Prescriber Perspectives and Experiences with Deprescribing Versus Continuing Bisphosphonates in Older Nursing Home Residents with Dementia.

ABSTRACT:

Background

Few guidelines address fracture prevention medication use in nursing home (NH) residents with dementia.

Objective

We sought to identify factors that influence prescriber decision-making for deprescribing of bisphosphonates for older NH residents with dementia.

Methods

We conducted 12 semi-structured interviews with prescribers who care for older adults with dementia in NHs.

Main measures

Interview prompts addressed experiences treating fractures, benefits, and harms of bisphosphonates, and experiences with deprescribing. Coding was guided by the social-ecological framework including patient-level (intrapersonal) and external (interpersonal, system, community, and policy) influences.

Results

Most prescribers were physicians (83%); 75% were fema

SUBMITTER: Niznik J 

PROVIDER: S-EPMC10682438 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature