Barriers and Facilitators to Deprescribing Before Surgery: A Qualitative Study of Providers and Older Adults

Overview

Journal Geriatr Nurs

Specialty Nursing

Date 2023 Aug 4

PMID 37540907

Authors

Ji Won Lee

Suin Jeong

Hae-Ra Han

Cynthia M Boyd

Nancy Perrin

Sandra Faye Simmons

Ariel R Green

Janiece L Taylor

Henry R Boucher

Sarah L Szanton

Affiliations

Soon will be listed here.

Abstract

Introduction: Deprescribing, the collaborative process between providers and patients to streamline medication regimen, may reduce the risk of adverse events following surgery among older adults with multimorbidity. However, barriers and facilitators to deprescribing for surgery has not been explored.

Methods: We conducted a qualitative study of Primary Care Providers (PCP) and patients aged 65 and older who were scheduled for surgery. We used the Theoretical Domains Framework, which informed the interview guide and analysis.

Results: A total of 16 participants (n=8 providers, n=8 patients) were included. Themes were regarding: 1) attitudes towards deprescribing before surgery, 2) perceived benefits of deprescribing before surgery, 3) patient-provider relationship and shared decision-making, 4) hope for surgery, 5) barriers to deprescribing before surgery, and 6) preferences for deprescribing follow-up.

Conclusion: Our study findings regarding provider- and patient-related barriers and facilitators for deprescribing and desired processes before surgery may inform future deprescribing intervention targets before surgery.

Citing Articles

Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review.

Tsang J, Sperrin M, Blakeman T, Payne R, Ashcroft D BMJ Open. 2024; 14(5):e081698.

PMID: 38803265 PMC: 11129052. DOI: 10.1136/bmjopen-2023-081698.

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