2019
Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy
Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy. Journal Of The American Geriatrics Society 2019, 67: 1123-1127. PMID: 30697698, PMCID: PMC6561813, DOI: 10.1111/jgs.15798.Peer-Reviewed Original ResearchConceptsNumber of medicationsAppropriate polypharmacyOlder adultsMedication benefitsComplex medication regimensMultiple chronic conditionsVulnerable older adultsMedication appropriatenessUnderestimate harmsInappropriate medicationsMore medicationsAdverse eventsMore observational studiesMedication regimensComplex regimenAdverse outcomesAppropriate medicationChronic conditionsMedications resultsObservational studyPolypharmacyMedicationsHealth outcomesCorrect medicationLikelihood of harm
2010
Primary Care Clinicians' Experiences With Treatment Decision Making for Older Persons With Multiple Conditions
Fried TR, Tinetti ME, Iannone L. Primary Care Clinicians' Experiences With Treatment Decision Making for Older Persons With Multiple Conditions. JAMA Internal Medicine 2010, 171: 75-80. PMID: 20837819, PMCID: PMC3021478, DOI: 10.1001/archinternmed.2010.318.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedChronic DiseaseComorbidityConnecticutDecision MakingFemaleFocus GroupsGoalsHospitals, UniversityHumansMaleMedication AdherenceMiddle AgedNarrationNurse PractitionersPatient CompliancePhysician AssistantsPhysicians, Primary CarePractice Patterns, Physicians'Primary Health CareQualitative ResearchResidence CharacteristicsUnited StatesWorkforceConceptsGuideline-directed carePrimary care cliniciansTreatment decisionsOlder patientsCare cliniciansOlder personsDisease-specific guidelinesMultiple medical conditionsPrimary care practicesBetter treatment decisionsComplex regimensPatient goalsPatient prioritiesPatient's abilityClinician experienceMedical conditionsOutcome dataPatientsCare practicesVeterans AffairsMultiple conditionsCliniciansDesign of interventionsRole of specialistsMultiple diseases