CaDeN Winter Newsletter: 2016 Annual Report, new scientific articles, Twitter launched, attend Expo Déprescription and Johanna Trimble is volunteer champion!
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Dear CaDeN follower/partisan de ReCaD,

The Canadian Deprescribing Network (CaDeN) had a very busy fall and beginning of winter. We just released our first Annual Report, new scientific articles on deprescribing have been published and stay tuned for news about events we're planning next spring.

In this winter newsletter, we share all the important deprescribing news and updates. If your colleagues haven't subscribed to the newsletter yet, they can click here.

Hot off the press: Check out CaDeN's 2016 Annual Report

We're proud to have released our first Annual Report, now available in English and French on our website. A special thank you to our partners and collaborators for their dedication and hard work in the last year for the launch of CaDeN. Many thanks to our committee members that have advised The Network since its inception. Your invaluable support has been crucial to the sucess of our first year.

Join us at Expo Déprescription in Montreal

Join us on the morning of Wednesday, April 26th, 2017, for Expo Déprescription at the l’Institut universitaire de gériatrie de Montréal. This bilingual free event is open to the public. All are welcome!
This is a unique opportunity to learn about the history of prescription medications, and especially those that are now considered to be inappropriate. There will be several pavilions offering information, resources and tips concerning the sound management of medication. Questions? Contact Isabelle Reid.

Want to improve antipsychotic use?
Check out this webinar

The Canadian Foundation for Healthcare Improvement has invited Dr. Justin Turner, Assistant Director of CaDeN, Dr. Wendy Levinson, Chair of Choosing Wisely Canada and Dr. Dennis Cleaver, Executive Director, Seniors Health Strategic Clinical Network of Alberta Health Services, for a live webinar on February 8th (12 - 1 pm) entitled: Tools & Resources to Improve Prescribing – Canadian and International Perspectives. 

Click here for more information or to join the conversation!

Johanna Trimble receives Volunteer Champion Award

Congratulations to Johanna Trimble who was recently awarded the Volunteer Champion Award for her work with the Community Engagement Advisory Network in British Columbia. This award recognizes a volunteer who, through exemplary dedication and service, contributed to a project or initiative that resulted in identifiable improvement in patient safety outcomes.

CaDeN is on Twitter: Follow us for all your important #deprescribing news

Want to know what's trending in the world of #deprescribing? We've launched the Twitter account @DeprescribeNet with a broad scope to engage patients and the public in conversations about deprescribing inappropriate medications. We've been posting almost daily news articles, publications and important info! Follow us to stay up to date. Facebook coming soon.
Choosing Wisely Canada National Meeting hosted by Choosing Wisely Alberta. February 27th, 2017. Calgary, AB

2017 CADTH Symposium. April 23rd-25th, 2017. Ottawa, ON

American Geriatrics Society Scientific Meeting. May 18th-20th, 2017. San Antonio, TX

L'Événement despharmaciens 2017. June 1-2, 2017. Quebec City, QC

2017 Preventing Overdiagnosis Conference. August 17th-19th, 2017, Quebec City, QC

Check out the theoretical underpinnings behind CaDeN's unique approach to deprescribing

An Ecological Approach to Reducing Potentially Inappropriate Medication Use: Canadian Deprescribing Network
Canadian Journal on Aging. Jan. 2017
Members of CaDeN describe The Network's practical, comprehensive, ecological approach to optimize medication use through coordinated action across Canada’s health system.

Publications involving CaDeN members:

Use of the EMPOWER brochure to deprescribe sedative-hypnotic drugs in older adults with mild cognitive impairment
BMC Geriatrics. Jan 2017
Philippe Martin and Cara Tannenbaum show that the EMPOWER brochure is effective for reducing benzodiazepine prescriptions in community-dwelling older adults with mild cognitive impairment.

Self-efficacy for deprescribing: A survey for health care professionals using evidence-based deprescribing guidelines
Research in Social and Administrative Pharmacy. Jan. 2017
Barb Farrell and colleagues show that evidence-based deprescribing guidelines increase clinicians' self-efficacy in developing and implementing a deprescribing plan for specific drug classes.

Improving Prescription Drug Safety for Canadian Seniors
Institute for Research on Public Policy. Jan. 2017
Some of our CaDeN members provided info for this new report, which examines the problem and consequences of unsafe and inappropriate use of prescription drugs by seniors and possible solutions.

Long-term sedative use among community-dwelling adults: a population-based analysis
CMAJ Open. Jan. 2017
Think sedative-hypnotic use is only problematic among elderly? Think again: Dr. Steve Morgan and colleagues examined sedative-hypnotic use in British Columbia and found that half of long-term users are under 65 years of age.

Deprescribing: A narrative review of the evidence and practical recommendations for recognizing opportunities and taking action
European Journal of Internal Medicine. Jan. 2017
Emily Reeve, Barb Farrell and Wade Thompson provide an overview on deprescribing and offer practical recommendations of when and how to deprescribe.

Development and Validation of the Revised Patients’ Attitudes Towards Deprescribing (rPATD) Questionnaire: Versions for Older Adults and Caregivers
Drugs & Aging. Dec. 2016
CaDeN member Emily Reeve and colleagues develop and validate a questionnaire to capture older adults’ and caregivers’ beliefs and attitudes towards deprescribing.

Other recent publications on deprescribing:

A themed journal issue on deprescribing: The European Journal of Hospital Pharmacy has dedicated its entire January 2017 issue to deprescribing. There is an incredible range of papers within. Check it out here and listen to their special podcast.

Negotiating “Unmeasurable Harm and Benefit”: Perspectives of General Practitioners and Consultant Pharmacists on Deprescribing in the Primary Care Setting
Qualitative Health Research. Jan. 2017

Deprescribing: implications for the anaesthetist
Anaesthesia. Dec. 2016

Deprescribing to Reduce Medication Use: Will This Help Your Patient?
Journal of Psychosocial Nursing and Mental Health Services. Nov. 2016

A novel approach to deprescribing in long-term care settings: The SMART campaign
Research in Social and Administrative Pharmacy. Nov. 2016
Prescribing drugs is good, so is deprescribing
The Ledger. Jan. 28, 2017
A US physician describes his New Year's resolution to deprescribe and provides advice to doctors and patients.

New podcast! How to Fight Overmedication with Deprescribing 
The People's Pharmacy. Jan 28, 2017
This podcast tackles the question "when does deprescribing make sense?", and a panel of experts answer questions from listeners. They also refer to our website for more information on deprescribing.

Taking multiple medications? You may also be taking excess risks.
Washington Post. Jan. 8, 2017
This article highlights the risks of polypharmacy, tips for patients on medication reviews and the right questions to ask their doctor about medications.

Ottawa, provinces fail to reach a deal on health spending
CBC News. Dec 19, 2016 
The Government is offering $544 million over 5 years for prescribing initiatives and $6 billion for home care.

Perchance to Dream
Zoomer Magazine. Nov. 18, 2016
Cara Tannenbaum is interviewed in this feature article suggesting 10 strategies for a good night's sleep.

Do women ever respond differently than men to prescription drugs?
The Globe and Mail. Nov. 1, 2016
Cara Tannenbaum responds to questions about women, medication and side effects in this article.

10 key points: Deprescribing
Australian Journal of Pharmacy. Dec. 12, 2016
CaDeN member and researcher Emily Reeves outlines 10 key points for deprescribing and outlines the deprescribing process.

If You're Taking Too Many Pills, You May Need to Be De-Prescribed
NBC News. Nov. 11, 2106
American geriatricians answer pertinent questions about deprescribing.

There have been many stories in the news on the opioid crisis lately:

Declare emergency now on opioid crisis, Ottawa told
Vancouver Sun. Jan. 31, 2017

Inside a Killer Drug Epidemic: A Look at America’s Opioid Crisis
New York Times. Jan. 6, 2017

How a little-known patent sparked Canada's deadly opioid crisis
The Globe and Mail. Dec. 30th, 2017

One-third of long-term users say they’re hooked onprescription opioids.

We must turn the tide on Canada’s opioid crisis by Jane Philpott
The Globe and Mail. Jan. 13, 2017

Deprescribing Resources

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Do you have friends or colleagues interested in deprescribing? Please invite them to join our mailing list, by visiting or clicking on the following link:


CaDeN is a group of clinicians, researchers, patients and patient advocates with an interest in promoting appropriate medication use across Canada.

CaDeN is committed to reducing the use of inappropriate medications by Canadian men and women over the age of 65 by 50% by 2020.
Copyright © 2017 Institut universitaire de gériatrie de Montréal, All rights reserved.

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