Polypharmacy is a serious problem for many seniors. Here on AsOurParentsAge I’ve written multiple posts (links to a few at the bottom of this page) about the medications that our aging parents take for various chronic conditions. I’ve wondered, after considerable experience with my husband’s and my parents, why they have so many, and more importantly, why their physicians do not coordinate the medications. It seems like it would be prudent for primary care physicians to review a patient’s medications, perhaps once a year, comparing and contrasting the drugs with patient experiences and outcomes.
My musings led me to a terrific blog posting by Joanne Kenen, “Pill Popping–Or Pill Stopping? Polypharmacy’s Impact on Older Patients.” Kenen, a health policy writer, posted her December 11, 2010, piece on the Altarum Institute blog — Altarum focuses on improving health care delivery. She writes about a study, Feasibility Study of a Systematic Approach for Discontinuation of Multiple Medications (abstract), published in the October 11, 2010 Archives of Internal Medicine. The journal article is not free, but Kenen’s blog post provides a comprehensive, almost perfect and easy-to-understand summary of the research, and she has even communicated with the researcher. If you have aging parents who are on multiple medications, I strongly recommend that you read these two articles, though you may need to read the journal article at a hospital library.
The study, undertaken by Doran Garfinkel, MD, set out to discover what might happen if seniors’ medications were re-evaluated and where possible, discontinued. Continue reading