Polypharmacy: Misleading, but manageable

Reamer L Bushardt1, Emily B Massey1, Temple W Simpson1, Jane C Ariail2, Kit N Simpson31Department of Clinical Services, 2Center for Academic Excellence, Medical University of South Carolina, Charleston, South Carolina, USA; 3Department of Health Administration and Policy, Medical University of South...

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Autores principales:	Reamer L Bushardt, Emily B Massey, Temple W Simpson, Jane C Ariail, Kit N Simpson
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/52cf33adde624fa8bd197f344f8dbdd2
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spelling	oai:doaj.org-article:52cf33adde624fa8bd197f344f8dbdd22021-12-02T01:27:10ZPolypharmacy: Misleading, but manageable1178-1998https://doaj.org/article/52cf33adde624fa8bd197f344f8dbdd22008-06-01T00:00:00Zhttps://www.dovepress.com/polypharmacy-misleading-but-manageable-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Reamer L Bushardt1, Emily B Massey1, Temple W Simpson1, Jane C Ariail2, Kit N Simpson31Department of Clinical Services, 2Center for Academic Excellence, Medical University of South Carolina, Charleston, South Carolina, USA; 3Department of Health Administration and Policy, Medical University of South Carolina, Charleston, South Carolina, USAAbstract: The percentage of the population described as elderly is growing, and a higher prevalence of multiple, chronic disease states must be managed concurrently. Healthcare practitioners must appropriately use medication for multiple diseases and avoid risks often associated with multiple medication use such as adverse effects, drug/drug interactions, drug/disease interactions, and inappropriate dosing. The purpose of this study is to identify a consensus definition for polypharmacy and evaluate its prevalence among elderly outpatients. The authors also sought to identify or develop a clinical tool which would assist healthcare practitioners guard against inappropriate drug therapy in elderly patients. The most commonly cited definition was a medication not matching a diagnosis. Inappropriate was part of definitions used frequently. Some definitions placed a numeric value on concurrent medications. Two common definitions (ie, 6 or more medications or a potentially inappropriate medication) were used to evaluate polypharmacy in elderly South Carolinians (n = 1027). Data analysis demonstrates that a significant percentage of this population is prescribed six or more concomitant drugs and/or uses a potentially inappropriate medication. The findings are 29.4% are prescribed 6 or more concurrent drugs, 15.7% are prescribed one or more potentially inappropriate drugs, and 9.3% meet both definitions of polypharmacy used in this study. The authors recommend use of less ambiguous terminology such as hyperpharmacotherapy or multiple medication use. A structured approach to identify and manage inappropriate polypharmacy is suggested and a clinical tool is provided.Keywords: hyperpharmacotherapy, polypharmacy, geriatrics, inappropriate medication, inappropriate pharmacy, multiple medication useReamer L BushardtEmily B MasseyTemple W SimpsonJane C AriailKit N SimpsonDove Medical PressarticleGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 3, Pp 383-389 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Geriatrics RC952-954.6
spellingShingle	Geriatrics RC952-954.6 Reamer L Bushardt Emily B Massey Temple W Simpson Jane C Ariail Kit N Simpson Polypharmacy: Misleading, but manageable
description	Reamer L Bushardt1, Emily B Massey1, Temple W Simpson1, Jane C Ariail2, Kit N Simpson31Department of Clinical Services, 2Center for Academic Excellence, Medical University of South Carolina, Charleston, South Carolina, USA; 3Department of Health Administration and Policy, Medical University of South Carolina, Charleston, South Carolina, USAAbstract: The percentage of the population described as elderly is growing, and a higher prevalence of multiple, chronic disease states must be managed concurrently. Healthcare practitioners must appropriately use medication for multiple diseases and avoid risks often associated with multiple medication use such as adverse effects, drug/drug interactions, drug/disease interactions, and inappropriate dosing. The purpose of this study is to identify a consensus definition for polypharmacy and evaluate its prevalence among elderly outpatients. The authors also sought to identify or develop a clinical tool which would assist healthcare practitioners guard against inappropriate drug therapy in elderly patients. The most commonly cited definition was a medication not matching a diagnosis. Inappropriate was part of definitions used frequently. Some definitions placed a numeric value on concurrent medications. Two common definitions (ie, 6 or more medications or a potentially inappropriate medication) were used to evaluate polypharmacy in elderly South Carolinians (n = 1027). Data analysis demonstrates that a significant percentage of this population is prescribed six or more concomitant drugs and/or uses a potentially inappropriate medication. The findings are 29.4% are prescribed 6 or more concurrent drugs, 15.7% are prescribed one or more potentially inappropriate drugs, and 9.3% meet both definitions of polypharmacy used in this study. The authors recommend use of less ambiguous terminology such as hyperpharmacotherapy or multiple medication use. A structured approach to identify and manage inappropriate polypharmacy is suggested and a clinical tool is provided.Keywords: hyperpharmacotherapy, polypharmacy, geriatrics, inappropriate medication, inappropriate pharmacy, multiple medication use
format	article
author	Reamer L Bushardt Emily B Massey Temple W Simpson Jane C Ariail Kit N Simpson
author_facet	Reamer L Bushardt Emily B Massey Temple W Simpson Jane C Ariail Kit N Simpson
author_sort	Reamer L Bushardt
title	Polypharmacy: Misleading, but manageable
title_short	Polypharmacy: Misleading, but manageable
title_full	Polypharmacy: Misleading, but manageable
title_fullStr	Polypharmacy: Misleading, but manageable
title_full_unstemmed	Polypharmacy: Misleading, but manageable
title_sort	polypharmacy: misleading, but manageable
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/52cf33adde624fa8bd197f344f8dbdd2
work_keys_str_mv	AT reamerlbushardt polypharmacymisleadingbutmanageable AT emilybmassey polypharmacymisleadingbutmanageable AT templewsimpson polypharmacymisleadingbutmanageable AT janecariail polypharmacymisleadingbutmanageable AT kitnsimpson polypharmacymisleadingbutmanageable
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Polypharmacy: Misleading, but manageable

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