NCT04553107

Reducing Costs by Deprescribing Medications

Reducing Healthcare Costs in Older Adults by Deprescribing Unnecessary, Harmful, and Costly Medications

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 419 (actual)
• Sponsor: The University of Texas Health Science Center, Houston · Academic / Other
• Sex: All
• Age: 65 Years
• Healthy volunteers: Not accepted

Summary

The purpose of the study is to implement a pharmacist-led deprescribing intervention for adults 65 and older taking 10 or more medications at University of Texas (UT) Physicians clinics and to assess the effect of the pharmacist intervention on the incidence of adverse drug reactions, emergency room visits, and hospitalizations as well as costs to the patient and to the healthcare system in adults 65 and older taking 10 or more medications treated at UT Physicians.

Conditions

• Polypharmacy
• Deprescribing
• Adverse Drug Reaction

Interventions

Type	Name	Description
BEHAVIORAL	Deprescribing Intervention	An individualized deprescribing intervention will be created by a pharmacist working with a patient to identify harmful, costly, and unnecessary medications to be reduced. The intervention will include a plan and monitoring for up to 3 months to reduce medication use.
BEHAVIORAL	Usual Care	The usual care arm will receive the current standard of care, which includes medication reconciliation by a clinic nurse at the time of their appointment. Nurses review all medications and answer medication-related questions, and refer medication questions to the healthcare provider for further discussion when necessary.

Timeline

• Start date: 2019-12-09
• Primary completion: 2022-06-01
• Completion: 2022-06-01
• First posted: 2020-09-17
• Last updated: 2022-11-22

Locations

1 site across 1 country: United States