在晚期癌症的老年患者中停止处方,转移到息护理
Jorge Fernández-Fradejas1, Hilario Martínez-Barros2, Lourdes Rexach-Cano3
1Servicio de Farmacia, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain jffradejas@salud.madrid.org.
BMJ supportive & palliative care
|March 7, 2024
概括
在接受息治疗的晚期癌症老年人中发现了潜在不合适药物的高患病率 (PIMs). 全面的药物评估对于优化这种脆弱人群的药物治疗至关重要.
科学领域:
- 老年人药理学 老年人药理学
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
背景情况:
- 可能不合适的药物 (PIMs) 对老年人构成风险.
- 患有晚期癌症的老年人通常有复杂的药物治疗方案.
- 息护理设置需要谨慎的药物管理.
研究的目的:
- 为了确定患有晚期癌症的老年人中PIMs的患病率,请参考息治疗.
- 为了确定这个人群中通常使用的PIM类别.
- 探索与PIM使用相关的风险因素.
主要方法:
- 对123名晚期癌症患者进行了回顾性观察性研究.
- 从电子病历和区域数据库收集的数据.
- 使用老年人处方在脆弱的成年人 (STOPPFrail) 标准的查工具识别的PIM.
主要成果:
- 74%的患者至少有一次PIM.
- 常见的PIM类别包括降脂疗法,质子抑制剂,补充剂和口服抗糖尿病药物.
- 慢性药物治疗的数量增加与PIM的存在有关.
结论:
- 在接近生命末期的晚年癌症患者中观察到高PIM患病率.
- 强调需要对这种人口群体的息治疗中进行药物审查.
- 优化药物治疗对于改善患者的治疗结果至关重要.
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