ArticleJournal of general internal medicine2026
Deprescribing Decisions in Swiss Primary Care: Low Concordance Between General Practitioners and Older Adults.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Deprescribing decisions in palliative care: a qualitative meta-synthesis of multi-stakeholder experiences and influencing factors.BMC palliative care · 2026Pooled it
- Refining MediQuit: an iterative, participatory approach to shared decision-making in deprescribing.Implementation science communications · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDeprescribing reduces potentially harmful or unnecessary medications in older adults. Successful implementation requires understanding both patient and provider perspectives, although few studies have compared their preferences.
objectiveTo examine general practitioner (GP) and patient preferences for deprescribing and medication-related decision-making by investigating factors associated with preference concordance and the relationship with patient-provider trust.
designCross-sectional survey study conducted in primary care settings within the German-speaking region of Switzerland.
participantsSixty-five patients aged ≥ 65 years taking ≥ 5 medications and their 10 GPs completed questionnaires. MAIN MEASURES: Patient and GP preferences for deprescribing medications were assessed through two questions; for patients: "Thinking about your current medication list, are there any medications that you would like to stop taking or reduce the dose of?" and for GPs: "Would you stop or reduce the dose of any of the medications that the patient is currently taking?" We assessed concordance between GPs' and patients' deprescribing preferences and analyzed associations between trust and deprescribing preferences using univariate Generalized Estimating Equations with Poisson distribution and finite-sample correction, accounting for clustering at the GP level. KEY
resultsSimilar proportions of patients (38%) and GPs (35%) wanted to deprescribe at least one medication, but only eight GP-patient dyads wanted to deprescribe, with just one dyad selecting the same medication. The most frequently identified medications to deprescribe were dietary supplements (GPs = 11/42, 26%; patients = 4/35, 11%), cardiovascular system medications (GPs = 9/42, 21%; patients = 15/35, 43%), and nervous system medications (GPs = 8/42, 19%; patients = 9/35, 26%). GPs' primary reason for not deprescribing was believing patients wanted to continue their medications (83%), while patients believed doctors only prescribe necessary ones (38%).
conclusionsDespite similar interest in deprescribing, GPs and patients rarely selected the same medications to stop. These findings suggest that clear discussions about medication necessity and preferences could improve deprescribing decisions.
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