ArticleJournal of the American Geriatrics Society2022
Association between willingness to deprescribe and health outcome priorities among U.S. older adults: Results of a national survey.
Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Deprescribing statins for adults 65 years of age and older: Evidence-based clinical practice guideline.Canadian family physician Medecin de famille canadien · 2026Guideline
- Ethical Aspects of Physician Decision-Making for Deprescribing Among Older Adults With Dementia.JAMA network open · 2023Trial
- Comparing self-reported personal and provider glycemic goals from older adults with type 1 diabetes.Discover endocrinology and metabolism · 2026Article
- Deprescribing for People with Dementia: A Roadmap.Drugs & aging · 2025Review
- Older Adults' Attitudes Toward Deprescribing in 14 Countries.JAMA network open · 2025Article
- Willingness to take less medication for type 2 diabetes among older patients: The Diabetes & Aging Study.Journal of the American Geriatrics Society · 2024Article
- Factors Important to Older Adults Who Disagree With a Deprescribing Recommendation.JAMA network open · 2023Article
- Association between willingness to deprescribe and health outcome priorities among U.S. older adults: Results of a national survey.Journal of the American Geriatrics Society · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundIt is not known whether older adults' willingness to deprescribe is associated with their health outcome priorities related to medications.
methodsA cross-sectional survey was conducted from March-April 2020 using a nationally representative online panel. The survey presented two vignettes: (1) a preventive medicine; and (2) a symptom-relief medicine. Participants were asked whether they would be willing to stop each medicine if their doctor recommended it, and to rate their level of agreement with two health outcome priorities statements: "I am willing to accept the risk of future side effects … to feel better now," and "I would prefer to take fewer medicines, even if … I may not live as long or may have bothersome symptoms sometimes." Ordinal logistic regression was used to examine associations between willingness to stop each medicine, baseline characteristics and health outcome priorities.
resultsOf 1193 panel members ≥65 years invited to participate, 835 (70%) completed the survey. Mean (SD) age was 73 years; 496 (59%) had taken a statin and 124 (15%) a prescription sedative-hypnotic. 507 (61%) were willing to stop preventive medicines; 276 (33%) were maybe willing. 419 (50%) were willing to stop symptom-relief medicines; 380 (46%) were maybe willing. Prioritizing fewer medicines was associated with higher odds of being willing to stop symptom-relief medicines (aOR 1.43 [95% CI 1.02-2.00]) and preventive medicines (aOR 1.52 [95% CI 1.05-2.18]). Prioritizing now over future was associated with lower odds of being willing to stop symptom-relief medicines (aOR 0.62 [95% CI 0.39-1.00]). Current/prior use of statins was associated with lower willingness to stop preventive medicines (aOR 0.66 [95% CI 0.48-0.91]).
conclusionsOlder adults' health outcome priorities related to medication use are associated with their willingness to consider deprescribing. Future research should determine how best to elicit patients' health outcome priorities to facilitate goal-concordant decisions about medication use.
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