TY - JOUR
T1 - Patient and provider perspectives on deprescribing proton pump inhibitors
AU - Ikeji, Chisom
AU - Williams, Anne
AU - Hennawi, George
AU - Brandt, Nicole J.
N1 - Publisher Copyright:
Copyright © SLACK Incorporated
PY - 2019/9
Y1 - 2019/9
N2 - The aim of the current study is to describe proton pump inhibitor (PPI) prescribing trends in an older adult population and elucidate perspectives regarding PPI deprescribing. A retrospective chart review and a prospective cross-sectional analysis of provider and patient surveys were conducted. The retrospective chart review identified 107 patients age ≥65 who were prescribed PPI therapy. Nineteen patients on PPI therapy and 74 providers completed surveys regarding their perspectives on PPI deprescribing. PPI therapy was potentially inappropriate for 66% of patients based on dose, duration, and/or indication. Provider barriers to deprescribing included fear of outcomes, access to documentation, and uncertainty of current guidelines. This study illustrates the prevalence of long-term PPI use in geriatric patients without associated clinical indications, as well as perceived barriers to deprescribing. Long-term PPI use is associated with significant side effects; therefore, successful deprescribing must address these perceived barriers.
AB - The aim of the current study is to describe proton pump inhibitor (PPI) prescribing trends in an older adult population and elucidate perspectives regarding PPI deprescribing. A retrospective chart review and a prospective cross-sectional analysis of provider and patient surveys were conducted. The retrospective chart review identified 107 patients age ≥65 who were prescribed PPI therapy. Nineteen patients on PPI therapy and 74 providers completed surveys regarding their perspectives on PPI deprescribing. PPI therapy was potentially inappropriate for 66% of patients based on dose, duration, and/or indication. Provider barriers to deprescribing included fear of outcomes, access to documentation, and uncertainty of current guidelines. This study illustrates the prevalence of long-term PPI use in geriatric patients without associated clinical indications, as well as perceived barriers to deprescribing. Long-term PPI use is associated with significant side effects; therefore, successful deprescribing must address these perceived barriers.
UR - http://www.scopus.com/inward/record.url?scp=85072707824&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85072707824&partnerID=8YFLogxK
U2 - 10.3928/00989134-20190912-03
DO - 10.3928/00989134-20190912-03
M3 - Article
C2 - 31560071
AN - SCOPUS:85072707824
SN - 0098-9134
VL - 45
SP - 9
EP - 17
JO - Journal of gerontological nursing
JF - Journal of gerontological nursing
IS - 10
ER -