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Care of the older person
Personalised, patient-inclusive clinical medication reviews can reduce drug-related problems in older patients
  1. Michelle Acorn
  1. NP/Nursing, University of Toronto Lawrence S Bloomberg Faculty of Nursing, Toronto, Ontario, Canada
  1. Correspondence to Dr Michelle Acorn, NP/Nursing, University of Toronto Lawrence S Bloomberg Faculty of Nursing, Toronto, ON M5T 1P8, Canada; drnpmichellegray{at}gmail.com

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Commentary on: Verdoorn S, Kwint HF, Blom JW, et al. Effects of a clinical medication review focused on personal goals, quality of life, and health problems in older persons with polypharmacy: a randomised controlled trial (DREAMeR-study). PLoS Med 2019;16:e1002798. doi: 10.1371/journal.pmed.1002798.

Implications for practice and research

  • Optimising personalised and tailored clinical medication reviews (CMRs) for older patients can reduce drug-related problems (DRPs) due to multimorbidity and polypharmacy.

  • An approach to the CMR guided by patient goals and preferences are beneficial to quality of life and well-being.

Context

A CMR is a structured, critical examination of a patient’s medications with the objective of reaching an agreement about treatment, optimising medicine impact, minimising medication-related issues and reducing waste. Limited evidence exists on the CMR intervention ability to improve patient outcomes. The DREAMeR study looks at polypharmacy in older persons who can benefit from a patient-centred CMR focusing on personal goals, …

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Footnotes

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

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