Canadian family physician Medecin de famille canadien · 2026
Screening for potentially inappropriate prescribing in primary care: Canadian guideline.
СтатьяКлинические рекомендацииНазвание и аннотация: Перевод пока не подготовлен
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McDonald Emily G, Gagnon Marie-Eve, Jorgenson Derek J, Kraut Roni Y, Lee Justin, Leung Larry, Mangin Dee, Marcoux Georges, McCracken Rita K, Raman-Wilms Lalitha, Sirois Caroline, Trimble Johanna, Young Jennifer, Rizvi Amal, Workentin Aine, Persaud Nav
Аннотация
OBJECTIVE: To develop a guideline addressing potentially inappropriate prescribing (PIP) screening in primary care, in accordance with the priority established in Bill C-64 by the Canadian government as part of a strategy for appropriate medication use.
METHODS: The guideline was informed by 2 systematic reviews related to PIP in older adults.
RECOMMENDATIONS: The guideline recommends that adults aged 65 years or older receive prescription checkups or a related intervention to optimize medication appropriateness. Effective interventions include medication reviews paired with suggestions by a prescriber or pharmacist using a structured approach or set of rules (strong recommendation, moderate-certainty evidence). Second, it is recommended that governments fund prescription checkups or related interventions to optimize medication appropriateness (strong recommendation, moderate-certainty evidence).
CONCLUSION: This guideline complements other guidance on how to deprescribe certain medication classes, such as proton pump inhibitors and sedative hypnotics. Interventions should be implemented and funded as part of a pan-Canadian strategy on appropriate medication use, and taken up by provincial, territorial, and federal governments as part of larger strategies to avoid medication-related harms. The effects of interventions should be carefully tracked.
METHODS: The guideline was informed by 2 systematic reviews related to PIP in older adults.
RECOMMENDATIONS: The guideline recommends that adults aged 65 years or older receive prescription checkups or a related intervention to optimize medication appropriateness. Effective interventions include medication reviews paired with suggestions by a prescriber or pharmacist using a structured approach or set of rules (strong recommendation, moderate-certainty evidence). Second, it is recommended that governments fund prescription checkups or related interventions to optimize medication appropriateness (strong recommendation, moderate-certainty evidence).
CONCLUSION: This guideline complements other guidance on how to deprescribe certain medication classes, such as proton pump inhibitors and sedative hypnotics. Interventions should be implemented and funded as part of a pan-Canadian strategy on appropriate medication use, and taken up by provincial, territorial, and federal governments as part of larger strategies to avoid medication-related harms. The effects of interventions should be carefully tracked.