Proceedings of the Canadian Frailty Network Summit: Medication Optimization for Frail Older Canadians, Toronto, Monday April 24, 2017


  • John Muscedere Professor, Department of Critical Care Medicine, Queen’s University and Scientific Director & CEO of the Canadian Frailty Network, Kingston Ontario Canada
  • Perry Kim Research Manager Canadian Frailty Network Kingston Ontario Canada
  • Peter Aitken Canadian Frailty Network
  • Michael Gaucher Canadian Institute of Health Information
  • Robin Osborn 5International Health Policy and Practice Innovations for the Commonwealth Fund
  • Barbara Farrell University of Ottawa
  • Jayna Holroyd-Leduc University of Calgary
  • Laurie Mallery Dalhousie University
  • Henry Siu McMaster University
  • James Downar University of Toronto
  • Todd C. Lee McGill University Health Centre
  • Emily McDonald McGill University Health Centre
  • Lisa Burry Mount Sinai Hospital



frailty, seniors, polypharmacy, deprescribing, medication optimization, older adults


Appropriate and optimal use of medication and polypharmacy are especially relevant to the care of older Canadians living with frailty, often impacting their health outcomes and quality of life. A majority (two thirds) of older adults (65 or older) are prescribed five or more drug classes and over one-quarter are prescribed 10 or more drugs. The risk of
adverse drug-induced events is even greater for those aged 85 or older where 40% are estimated to take drugs from 10 or more drug classes. The Canadian Frailty Network (CFN), a pan-Canadian non-for-profit organization funded by the Government of Canada through the Networks of Centres of Excellence Program (NCE), is dedicated to improving the
care of older Canadian living with frailty and, as part of its mandate, convened a meeting of stakeholders from across Canada to seek their perspectives on appropriate medication prescription. The CFN Medication Optimization Summit identified priorities to help inform the design of future research and knowledge mobilization efforts to facilitate optimal medication prescribing in older adults living with frailty. The priorities were developed and selected through a modified Delphi process commencing before and concluding during the summit. Herein we describe the overall approach/process to the summit, a summary of all the presentations and discussions, and the top ten priorities selected by the participants.


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How to Cite

Muscedere J, Kim P, Aitken P, Gaucher M, Osborn R, Farrell B, Holroyd-Leduc J, Mallery L, Siu H, Downar J, Lee TC, McDonald E, Burry L. Proceedings of the Canadian Frailty Network Summit: Medication Optimization for Frail Older Canadians, Toronto, Monday April 24, 2017. Can Geriatr J [Internet]. 2017 Dec. 22 [cited 2023 Sep. 27];20(4):253-6. Available from:



Clinical Practice Guidelines/Consensus Statements