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[Periodical medication review: bigger and better?]
1Jeroen Bosch Ziekenhuis, afd. geriatrie, 's-Hertogenbosch en VUmc, afd. Huisartsgeneeskunde en Ouderengeneeskunde, Amsterdam.
Nederlands Tijdschrift Voor Geneeskunde
|September 8, 2017
Summary
Periodic medication reviews for older adults lack strong evidence for broad application. Focusing reviews on high-risk patients may be more cost-effective than widespread implementation.
Area of Science:
- Geriatrics
- Pharmacology
- Health Services Research
Background:
- The Netherlands' 2012 practice guideline suggested selecting older adults for periodic medication reviews.
- The guideline committee acknowledged a lack of firm evidence supporting patient selection criteria.
- Recent studies have not demonstrated significant patient-related benefits from medication reviews.
Purpose of the Study:
- To evaluate the effectiveness and cost-effectiveness of medication reviews in older populations.
- To determine optimal patient selection strategies for medication review interventions.
Main Methods:
- Review of existing literature and guideline recommendations on polypharmacy management in older adults.
- Analysis of recent studies assessing the impact of medication reviews on patient outcomes.
Main Results:
- Evidence supporting the selection of patients for medication review remains limited.
- Recent evaluations show minimal positive effects of medication reviews on patient-related outcomes.
- Regulatory bodies suggest expanding the target population for medication reviews.
Conclusions:
- Widespread implementation of medication reviews for all older people may not be cost-effective.
- A more selective approach, targeting patients most likely to benefit, is recommended.
- Further research is needed to identify specific patient subgroups that benefit most from medication reviews.
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