Defining key deprescribing measures from electronic health data: A multisite data harmonization project
Requiring a gap of ≥90 days or a "halo" around a time point may more accurately capture discontinuation than using a shorter gap or no halo. Orders data underestimate discontinuation compared to dispensings. Work is needed to adapt these definitions for other drug classes and settings.
Authors
- Amy G. Clark (ORCID: https://orcid.org/0000-0001-9947-4334)
- Sean Hennessy (ORCID: https://orcid.org/0000-0003-4726-9413)
- Sascha Dublin (ORCID: https://orcid.org/0000-0002-6649-3659)
- Thanh Phuong Pham Nguyen
- Kathleen B. Albers
- Michael Alan Steinman (ORCID: https://orcid.org/0000-0002-9564-9480)
- Lindsay Zepel (ORCID: https://orcid.org/0000-0002-4691-4866)
- Matthew L. Maciejewski (ORCID: https://orcid.org/0000-0003-1765-5938)
- Cynthia M. Boyd (ORCID: https://orcid.org/0000-0001-5642-9015)
- Juliessa M. Pavon (ORCID: https://orcid.org/0000-0002-9047-0051)
- Danielle L. Mowery (ORCID: https://orcid.org/0000-0003-3802-4457)
- Elizabeth A. Bayliss (ORCID: https://orcid.org/0000-0002-5264-0670)
- Ladia Albertson‐Junkans
- Allison Wright Willis (ORCID: https://orcid.org/0000-0001-5724-7192)
- Susan N. Hastings (ORCID: https://orcid.org/0000-0002-5750-8820)
- Sunil Thomas
Institutions
- San Francisco VA Medical Center (US)
- Kaiser Permanente (US)
- Johns Hopkins University (US)
- Kaiser Permanente Washington Health Research Institute (US)
- Duke University (US)
- University of California, San Francisco (US)
- University of Washington (US)
- Johns Hopkins Medicine (US)
- Geriatric Research Education and Clinical Center (US)
- Durham VA Medical Center (US)
- University of Pennsylvania (US)
- University of Colorado Denver (US)
Publication Details
- Journal
- Journal of the American Geriatrics Society
- Published
- 2024-11-28
- DOI
- https://doi.org/10.1111/jgs.19280
- Citations
- 7
- Primary Topic
- Pharmaceutical Practices and Patient Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 2.41
Funders
- U.S. Department of Veterans Affairs
- National Institute on Aging