Optimising prescribing in older adults with multimorbidity and polypharmacy in primary care (OPTICA): cluster randomised clinical trial.

ABSTRACT:

Objective

To study the effects of a primary care medication review intervention centred around an electronic clinical decision support system (eCDSS) on appropriateness of medication and the number of prescribing omissions in older adults with multimorbidity and polypharmacy compared with a discussion about medication in line with usual care.

Design

Cluster randomised clinical trial.

Setting

Swiss primary care, between December 2018 and February 2021.

Participants

Eligible patients were ≥65 years of age with three or more chronic conditions and five or more long term medications.

Intervention

The intervention to optimise pharmacotherapy centred around an eCDSS was conducted by general practitioners, followed by shared decision making between general prac

SUBMITTER: Jungo KT 

PROVIDER: S-EPMC10206530 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature