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Deprescribing Inappropriate Proton Pump Inhibitors in a Family Medicine Residency Practice Office
Andrew Lai1, Amy Odom1, Steven E Roskos2
1Sparrow Hospital-Michigan State University Family Medicine Residency Program, Lansing, MI.
Primer (Leawood, Kan.)
|November 29, 2021
Summary
Evidence-based education effectively reduced inappropriate proton pump inhibitor (PPI) prescriptions in a family medicine residency. This intervention improved deprescribing rates, highlighting its value in optimizing medication use.
Area of Science:
- Internal Medicine
- Pharmacology
- Medical Education
Background:
- Proton pump inhibitors (PPIs) are frequently prescribed longer than indicated.
- Long-term PPI use is associated with adverse effects and polypharmacy.
Purpose of the Study:
- To assess the impact of evidence-based education on physician deprescribing of inappropriate PPIs.
- To determine if educational interventions reduce PPI prescriptions in a family medicine residency.
Main Methods:
- A chart review identified patients on inappropriate PPIs within a family medicine residency.
- Physicians received educational intervention and reminders on PPI deprescribing.
- Patient charts were reviewed post-intervention to evaluate deprescribing success.
Main Results:
- The study included 187 patients on inappropriate PPIs, with a 46.6% deprescribing success rate.
- Physicians significantly reduced inappropriate PPI prescriptions, from a mean of 17.0 to 9.1 per physician.
Conclusions:
- Physician education combined with reminders effectively decreases inappropriate PPI prescribing.
- This approach shows promise for optimizing medication use in residency practices.
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