Deprescribing practices, habits and attitudes of geriatricians and geriatricians-in-training across Europe: a large web-based survey

• DOI: 10.1007/s41999-022-00702-9
• Publication Date: 2022-11-02T04:18:41Z
• Authors: Eveline P. van Po...; Lotta J. Seppala; Jihoo M. Lee; Gülistan Bahat; Birkan Ilhan; Amanda H. Lavan; Alpana Mair; Rob J. van Marum; Graziano Onder; Jesper Ryg; Marília Andreia F...; Doron Garfinkel; Aðalsteinn Guðmun...; Sirpa Hartikainen; Marina Kotsani; Beatriz Montero-E...; Agnieszka Neumann...; Farhad Pazan; Mirko Petrovic; George Soulis; Hana Vankova; Martin Wehling; Katarzyna Wieczor...; Nathalie van der ...
• Keywords: Deprescribing; Beers Criteria

To provide an overview of the current deprescribing attitudes, practices, and approaches geriatricians geriatricians-in-training across Europe.An online survey was disseminated among European geriatricians-in-training. The comprised Likert scale multiple-choice questions on education knowledge, facilitators/barriers deprescribing. Responses to participant characteristics were quantified differences evaluated between regions.The 964 respondents (median age 42 years old; 64% female; 21% geriatricians-in-training) generally willing deprescribe (98%) felt confident about (85%). Despite regions, most commonly reported reasons for functional impairment occurrence adverse drug reactions. important barriers patients' unwillingness, fear negative consequences, lack time, poor communication multiple prescribers. Perceived risk reactions highest psychotropic drugs, nonsteroidal anti-inflammatory cardiovascular opioid analgesics. Only one in four (23% 37% think medical school had sufficiently prepared them clinical practice. They that their future activities would probably increase with improved information sharing various prescribers, recommendations guidelines, increased training. Approximately 90% a paradigm shift is required prescribers patients, increasing focus possible benefits (potentially) inappropriate medications.Based outcomes this survey, we recommend investing inter-professional communication, better evidence-based improve patient-centered practices.