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Medication review and reconciliation in older adults

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Key summary points

AbstractSection Aim

This review article describes medication reconciliation and medication review processes, their effectiveness among older people, and the implementation issues in daily practice.

AbstractSection Findings

Medication reconciliation and medication review are two distinct but complementary clinical processes that may be efficient to decrease drug-related problems and prevent adverse drug events. Effectiveness and successful implementation of medication reconciliation and medication review require cautious acknowledgement of human factors and organizational issues and alignment of treatment recommendations with patient preferences and goals

AbstractSection Message

The involvement of geriatricians remains essential for the successful implementation of medication reconciliation and medication review in geriatric settings and thus better drug risk management for older patients.

Abstract

Older people are frequently exposed to polypharmacy, inappropriate prescribing, and adverse drug events. Two clinical processes can help geriatricians to optimize and increase the safety of drug prescriptions for older adults: medication reconciliation and medication review. Medication reconciliation provides the best possible medication history and identifies and resolves discrepancies in drug prescriptions. During the medication review, the best possible medication history is crosschecked against other data, including morbidities, patient’s preferences, or geriatric syndromes, to produce a personalized medication strategy. Alignment of treatment recommendations with patient preferences and goals through shared decision-making is particularly important in medication review. Medication reconciliation and medication review have proven to be effective, but their broad implementation remains difficult. Indeed, these procedures are time-consuming and require specific skills, coordination between different healthcare professionals, organizations and dedicated means. The involvement of geriatricians therefore remains essential for the successful implementation of medication reconciliation and medication review in geriatric settings and among frail older people.

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Acknowledgements

We thank David Fraser PhD (Biotech Communication SARL, Ploudalmézeau, France) for copy-editing assistance.

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Authors and Affiliations

  1. Univ. Lille, CHU Lille, ULR 2694 METRICS—Evaluation des technologies de santé et des pratiques médicales, F-59000, Lille, France

    Jean-Baptiste Beuscart, Sylvia Pelayo & Laurine Robert

  2. Inserm, CIC-IT 1403, Centre d’Investigation Clinique, F-59000, Lille, France

    Sylvia Pelayo

  3. Pharmacy department, CHU Lille, F-59000, Lille, France

    Laurine Robert

  4. Pharmacy Department, AZ Sint-Lucas Hospital, Gent, Belgium

    Stefanie Thevelin

  5. Geriatric Medicine, Cliniques Universitaires Saint-Luc, Brussels, Belgium

    Sophie Marien

  6. Institute of Health and Society (IRSS), Université Catholique de Louvain, Brussels, Belgium

    Sophie Marien

  7. Clinical Pharmacy Research Group, Louvain Drug Research Institute, Université Catholique de Louvain, Brussels, Belgium

    Olivia Dalleur

  8. Pharmacy Department, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium

    Olivia Dalleur

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  1. Jean-Baptiste Beuscart
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Beuscart, JB., Pelayo, S., Robert, L. et al. Medication review and reconciliation in older adults. Eur Geriatr Med 12, 499–507 (2021). https://doi.org/10.1007/s41999-021-00449-9

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