Evidence mapPaperPMID 34722115Full record

ArticleCurrent epidemiology reports2021

Methodological Challenges for Epidemiologic Studies of Deprescribing at the End of Life.

Jennifer Tjia, Jennifer L Lund, Deborah S Mack, Attah Mbrah, Yiyang Yuan, Qiaoxi Chen, Seun Osundolire, Cara L McDermott

Abstract read
In one paragraph

Article in Current epidemiology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Core Concepts in Pharmacoepidemiology: New-User Designs.Pharmacoepidemiology and drug safety · 2024
    Review
  5. Perspectives on deprescribing in palliative care.Expert review of clinical pharmacology · 2023
    Review
  6. Article
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

8 authors.

Jennifer TjiaDepartment of Population and Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, AS6-2065, Worcester, MA 01605, USA.ORCID 0000-0003-4541-0460
Jennifer L LundDepartment of Epidemiology, UNC Gillings School of Global Public Health, UNC Chapel Hill, Chapel Hill, NC, USA.
Deborah S MackDepartment of Population and Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, AS6-2065, Worcester, MA 01605, USA.
Attah MbrahDepartment of Population and Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, AS6-2065, Worcester, MA 01605, USA.
Yiyang YuanDepartment of Population and Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, AS6-2065, Worcester, MA 01605, USA.
Qiaoxi ChenDepartment of Population and Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, AS6-2065, Worcester, MA 01605, USA.
Seun OsundolireDepartment of Population and Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, AS6-2065, Worcester, MA 01605, USA.
Cara L McDermottDivision of Pulmonary, Critical Care and Sleep Medicine, University of Washington, Seattle, WA, USA.

Funding

U.S. Deprescribing Research NetworkR24AG064025 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI CYNTHIA Melinda BOYD, MICHAEL A. STEINMAN · 2023 to 2023
$3.8M
Propensity scores and preventive drug use in the elderlyR01AG056479 · UNIV OF NORTH CAROLINA CHAPEL HILL · 2025 to 2025
$558k
NCATS NIH HHS TL1 TR001454NHLBI NIH HHS K12 HL137940NIA NIH HHS F99 AG068591NIA NIH HHS K24 AG068300NIA NIH HHS R01 AG056479NIA NIH HHS R21 AG060017NIA NIH HHS R24 AG064025
6 · The paper itself

Abstract

purpose of reviewTo describe approaches to measuring deprescribing and associated outcomes in studies of patients approaching end of life (EOL). RECENT

findingsWe reviewed studies published through 2020 that evaluated deprescribing in patients with limited life expectancy and approaching EOL. Deprescribing includes reducing the number of medications, decreasing medication dose(s), and eliminating potentially inappropriate medications. Tools such as STOPPFrail, OncPal, and the Unnecessary Drug Use Measure can facilitate deprescribing. Outcome measures vary and selection of measures should align with the operationalized deprescribing definition used by study investigators. SUMMARY: EOL deprescribing considerations include medication appropriateness in the context of patient goals for care, expected benefit from medication given life expectancy, and heightened potential for medication-related harm as death nears. Additional data are needed on how EOL deprescribing impacts patient quality of life, caregiver burden, and out-of-pocket medication-related costs to patients and caregivers. Investigators should design deprescribing studies with this information in mind.

Indexed as

DeprescribingEnd of lifeMedication appropriatenessMethodologicalMethodsOutcome measurement

Identifiers

PMID34722115
PMCPMC8553236

What Socratic holds

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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.