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Forschungsdatenbank PMU-SQQUID

Optimizing medical care for geriatric patients in Austria: defining a top five list of "Choosing Wisely" recommendations using the Delphi technique.
Schippinger, W; Glechner, A; Horvath, K; Sommeregger, U; Fruhwald, T; Dovjak, P; Pinter, G; Iglseder, B; Mrak, P; Muller, W; Ohrenberger, G; Mann, E; Bohmdorfer, B; Roller-Wirnsberger, R
EUR GERIATR MED. 2018; 9(6): 783-793.
Originalarbeiten (Zeitschrift)

PMU-Autor/inn/en

Iglseder Bernhard
Mann Eva

Abstract

Purpose Inappropriate use of diagnostic and therapeutic medical procedures is common and potentially harmful for older patients. The Austrian Society of Geriatrics and Gerontology defined a consensus of five recommendations to avoid overuse of medical interventions and to improve care of geriatric patients. Methods From an initial pool of 147 reliable recommendations, 20 were chosen by a structured selection process for inclusion in a Delphi process to define a list of five top recommendations for geriatric medicine. 12 experts in the field of geriatric medicine scored the recommendations in two Delphi rounds. Results The final five recommendations are concerning urinary catheters in elderly patients, percutaneous feeding tubes in patients with advanced dementia, antipsychotics as the first choice to treat behavioral and psychological symptoms of dementia, and screening for breast, colorectal, prostate, or lung cancer, and the use of antimicrobials to treat asymptomatic bacteriuria. Conclusions The selected recommendations have the potential to improve medical care for older patients, to reduce side effects caused by unnecessary medical procedures, and to save costs in the health care system.


Find related publications in this database (Keywords)

Geriatric medicine
Choosing Wisely
Recommendations
Consensus
Delphi process