[How Do Older People Perceive Deprescribing? A systematic integrative literature review].

Abstract

Introduction: Ageing of the general population is a major forthcoming challenge for all healthcare systems. Co-morbidities in geriatrics lead to the prescription of complex polymedications. Deprescribing is a decision-making process that limits the number of inappropriate drugs. Nevertheless, the patient's perspective remains insufficiently studied. An extensive literature search of several databases identified nine studies up to May 2024 that met the criteria for inclusion. Four main themes have been identified around patients' perception of deprescription: 1) the relationship with the general practitioner, 2) the clinical aspects, 3) the psychosocial dimension and 4) the practical aspects. Several factors facilitating deprescribing from the patient's perspective have been identified and can be exploited clinically.