Evidence supporting the best clinical management of patients with multimorbidity and polypharmacy: a systematic guideline review and expert consensus
Muth C, Blom JW, Smith SM, Johnell K, Gonzalez‐Gonzalez A, Nguyen TS, Brueckle M, Cesari M, Tinetti M, Valderas JM. Evidence supporting the best clinical management of patients with multimorbidity and polypharmacy: a systematic guideline review and expert consensus. Journal Of Internal Medicine 2018, 285: 272-288. PMID: 30357955, DOI: 10.1111/joim.12842.Peer-Reviewed Original ResearchConceptsGuideline reviewReview of medicationsCoordination of careHeterogeneity of patientsBetter clinical managementSelf-management issuesRisk prediction modelAriadne principlesMedication appropriatenessInformational continuityTreatment optionsMedical historyPatient preferencesClinical managementPsychosocial assessmentTreatment benefitCare planningCare plansMultimorbidityFeasible interventionExpert consensusHealthcare providersPatientsClinical decisionPolypharmacyFeasibility of Implementing Patient Priorities Care for Older Adults with Multiple Chronic Conditions
Blaum CS, Rosen J, Naik AD, Smith CD, Dindo L, Vo L, Hernandez‐Bigos K, Esterson J, Geda M, Ferris R, Costello D, Acampora D, Meehan T, Tinetti ME. Feasibility of Implementing Patient Priorities Care for Older Adults with Multiple Chronic Conditions. Journal Of The American Geriatrics Society 2018, 66: 2009-2016. PMID: 30281777, PMCID: PMC7015118, DOI: 10.1111/jgs.15465.Peer-Reviewed Original ResearchConceptsPatient Priorities CarePrimary care providersMultiple chronic conditionsOlder adultsChronic conditionsElectronic health record supportStudy-Act cyclesImplementation feasibility studyClinical championsHealth outcome goalsPrimary careClinicians' perceptionsTreatment decisionsPatient prioritiesClinic workflowClinician concernsCardiology practiceCare providersPDSA cyclesEHR documentationClinical settingHealthcare preferencesPriority discussionInterprofessional communicationClinicians