Herramientas para la deprescripción en atención primaria: Una revisión crítica y el papel clave del farmacéutico comunitario.
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| Title: | Herramientas para la deprescripción en atención primaria: Una revisión crítica y el papel clave del farmacéutico comunitario. |
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| Alternate Title: | Deprescribing Tools in Primary Care: A Critical Review and the Pivotal Role of the Community Pharmacist. |
| Authors: | Alemán Fernández, Eliezer1 eliezerfernandez1975@gmail.com, Siverio Mota, Dany2, Vicet Muro, Liliana2, Delgado Hernández, René3, González Madariaga, Yisel4, Fimia Duarte, Rigoberto5 |
| Source: | Farmacéuticos Comunitarios. ene2026, Vol. 18 Issue 1, p37-45. 9p. |
| Subjects: | DEPRESCRIBING, PHARMACISTS, PATIENT preferences, DRUG therapy, PATIENTS, MEDICATION safety, INAPPROPRIATE prescribing (Medicine), MEDICATION reconciliation |
| Abstract (English): | Introduction: Deprescribing is crucial for improving pharmacotherapeutic safety in polymedicated patients, a common profile in community pharmacy. However, a gap exists between the available evidence and real-world clinical practice. Objective: This review aimed to identify and critically analyze validated deprescribing tools, assessing their applicability in the community setting and highlighting the leading role the pharmacist can assume. Material and Methods: A critical narrative review was conducted via a literature search in PubMed/MEDLINE and LILACS, period 2014-2024, using the terms MeSH Deprescribing AND Inappropriate prescription, OR Inappropriate Medicaments. Tools with psychometric and/or clinical validation were included. Two independent reviewers screened studies, and discrepancies were resolved by consensus. Results: Out of 71 screened studies, 23 were included. We identified 5 updated clinical criteria, 9 specific tools for pharmacological groups, and 9 attitudinal questionnaires. Technical maturity in tools is evident, but critical gaps persist: therapeutic fragmentation, absence of Spanish validation for key instruments, and the exclusion of the community pharmacist from many of them. A key finding is the high willingness to deprescribe among patients (87.6%) and caregivers (74.8%). Conclusions: We conclude that the community pharmacist, due to their accessibility and holistic view of medication, is the ideal professional to drive deprescribing. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: la deprescripción es una práctica clínica fundamental para mejorar la seguridad farmacoterapéutica del paciente polimedicado, un perfil muy frecuente en la farmacia comunitaria. Sin embargo, existe una desconexión entre la evidencia disponible y la práctica clínica real. Objetivos: el objetivo de esta revisión fue identificar y analizar críticamente las herramientas validadas para la deprescripción, evaluando su aplicabilidad en el ámbito comunitario y destacando el papel protagonista que puede asumir el farmacéutico. Material y métodos: se realizó una revisión narrativa crítica mediante búsqueda bibliográfica en PubMed/ MEDLINE y LILACS, período 2014-2024, utilizando los términos MeSH Deprescripción AND Prescripción inapropiada, OR Medicamentos inapropiados. Se incluyeron herramientas con validación psicométrica y/o clínica. Dos revisores independientes evaluaron los estudios y se resolvieron las discrepancias por consenso. Resultados: de 71 estudios cribados, se incluyeron 23. Se identificaron 5 criterios clínicos actualizados, 9 herramientas específicas por grupo farmacológico y 9 cuestionarios para evaluar actitudes. Los instrumentos disponibles muestran un alto grado de desarrollo, pero también brechas críticas: fragmentación terapéutica, ausencia de validación en español de instrumentos clave y la exclusión del farmacéutico comunitario en muchos de ellos. Un hallazgo crucial es la alta disposición a deprescribir por parte de pacientes (87,6 %) y cuidadores (74,8 %). Conclusiones: se concluye que el farmacéutico comunitario, por su accesibilidad y visión global de la medicación, es el profesional idóneo para impulsar la deprescripción. [ABSTRACT FROM AUTHOR] |
| Copyright of Farmacéuticos Comunitarios is the property of Sociedad Espanola de Farmacia Familiar y Comunitaria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 190980303 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Herramientas para la deprescripción en atención primaria: Una revisión crítica y el papel clave del farmacéutico comunitario. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Deprescribing Tools in Primary Care: A Critical Review and the Pivotal Role of the Community Pharmacist. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Alemán+Fernández%2C+Eliezer%22">Alemán Fernández, Eliezer</searchLink><relatesTo>1</relatesTo><i> eliezerfernandez1975@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Siverio+Mota%2C+Dany%22">Siverio Mota, Dany</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Vicet+Muro%2C+Liliana%22">Vicet Muro, Liliana</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Delgado+Hernández%2C+René%22">Delgado Hernández, René</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22González+Madariaga%2C+Yisel%22">González Madariaga, Yisel</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Fimia+Duarte%2C+Rigoberto%22">Fimia Duarte, Rigoberto</searchLink><relatesTo>5</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Farmacéuticos+Comunitarios%22">Farmacéuticos Comunitarios</searchLink>. ene2026, Vol. 18 Issue 1, p37-45. 9p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22DEPRESCRIBING%22">DEPRESCRIBING</searchLink><br /><searchLink fieldCode="DE" term="%22PHARMACISTS%22">PHARMACISTS</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENT+preferences%22">PATIENT preferences</searchLink><br /><searchLink fieldCode="DE" term="%22DRUG+therapy%22">DRUG therapy</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENTS%22">PATIENTS</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICATION+safety%22">MEDICATION safety</searchLink><br /><searchLink fieldCode="DE" term="%22INAPPROPRIATE+prescribing+%28Medicine%29%22">INAPPROPRIATE prescribing (Medicine)</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICATION+reconciliation%22">MEDICATION reconciliation</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: Deprescribing is crucial for improving pharmacotherapeutic safety in polymedicated patients, a common profile in community pharmacy. However, a gap exists between the available evidence and real-world clinical practice. Objective: This review aimed to identify and critically analyze validated deprescribing tools, assessing their applicability in the community setting and highlighting the leading role the pharmacist can assume. Material and Methods: A critical narrative review was conducted via a literature search in PubMed/MEDLINE and LILACS, period 2014-2024, using the terms MeSH Deprescribing AND Inappropriate prescription, OR Inappropriate Medicaments. Tools with psychometric and/or clinical validation were included. Two independent reviewers screened studies, and discrepancies were resolved by consensus. Results: Out of 71 screened studies, 23 were included. We identified 5 updated clinical criteria, 9 specific tools for pharmacological groups, and 9 attitudinal questionnaires. Technical maturity in tools is evident, but critical gaps persist: therapeutic fragmentation, absence of Spanish validation for key instruments, and the exclusion of the community pharmacist from many of them. A key finding is the high willingness to deprescribe among patients (87.6%) and caregivers (74.8%). Conclusions: We conclude that the community pharmacist, due to their accessibility and holistic view of medication, is the ideal professional to drive deprescribing. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: la deprescripción es una práctica clínica fundamental para mejorar la seguridad farmacoterapéutica del paciente polimedicado, un perfil muy frecuente en la farmacia comunitaria. Sin embargo, existe una desconexión entre la evidencia disponible y la práctica clínica real. Objetivos: el objetivo de esta revisión fue identificar y analizar críticamente las herramientas validadas para la deprescripción, evaluando su aplicabilidad en el ámbito comunitario y destacando el papel protagonista que puede asumir el farmacéutico. Material y métodos: se realizó una revisión narrativa crítica mediante búsqueda bibliográfica en PubMed/ MEDLINE y LILACS, período 2014-2024, utilizando los términos MeSH Deprescripción AND Prescripción inapropiada, OR Medicamentos inapropiados. Se incluyeron herramientas con validación psicométrica y/o clínica. Dos revisores independientes evaluaron los estudios y se resolvieron las discrepancias por consenso. Resultados: de 71 estudios cribados, se incluyeron 23. Se identificaron 5 criterios clínicos actualizados, 9 herramientas específicas por grupo farmacológico y 9 cuestionarios para evaluar actitudes. Los instrumentos disponibles muestran un alto grado de desarrollo, pero también brechas críticas: fragmentación terapéutica, ausencia de validación en español de instrumentos clave y la exclusión del farmacéutico comunitario en muchos de ellos. Un hallazgo crucial es la alta disposición a deprescribir por parte de pacientes (87,6 %) y cuidadores (74,8 %). Conclusiones: se concluye que el farmacéutico comunitario, por su accesibilidad y visión global de la medicación, es el profesional idóneo para impulsar la deprescripción. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Farmacéuticos Comunitarios is the property of Sociedad Espanola de Farmacia Familiar y Comunitaria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.33620/FC.2173-9218.(2026).07 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 9 StartPage: 37 Subjects: – SubjectFull: DEPRESCRIBING Type: general – SubjectFull: PHARMACISTS Type: general – SubjectFull: PATIENT preferences Type: general – SubjectFull: DRUG therapy Type: general – SubjectFull: PATIENTS Type: general – SubjectFull: MEDICATION safety Type: general – SubjectFull: INAPPROPRIATE prescribing (Medicine) Type: general – SubjectFull: MEDICATION reconciliation Type: general Titles: – TitleFull: Herramientas para la deprescripción en atención primaria: Una revisión crítica y el papel clave del farmacéutico comunitario. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Alemán Fernández, Eliezer – PersonEntity: Name: NameFull: Siverio Mota, Dany – PersonEntity: Name: NameFull: Vicet Muro, Liliana – PersonEntity: Name: NameFull: Delgado Hernández, René – PersonEntity: Name: NameFull: González Madariaga, Yisel – PersonEntity: Name: NameFull: Fimia Duarte, Rigoberto IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: ene2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 18858619 Numbering: – Type: volume Value: 18 – Type: issue Value: 1 Titles: – TitleFull: Farmacéuticos Comunitarios Type: main |
| ResultId | 1 |
