Deintensification of diabetes medications among veterans at the end of life in VA nursing homes

…, F Sileanu, SL Aspinall, SP Springer… - Journal of the …, 2020 - Wiley Online Library
OBJECTIVES Many older adults with limited life expectancy and/or advanced dementia (LLE/AD)
are potentially overtreated for diabetes and may benefit from deintensification. Our aim …

Does deprescribing improve quality of life? A systematic review of the literature

JA Pruskowski, S Springer, CT Thorpe… - Drugs & Aging, 2019 - Springer
Background Deprescribing has been shown to reduce potentially inappropriate or unnecessary
medications; however, whether these benefits translate into improved quality of life (QOL…

Central nervous system medication burden and risk of recurrent serious falls and hip fractures in veterans affairs nursing home residents

SL Aspinall, SP Springer, X Zhao… - Journal of the …, 2019 - Wiley Online Library
Objectives To examine the association between central nervous system (CNS) medication
dosage burden and risk of serious falls, including hip fractures, in individuals with a history of …

Discontinuation of statins in veterans admitted to nursing homes near the end of life

…, X Zhao, S Aspinall, M Ersek, S Springer… - Journal of the …, 2020 - Wiley Online Library
BACKGROUND/OBJECTIVES Geriatric guidelines recommend against statin use in older
adults with limited life expectancy (LLE) or advanced dementia (AD). This study examined …

Physician factors associated with polypharmacy and potentially inappropriate medication use

K Ie, M Felton, S Springer, SA Wilson… - The Journal of the …, 2017 - Am Board Family Med
Background: Despite accumulating evidence about the harm of polypharmacy in family
medicine, few studies have investigated factors related to polypharmacy. The objective of this …

Effect of deintensifying diabetes medications on negative events in older veteran nursing home residents

…, WF Gellad, M Ersek, RP Hickson, SP Springer… - Diabetes …, 2022 - Am Diabetes Assoc
OBJECTIVE Guidelines advocate against tight glycemic control in older nursing home (NH)
residents with advanced dementia (AD) or limited life expectancy (LLE). We evaluated the …

Antihypertensive deprescribing in older adult veterans at end of life admitted to veteran affairs nursing homes

…, FE Sileanu, SL Aspinall, JD Niznik, SP Springer… - Journal of the American …, 2021 - Elsevier
Objectives Geriatric palliative care approaches support deprescribing of antihypertensives in
older nursing home (NH) residents with limited life expectancy and/or advanced dementia (…

Adaptation and initial validation of Minimum Data Set (MDS) mortality risk index to MDS version 3.0

…, JT Hanlon, LJ Schleiden, S Springer… - Journal of the …, 2018 - Wiley Online Library
Objectives To evaluate the predictive validity of an adapted version of the Minimum Data
Set (MDS) Mortality Risk Index—Revised (MMRI‐R) based on MDS version 3.0 assessment …

[HTML][HTML] “I Think Deprescribing as a Whole Is a Gap!”: A Qualitative Study of Student Pharmacist Perceptions about Deprescribing

SP Springer, A Cernasev, RE Barenie, DR Axon… - Geriatrics, 2022 - mdpi.com
Introduction: Older adults often manage multiple medications simultaneously, contributing to
significant pill burden. Pill burden is a major concern for both patients and providers alike, …

[HTML][HTML] Teaching deprescribing and combating polypharmacy in the pharmacy curriculum: Educational recommendations from thematic analysis of focus groups

D Scott, A Cernasev, RE Barenie, SP Springer… - Clinics and …, 2023 - mdpi.com
In the last two decades in the United States (US), the previous research has focused on
medication optimization, including polypharmacy. Polypharmacy is associated with several …