Evidence map›Paper›PMID 37713028›Full record

SynthesisInternational journal of clinical pharmacy2023

Pharmacists' contribution to benzodiazepine deprescribing in older outpatients: a systematic review and meta-analysis.

Thiago Afonso Rodrigues Melo, Cleyton Oliveira Bezerra, Brígida Dias Fernandes, Inajara Rotta, Walleri Christini Torelli Reis, Patricia Melo Aguiar

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International journal of clinical pharmacy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Observational
  5. Article
  6. Article
  7. 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

6 authors at 4 institutions in 1 country.

Thiago Afonso Rodrigues MeloDepartment of Pharmacy, Faculty of Pharmaceutical Sciences, University of São Paulo, Av. Prof. Lineu Prestes, 580, Conj. das Químicas, Bloco 13, Cidade Universitária Butantã, São Paulo, Brazil.
Cleyton Oliveira BezerraMunicipal Health Department, Multiprofessional Residency Program in Family and Community Health, João Pessoa, PB, Brazil.
Brígida Dias FernandesCapixaba Institute of Health Education, Research and Innovation, Vitória, ES, Brazil.
Inajara RottaDepartment of Pharmacy, Federal University of Paraná, Curitiba, PR, Brazil.
Walleri Christini Torelli ReisDepartment of Pharmaceutical Sciences, Health Sciences Center, Federal University of Paraíba, João Pessoa, PB, Brazil.
Patricia Melo AguiarDepartment of Pharmacy, Faculty of Pharmaceutical Sciences, University of São Paulo, Av. Prof. Lineu Prestes, 580, Conj. das Químicas, Bloco 13, Cidade Universitária Butantã, São Paulo, Brazil. aguiar.pm@usp.br.ORCID http://orcid.org/0000-0002-3957-4533
Universidade de São Paulo · BRInstituto Capixaba de Pesquisa, Assistência Técnica e Extensão Rural · BRUniversidade Federal da Paraíba · BRUniversidade Federal do Paraná · BR

Funding

Ministério da Saúde Ministério da Saúde
6 · The paper itself

Abstract

backgroundConsolidated and reliable evidence regarding the effectiveness of pharmacist interventions for deprescribing benzodiazepines in older outpatients is lacking.

aimThis study evaluated and summarized the impact of pharmacist interventions on benzodiazepine deprescribing among older outpatients.

methodA literature search was conducted until August 2022 in PubMed, PsycINFO, and the Cochrane Central Register of Controlled Trials databases. The review included randomized controlled trials that assessed the impact of pharmacist interventions on deprescribing benzodiazepine in older outpatients. Two independent investigators conducted the study selection, data extraction, and risk of bias assessment. Meta-analyses were conducted using random-effect models in the RStudio software.

resultsA total of 893 records were identified. Five studies, including 3,879 patients, met the inclusion criteria and were included in the systematic review. All five studies used health education as an intervention strategy, and three also conducted medication reviews. There was no evidence of the pharmacist's authority to modify prescriptions during benzodiazepine deprescribing. One study was classified as having a low risk of bias, whereas the other had some concerns or a high risk of bias. Three studies were included in the meta-analysis and a significant impact of pharmacist interventions on benzodiazepines deprescribing rates in older outpatients was observed (RR = 2.75 [95%CI 1.29; 5.89]; p = 0.04; I

conclusionPharmacists may contribute to deprescribing benzodiazepines in older outpatients. Further studies are needed to increase the reliability of these findings. PROSPERO registration number: CRD42022358563.

Indexed as

BenzodiazepinesDeprescriptionsAgedHumansOutpatientsPharmacistsReproducibility of ResultsBenzodiazepinesAgedBenzodiazepineDeprescriptionPharmaceutical servicesSystematic review

Identifiers

PMID37713028
OpenAlexW4386757310

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.