{"id":5427,"date":"2020-05-27T17:37:50","date_gmt":"2020-05-27T15:37:50","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/?post_type=raccomandazione-prof&#038;p=5427"},"modified":"2020-05-27T17:37:50","modified_gmt":"2020-05-27T15:37:50","slug":"dont-prescribe-a-medication-without-conducting-a-drug-regimen-review-medication-reconciliation","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/dont-prescribe-a-medication-without-conducting-a-drug-regimen-review-medication-reconciliation\/","title":{"rendered":"Don\u2019t prescribe a medication without conducting a drug regimen review (medication reconciliation)"},"content":{"rendered":"<p>The prevalence of polypharmacy in old age (commonly defined as the use of 5 or more drugs) is on the rise in high income countries. In Italy, the proportion of people 65 years of age and older prescribed five or more medications rose from 43% to 53% between 2000 and 2010. Risk of iatrogenic harm increases with the number of medications and approximately 10% of hospital admissions in the elderly are due to adverse drug reactions. Polypharmacy has been linked to a broad range of negative health outcomes, including lack of therapeutic adherence, increased risk of cognitive and functional impairment, worsening of falls. The Medication Reconciliation Process in elderly people, especially when a new drug is going to be started, is an essential tool for underprescribing and overprescribing evaluation, including potential drug interactions. A drug regimen review should deserve special attention in people with a limited remaining life expectancy.<\/p>\n","protected":false},"featured_media":4579,"template":"","meta":{"_wpml_word_count":["{\"total\":173,\"to_translate\":{\"it\":173}}"],"_wpv_contains_gutenberg_views":[""],"_layouts_template":["modello-per-raccomandazioni-professionista"],"_wp_page_template":["default"],"_edit_lock":["1590593887:2"],"_edit_last":["2"],"_wpml_media_featured":["1"],"_wpml_media_duplicate":["1"],"_wpml_location_migration_done":["1"],"_thumbnail_id":["4579"],"wpcf-pacchetto":["AMGE #1"],"wpcf-bibliografia":["1.\tAmerican Geriatrics Society Beers Criteria Update Expert Panel. American Geriatrics Society 2015 updated beers criteria for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2015;63(11):2227\u20132246.\r\n2.\tO\u2019Mahony D, O\u2019Sullivan D, Byrne S, et al. STOPP\/START criteria for potentially inappropriate prescribing in older people: version 2. Age Ageing. 2015;44(2):213\u2013218.\r\n3.\tJonas W. Wastesson, Lucas Morin, Edwin C.K. Tan & Kristina Johnell (2018): An update on the clinical consequences of polypharmacy in older adults: a narrative review, Expert Opinion on Drug Safety, DOI: 10.1080\/14740338.2018.1546841\r\n4.\tAmerican Geriatrics Society. Ten Things Physicians and Patients Should Question. www.americangeriatrics.org."],"wpcf-posizione-prof":["1"],"wpcf-collegare":["N"],"wpcf-link-intercheck-prof":["N"],"wpcf-pdfpdf-prosfessionista":["https:\/\/choosingwiselyitaly.org\/wp-content\/uploads\/2020\/05\/Scheda-AMGE-english.pdf"],"wpcf-area-ordinamento":["Geriatrics"],"_et_dynamic_cached_shortcodes":["a:4:{i:0;s:13:\"et_pb_section\";i:1;s:9:\"et_pb_row\";i:2;s:12:\"et_pb_column\";i:50;s:10:\"et_pb_text\";}"],"_et_dynamic_cached_attributes":["a:0:{}"],"et_enqueued_post_fonts":["a:3:{s:6:\"family\";a:1:{s:15:\"et-gf-work-sans\";s:136:\"Work+Sans:100,200,300,regular,500,600,700,800,900,100italic,200italic,300italic,italic,500italic,600italic,700italic,800italic,900italic\";}s:6:\"subset\";a:2:{i:0;s:5:\"latin\";i:1;s:9:\"latin-ext\";}s:9:\"cache_key\";s:75:\"{\"gph\":-1,\"divi\":\"4.27.6\",\"wp\":\"6.9.4\",\"enable_all_character_sets\":\"false\"}\";}"],"_et_builder_module_features_cache":["a:2:{i:0;s:84:\"{\"gph\":-1,\"divi\":\"4.27.6\",\"wp\":\"6.9.4\",\"tb\":{\"6368\":\"2023-03-16 11:14:40\"},\"wpe\":[]}\";i:1;a:4:{s:46:\"et_pb_section_91fa936ebb617131b2b56a2ba502d8b0\";a:5:{s:4:\"cuma\";b:1;s:4:\"mawi\";b:1;s:4:\"bosh\";b:1;s:5:\"mapac\";b:1;s:4:\"anim\";b:1;}s:42:\"et_pb_row_059cd63bb2a463cb90b14e6c9dcc0566\";a:3:{s:4:\"mawi\";b:1;s:4:\"bosh\";b:1;s:4:\"anim\";b:1;}s:45:\"et_pb_column_538b686ce80a620826cc9f316c3ac5c4\";a:3:{s:4:\"bosh\";b:1;s:3:\"pos\";b:1;s:4:\"anim\";b:1;}s:43:\"et_pb_text_0b5d770c54ecf96cc731c8b442804e81\";a:7:{s:4:\"glde\";a:10:{s:14:\"text_font_size\";s:2:\"14\";s:19:\"text_letter_spacing\";s:3:\"0px\";s:16:\"text_line_height\";s:5:\"1.7em\";s:16:\"header_font_size\";s:4:\"30px\";s:21:\"header_letter_spacing\";s:3:\"0px\";s:18:\"header_line_height\";s:3:\"1em\";s:15:\"background_size\";s:5:\"cover\";s:19:\"background_position\";s:6:\"center\";s:17:\"background_repeat\";s:9:\"no-repeat\";s:16:\"background_blend\";s:6:\"normal\";}s:4:\"foop\";b:1;s:4:\"tesh\";b:1;s:4:\"mawi\";b:1;s:4:\"bosh\";b:1;s:3:\"pos\";b:1;s:4:\"anim\";b:1;}}}"]},"eta":[{"term_id":97,"name":"Geriatric","slug":"geriatric","term_group":0,"term_taxonomy_id":97,"taxonomy":"eta","description":"","parent":0,"count":247,"filter":"raw"}],"disciplina":[7224],"tipologia":"Drugs","class_list":["post-5427","raccomandazione-prof","type-raccomandazione-prof","status-publish","has-post-thumbnail","hentry","eta-geriatric","disciplina-geriatrics","tipologia-drugs"],"_links":{"self":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof\/5427","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof"}],"about":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/types\/raccomandazione-prof"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media\/4579"}],"wp:attachment":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media?parent=5427"}],"wp:term":[{"taxonomy":"eta","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/eta?post=5427"},{"taxonomy":"disciplina","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/disciplina?post=5427"},{"taxonomy":"tipologia","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/tipologia?post=5427"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}