Table 3.
Analysis of deprescribing criteria for each therapeutic class.
| Criteriaa | PPI | NSAID | OPI | BZN | |
|---|---|---|---|---|---|
| Total number of deprescribing candidates (n, % of users) | n = 38/122 (31.1%) | n = 83/111 (74.8%) | n = 45/60 75.0% (75.0%) | 96.1% n = 148/154 (96.1%) | |
| Lack of indication (n, % of users) | n = 9/122 (7.4%) | 0 | 18.3% n = 11/60 (18.3%) | n = 38/154 (24.7%) | |
| Inappropriately long use (n, % of users) | n = 32/122 (26.2%) | n = 58/111 (52.3%) | n = 42/60 70.00% (70.00%) | n = 94/154 (61.0%) for insomnia use n = 73/154 (47.71%) for anxiety use | |
| Inappropriate dose (n, % of users) | n = 20/122 (16.4%) inappropriately high gastroprotective dose | n = 19/111 (17.1%) higher than recommended daily dose | 0 | n = 26/154 (17.0%) higher than recommended daily dose | |
| Safety concerns (n, % of users) | Potential clinically significant DDI | n = 3/122 (2.5%) | n = 36/111 (32.4%) | n = 31/60 (51.7%) | n = 39/154 (25.5%) |
| Presence of ADE | n = 45/111 (40.5%) | n = 32/60 (56.3%) | n = 81/154 (52.6%) | ||
| Pther safety concerns | n = 35/111 (30.97%) with factors which could be exacerbated by NSAID use | 0 | n = 56/154 (36.6%) frailty score 4 and above | ||
aPatient could meet multiple deprescribing criteria for a single therapeutic class, PPI—proton pump inhibitors, NSAID—nonsteroidal anti-inflammatory drugs, OPI-opioid analgesics, BZN—benzodiazepine receptor agonists, DDI—drug-drug interaction, ADE—adverse drug effects, pro re nata use was noted in 4.09% (n = 5/122) PPI users, 18.92% (n = 21/111) NSAID users, 23.33% (n = 14/60) OPI users, and in 26.80% (n = 41/154) BZN users.
Siginificant values are in bold.