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A case study of polypharmacy management in nine European countries: implications for change management and implementation. (2018)
Journal Article
MCINTOSH, J., ALONSO, A., MACLURE, K., STEWART, D., KEMPEN, T., MAIR, A., CASTEL-BRANCO, M., CODINA, C., FERNANDEZ-LLIMOS, F., FLEMING, G., GENNIMATA, D., GILLESPIE, U., HARRISON, C., ILLARIO, M., JUNIUS-WALKER, U., KAMPOLIS, C.F., KARDAS, P., LEWEK, P., MALVA, J., MENDITTO, E., SCULLIN, C., WIESE, B. 2018. A case study of polypharmacy management in nine European countries: implications for change management and implementation. PLoS ONE [online], 13(4), article number e0195232. Available from: https://doi.org/10.1371/journal.pone.0195232

Background: - Multimorbidity and its associated polypharmacy contribute to an increase in adverse drug events, hospitalizations, and healthcare spending. This study aimed to address: what exists regarding polypharmacy management in the European Union... Read More about A case study of polypharmacy management in nine European countries: implications for change management and implementation..

A modified Delphi study to determine the level of consensus across the European Union on the structures, processes and desired outcomes of the management of polypharmacy in older people. (2017)
Journal Article
STEWART, D., GIBSON-SMITH, K., MACLURE, K., MAIR, A., ALONSO, A., CODINA, C., CITTADINI, A., FERNANDEZ-LLIMOS, F., FLEMING, G., GENNIMATA, D., GILLESPIE, U., HARRISON, C., JUNIUS-WALKER, U., KARDAS, P., KEMPEN, T., KINNEAR, M., LEWEK, P., MALVA, J., MCINTOSH, J., SCULLIN, C. and WIESE, B. 2017. A modified Delphi study to determine the level of consensus across the European Union on the structures, processes and desired outcomes of the management of polypharmacy in older people. PLOS one [online], 12(11), e0188348. Available from: https://doi.org/10.1371/journal.pone.0188348

Background:- Inappropriate use of multiple medicines (inappropriate polypharmacy) is a major challenge in older people with consequences of increased prevalence and severity of adverse drug reactions and interactions, and reduced medicines adherence.... Read More about A modified Delphi study to determine the level of consensus across the European Union on the structures, processes and desired outcomes of the management of polypharmacy in older people..

Guidance to manage inappropriate polypharmacy in older people: systematic review and future developments. (2016)
Journal Article
STEWART, D., MAIR, A., WILSON, M., KARDAS, P., LEWEK, P., ALONSO, A., MCINTOSH, J., MACLURE, K. and SIMPATHY Consortium. 2017. Guidance to manage inappropriate polypharmacy in older people: systematic review and future developments. Expert opinion on drug safety [online], 16(2), pages 203-213. Available from: https://doi.org/10.1080/14740338.2017.1265503

Introduction: Single disease state led evidence-based guidelines do not provide sufficient coverage of issues of multimorbidities, with the cumulative impact of recommendations often resulting in overwhelming medicines burden. Inappropriate polypharm... Read More about Guidance to manage inappropriate polypharmacy in older people: systematic review and future developments..


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