52-60.
Niven DJ, Mrklas KJ, Holodinsky JK, Straus SE, Hemmelgarn BR, Jeffs LP, Stelfox HT. Towards understanding the de-adoption of low-value clinical practices: a scoping review. BMC medicine. 2015; 13: 255. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26444862
van der Cammen TJ, Rajkumar C, Onder G, Sterke CS, Petrovic M. Drug cessation in complex older adults: time for action. Age and ageing. 2014; 43(1): 20-5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24222659
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