Factors Associated With Deprescribing Acetylcholinesterase Inhibitors in Older Nursing Home Residents With Severe Dementia.
Joshua D NiznikXinhua ZhaoMeiqi HeSherrie L AspinallJoseph T HanlonDavid A NaceJoshua M ThorpeCarolyn T ThorpePublished in: Journal of the American Geriatrics Society (2019)
Among NH residents with severe dementia being treated with AChEIs, the cumulative incidence of AChEI discontinuation was just under 30% at 1 year of follow-up. Our findings provide insight into potential drivers of deprescribing AChEIs, identify system-level barriers to deprescribing, and help to inform covariates that are needed to address potential confounding in studies evaluating the potential risks and benefits associated with deprescribing. J Am Geriatr Soc 67:1871-1879, 2019.