Approaches to deprescribing cardiovascular medications in patients receiving palliative care: a scoping review

Created : May 1, 2025

Completed : Dec 8, 2025

Publications Category : Cardiology, Pain Management, Palliative Care

Author(s): Gabriela Perez-Tamayo, Mohit Sirole, Elizabeth Fernandez, Krystal Chedid, Iram Sirajuddin, Rajesh Jha

Project Description : This scoping review conducted from April 1, 2025, to May 31, 2025, aims to use palliative care as a valuable opportunity to reduce polypharmacy and enhance patient-centered care in the final days of life. To conduct this scoping review with systematic components, a database search was conducted on PubMed and EBSCO to identify studies focused on deprescribing cardiovascular medications in patients subject to polypharmacy in nursing homes. Eligible studies were inclusive of human patients aged 65 and older, patients receiving palliative care or with a limited life expectancy and focused on examining the effects of deprescribing practices and other outcomes affected. Study quality was assessed using the Cochrane Risk of Bias assessment tools RoB-2 and ROBINS-I. The quality assessment was performed by two reviewers, and discretion was discussed until consensus was achieved.