Evidence map›Paper›PMID 30630219›Full record

SynthesisBritish journal of clinical pharmacology2019

Health care professionals' attitudes towards deprescribing in older patients with limited life expectancy: A systematic review.

Carina Lundby, Trine Graabaek, Jesper Ryg, Jens Søndergaard, Anton Pottegård, Dorthe Susanne Nielsen

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 7 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  20. Emotional barriers and facilitators of deprescribing for older adults with cancer and polypharmacy: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Carina LundbyHospital Pharmacy Funen, Odense University Hospital, Odense C, Denmark.ORCID 0000-0002-2121-6252
Trine GraabaekHospital Pharmacy Funen, Odense University Hospital, Odense C, Denmark.ORCID 0000-0001-6848-3107
Jesper RygDepartment of Geriatric Medicine, Odense University Hospital, Odense C, Denmark.
Jens SøndergaardResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense C, Denmark.ORCID 0000-0002-1629-1864
Anton PottegårdHospital Pharmacy Funen, Odense University Hospital, Odense C, Denmark.ORCID 0000-0001-9314-5679
Dorthe Susanne NielsenMigrant Health Clinic, Odense University Hospital, Odense C, Denmark.ORCID 0000-0002-3954-7551

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aim of this systematic review was to explore health care professionals' attitudes towards deprescribing in older people with limited life expectancy.

methodsA systematic literature search was conducted from inception to December 2017 using MEDLINE, EMBASE and CINAHL. Studies were included if they specifically concerned older people (≥65 years) with limited life expectancy, including those residing in any type of aged care facility, or were based on representative patient profiles. Results were analyzed inspired by the Joanna Briggs Institute's method for synthesis of qualitative data. Studies were characterized using a checklist for reporting of qualitative research.

resultsEight studies were included. Six studies explored health care professionals' views on deprescribing in general, and two studies focused specifically on psychotropic agents. All eight studies explored the views of physicians, mostly general practitioners, while three studies also considered other health care professionals. Four themes related to health care professionals' attitudes towards deprescribing were identified: (i) patient and relative involvement; (ii) the importance of teamwork; (iii) health care professionals' self-assurance and skills; and (iv) the impact of organizational factors. Within each of these themes, 3-4 subthemes were identified and analysed.

conclusionsOur results suggest that health care professionals' decisions to engage in deprescribing activities with older people with limited life expectancy depend on multiple factors which are highly interdependent. Consequently, there is an urgent need for more research on how to approach deprescribing in clinical practice within this population.

Indexed as

Attitude of Health PersonnelDeprescriptionsLife ExpectancyAgedAged, 80 and overClinical CompetenceClinical Decision-MakingGeneral PractitionersHumansPractice Patterns, Physicians'Qualitative Researchdrug safetyelderlyprescribing

Identifiers

PMID30630219
PMCPMC6475695

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.