Understanding Deprescribing Attitudes in Older Adults in Kuwait
Author Information
Author(s): Alshammari Hesah, Al-Saeed Eman, Ahmed Zamzam, Aslanpour Zoe
Primary Institution: Al-Sabah Hospital, Shuwaikh Medical Area, Ministry of Health, Kuwait City, Kuwait
Hypothesis
What are the attitudes of older patients attending geriatric clinics in Kuwait towards deprescribing medications?
Conclusion
Most older patients in Kuwait are willing to deprescribe medications if advised by their doctors, but factors like male sex, older age, and polypharmacy negatively influence this willingness.
Supporting Evidence
- 77% of participants were aged between 65 and 74 years.
- Participants showed a high willingness to deprescribe.
- 43.6% of participants were women.
- 205 patients had one to two medical conditions and were prescribed between one and five medications.
Takeaway
Older people in Kuwait mostly want to stop some of their medications if their doctor says it's okay, but some men and older patients are less likely to agree.
Methodology
Participants completed the revised Arabic version of the Patients’ Attitudes Towards Deprescribing (rPATD) questionnaire, and binary logistic regression was used to identify predictors of willingness to deprescribe.
Potential Biases
Potential bias due to the convenience sampling method and reliance on self-reported data.
Limitations
The study may have limited generalizability due to the convenient sampling method and lack of detailed reasoning behind participants' willingness or unwillingness to deprescribe.
Participant Demographics
Participants were mostly Kuwaiti, aged 65 and older, with a majority being women and having one to two medical conditions.
Statistical Information
P-Value
0.044
Confidence Interval
95% CI = 1.33–1.56
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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