预期寿命有限的老年人 (De-TOPPLE) 处方工具版本1:使用修改后的Delphi技术进行开发和验证
Shakti Shrestha1, Arjun Poudel2, Kathryn J Steadman1
1School of Pharmacy, The University of Queensland, Brisbane, Queensland, Australia.
Basic & clinical pharmacology & toxicology
|June 2, 2023
概括
临床医生现在可以使用预期寿命有限的老年人处方工具 (De-TOPPLE) 来指导老年患者戒药. 这种经过验证的工具有助于为处方预防和症状控制药物的决策.
科学领域:
- 老年医学 老年医学
- 药物治疗 药物治疗
- 临床决策 - 临床决策
背景情况:
- 降低预期寿命的老年人处方药物存在重大临床挑战.
- 需要有效的工具来支持临床医生做出明智的抑郁症决定.
研究的目的:
- 开发和验证为寿命有限的老年人 (De-TOPPLE) 制定和验证处方工具.
- 建立专家的共识,以一个结构化的方法,在这个弱势群体的抑郁症.
主要方法:
- 一种经过修改的Delphi技术,涉及老年和药物治疗专家,在两轮中使用.
- 在该工具的风险效益分析方法,药物分类和处方停止步骤方面寻求共识.
主要成果:
- 第1轮在该工具的框架上达成共识,包括风险效益评估和阶段性解写过程.
- 第二轮验证了该工具的可用性,重点是获得效益的时间,缓解症状,以及停止或继续服用药物的共享决策.
结论:
- De-TOPPLE版本1是通过使用Delphi方法的专家共识开发和验证的.
- 在将上下文陈述纳入工具后,需要在临床实践中进行进一步的验证.
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