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Patients' Attitudes Towards Deprescribing Alpha-Blockers and Their Willingness to Participate in a Discontinuation Trial.
Edelman, Malou; Jellema, Petra; Hak, Eelko; Denig, Petra; Blanker, Marco H.
Afiliação
  • Edelman M; Department of General Practice and Elderly Medicine, University Medical Centre Groningen, University of Groningen, Huispostcode FA21, P.O. Box 196, 9700 AD, Groningen, The Netherlands.
  • Jellema P; Department of General Practice and Elderly Medicine, University Medical Centre Groningen, University of Groningen, Huispostcode FA21, P.O. Box 196, 9700 AD, Groningen, The Netherlands.
  • Hak E; Unit of Pharmaco-Therapy Epidemiology and Economics, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, The Netherlands.
  • Denig P; Clinical Pharmacy and Pharmacology, University of Groningen, Groningen, The Netherlands.
  • Blanker MH; Department of General Practice and Elderly Medicine, University Medical Centre Groningen, University of Groningen, Huispostcode FA21, P.O. Box 196, 9700 AD, Groningen, The Netherlands. m.h.blanker@umcg.nl.
Drugs Aging ; 36(12): 1133-1139, 2019 12.
Article em En | MEDLINE | ID: mdl-31515710
ABSTRACT

OBJECTIVE:

The objective of this study was to gain insights into the attitudes of men with lower urinary tract symptoms towards deprescribing alpha-blockers and to assess their willingness to participate in a planned discontinuation trial.

METHODS:

This was a cross-sectional questionnaire study. Men aged 30 years and older with lower urinary tract symptoms, who were first prescribed an alpha-blocker in 2015 or 2016, were selected from a population-based prescription database. We recorded lower urinary tract symptom severity (e.g., International Prostate Symptom Score and Overactive Bladder questionnaire) and patient characteristics (e.g., comorbidity and polypharmacy). The linguistically validated Dutch version of the revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire was also used, to which we added ten specific questions on attitudes towards the deprescribing of alpha-blockers. Information about a future discontinuation trial on alpha-blockers was then provided and participants were asked to indicate if they would participate. We explored the explanatory factors for the willingness to participate by logistic regression analyses.

RESULTS:

Of the 1380 patients in the database, 421 were using an alpha-blocker, and 195 completed the questionnaire. Of these, 16 men were excluded because of indwelling catheter use or unknown indication. The mean age of the 179 participants was 69.4 (standard deviation 9.2) years. Most men were satisfied with their current therapy, but almost all (93%) were willing to stop the medicine at the request of a doctor. Therefore, most men (61%) were willing to participate in the proposed alpha-blocker discontinuation trial. Willingness to stop therapy was affected by patients' perceptions of the appropriateness of alpha-blocker therapy and concerns about stopping that therapy.

CONCLUSIONS:

Although men who use alpha-blockers are generally satisfied with their current therapy, most will participate in a discontinuation trial.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Aceitação pelo Paciente de Cuidados de Saúde / Sintomas do Trato Urinário Inferior / Desprescrições Tipo de estudo: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Aged / Humans / Male / Middle aged Idioma: En Revista: Drugs Aging Assunto da revista: GERIATRIA / TERAPIA POR MEDICAMENTOS Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Holanda

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Aceitação pelo Paciente de Cuidados de Saúde / Sintomas do Trato Urinário Inferior / Desprescrições Tipo de estudo: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Aged / Humans / Male / Middle aged Idioma: En Revista: Drugs Aging Assunto da revista: GERIATRIA / TERAPIA POR MEDICAMENTOS Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Holanda