Evidence mapPaperPMID 29439425Full record

SynthesisInternational journal of environmental research and public health2018

Inappropriate Use of Medication by Elderly, Polymedicated, or Multipathological Patients with Chronic Diseases.

Virtudes Pérez-Jover, José J Mira, Concepción Carratala-Munuera, Vicente F Gil-Guillen, Josep Basora, Adriana López-Pineda, Domingo Orozco-Beltrán

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05348538 (Feasibility Study of the Medication Review With Follow up Service for Patients With Polypharmacy in Swiss Community Pharmacies), which is not on this map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05348538 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Feasibility Study of the Medication Review With Follow up Service for Patients With Polypharmacy in Swiss Community Pharmacies

TypeinterventionalSponsorCenter for Primary Care and Public Health (Unisante), University of Lausanne, SwitzerlandRan2023 to 2024Enrolled162ConditionsChronic DiseaseArmsMedication review with follow up or MaJ? for the acronym in french
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Mobile Apps for Increasing Treatment Adherence: Systematic Review.Journal of medical Internet research · 2019
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Virtudes Pérez-JoverHealth Psychology Department, Miguel Hernandez University, 03202 Elche, Alicante, Spain. v.perez@umh.es.
José J MiraHealth Psychology Department, Miguel Hernandez University, 03202 Elche, Alicante, Spain. jose.mira@umh.es.ORCID 0000-0001-6497-083X
Concepción Carratala-MunueraClinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Alicante, Spain. atencion.primaria@umh.es.
Vicente F Gil-GuillenClinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Alicante, Spain. vte.gil@gmail.com.
Josep BasoraSant Joan-Alacant Health District, Conselleria Sanitat, 03202 Elche, Alicante, Spain. jbasora@semfyc.es.
Adriana López-PinedaClinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Alicante, Spain. adriannalp@hotmail.com.ORCID 0000-0002-2117-0178
Domingo Orozco-BeltránClinical Medicine Department, Miguel Hernandez University, 03550 San Juan de Alicante, Alicante, Spain. dorozcobeltran@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The growth of the aging population leads to the increase of chronic diseases, of the burden of multimorbility, and of the complexity polypharmacy. The prevalence of medication errors rises in patients with polypharmacy in primary care, and this is a major concern to healthcare systems. This study reviews the published literature on the inappropriate use of medicines in order to articulate recommendations on how to reduce it in chronic patients, particularly in those who are elderly, polymedicated, or multipathological. A systematic review of articles published from January 2000 to October 2015 was performed using MEDLINE, EMBASE, PsychInfo, Scopus, The Cochrane Library, and Index Medicus databases. We selected 80 studies in order to analyse the content that addressed the question under consideration. Our literature review found that half of patients know what their prescribed treatment is; that most of elderly people take five or more medications a day; that in elderly, polymedicated people, the probability of a medication error occurring is higher; that new tools have been recently developed to reduce errors; that elderly patients can understand written information but the presentation and format is an important factor; and that a high percentage of patients have remaining doubts after their visit. Thus, strategies based on the evidence should be applied in order to reduce medication errors.

Indexed as

PolypharmacyAgedChronic DiseaseHumansMedication Errorschronic diseasemedication errorspatient medication knowledgepatient safetyphysicianspolypharmacyprimary care

Identifiers

PMID29439425
PMCPMC5858379

What Socratic holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.