Evidence mapPaperPMID 35742605Full record

ArticleInternational journal of environmental research and public health2022

Time-Trends of Drug-Drug Interactions among Elderly Outpatients in the Piedmont Region (Italy): A Population-Based Study.

Elisabetta Galai, Lorenza Scotti, Marco Gilardetti, Andrealuna Ucciero, Daniela Ferrante, Elisabetta Poluzzi, Armando A Genazzani, Francesco Barone-Adesi

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

8 authors at 3 institutions in 1 country.

Elisabetta GalaiDepartment of Pharmaceutical Sciences, Università del Piemonte Orientale, 28100 Novara, Italy.
Lorenza ScottiDepartment of Translational Medicine, Università del Piemonte Orientale, 28100 Novara, Italy.
Marco GilardettiSC Epidemiologia dei Tumori CRPT U, Azienda Ospedaliero-Universitaria (A.O.U.) Città della Salute e della Scienza di Torino, Centro di Riferimento per l'Epidemiologia e la Prevenzione Oncologica (CPO) Piemonte, 10100 Torino, Italy.
Andrealuna UccieroDepartment of Translational Medicine, Università del Piemonte Orientale, 28100 Novara, Italy.
Daniela FerranteDepartment of Translational Medicine, Università del Piemonte Orientale, 28100 Novara, Italy.
Elisabetta PoluzziDepartment of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, 40100 Bologna, Italy.
Armando A GenazzaniDepartment of Pharmaceutical Sciences, Università del Piemonte Orientale, 28100 Novara, Italy.
Francesco Barone-AdesiDepartment of Translational Medicine, Università del Piemonte Orientale, 28100 Novara, Italy.ORCID 0000-0003-1550-436X
Università degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITPiedmont Reference Center for Epidemiology and Cancer Prevention · ITUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adverse drug reactions (ADRs) are a major health problem in the primary care setting, particularly among the elderly population. While the high frequency of ADRs in the elderly has several causes, a major and common determinant is polypharmacy, which can in turn increase the risk of drug-drug interactions (DDIs). In this paper, we analyzed the drugs prescriptions dispensed to elderly outpatients, to assess changes in the prevalence of selected DDIs in the period 2013−2019. Overall, about 15% of the patients aged >65 years were poly-treated. Among them, a decreasing trend in prevalence was observed for the majority of DDIs during the study period. This trend was particularly noticeable for DDIs involving fluoroquinolones and vitamin K antagonists, where a sharp reduction of over 40% was observed. On the opposite, a small increase in prevalence was observed for the association of antidiabetics and beta-blocking agents and for that of clopidogrel and PPIs. While the occurrence of most of the considered DDIs among poly-treated elderly decreased over time, the prevalence of some of them is still worrying. The complexity of the national drug formularies, as well as the increased number of prescribing actors that are involved, further urges the update of DDI lists to be used to monitor drug appropriateness and reduce avoidable ADRs.

Indexed as

Drug-Related Side Effects and Adverse ReactionsOutpatientsAgedDrug InteractionsHumansItalyPolypharmacydrug-drug interactionselderlytime trend

Identifiers

PMID35742605
PMCPMC9224286
OpenAlexW4282966238

What Socratic holds

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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.