Evidence map›Paper›PMID 32770959›Full record

ArticleBMC family practice2020

Discussing proton pump inhibitor deprescribing: the views of Danish GPs and older patients.

Wade Thompson, Malene Nissen, Peter Haastrup, Jette Videbæk Le, Carina Lundby, Jesper Bo Nielsen, Dorte Ejg Jarbøl

Open access · goldAbstract read
In one paragraph

Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Observational
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 at 2 institutions in 1 country.

Wade ThompsonResearch Unit of General Practice, University of Southern Denmark, J.B. Winsløwsvej 9, 5000, Odense, Denmark. wthomp01@gmail.com.ORCID 0000-0002-8268-4092
Malene NissenHospital Pharmacy Funen, Odense University Hospital, Odense, Denmark.
Peter HaastrupResearch Unit of General Practice, University of Southern Denmark, J.B. Winsløwsvej 9, 5000, Odense, Denmark.
Jette Videbæk LeResearch Unit of General Practice, University of Southern Denmark, J.B. Winsløwsvej 9, 5000, Odense, Denmark.
Carina LundbyHospital Pharmacy Funen, Odense University Hospital, Odense, Denmark.
Jesper Bo NielsenResearch Unit of General Practice, University of Southern Denmark, J.B. Winsløwsvej 9, 5000, Odense, Denmark.
Dorte Ejg JarbølResearch Unit of General Practice, University of Southern Denmark, J.B. Winsløwsvej 9, 5000, Odense, Denmark.
University of Southern Denmark · DKOdense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeprescribing of proton pump inhibitors (PPIs) can be considered in situations where the drug may no longer be necessary; however, this requires a careful discussion between patients and healthcare providers, often general practitioners (GPs). The aim of our study was to explore how GPs discuss PPI deprescribing with patients and compare that to how older patients would like to discuss this decision.

methodsWe conducted a qualitative study using semi-structured interviews with GPs (n = 11) and patients aged ≥65 years who were taking PPIs (n = 4). Analysis of interviews was based on systematic text condensation.

resultsWe identified four main themes: (1) Reasons PPI deprescribing comes up, (2) Considering PPI deprescribing, (3) Discussion topics, and (4) Incorporating patient preferences into PPI deprescribing decisions. We found that PPI deprescribing often comes up during consultations for other problems or due to concern about medication burden in general. GPs discussed topics related to symptom control, such as the possibility of rebound symptoms, the need to taper PPIs, and what to do if symptoms returned. This aligned with what patients felt was important to discuss. Some GPs routinely incorporated patient preferences into decisions, whereas others did not.

conclusionWhen discussing PPI deprescribing, the GPs in our study generally focused on topics related to symptom control. There was variability in how and if patient preferences were discussed. Greater focus may be needed on developing mechanisms to elicit and incorporate patient preferences into PPI deprescribing decisions. Future research could also explore more systematic approaches to reassess ongoing PPI use in an effort to curb unnecessary long-term use of PPIs.

Indexed as

DeprescriptionsGeneral PractitionersDenmarkHumansPatient PreferenceProton Pump InhibitorsProton Pump InhibitorsCommunicationDeprescribingProton pump inhibitorsShared decision-making

Identifiers

PMID32770959
PMCPMC7415175
OpenAlexW3047901629

What Socratic holds

Textmetadata
LicenceCC BY
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.