Evidence map›Paper›PMID 40781344›Full record

ArticleSystematic reviews2025

A critical evaluation of available explicit deprescribing tools for their applicability to Indian elderly patients: a scoping review protocol.

Ajay Kumar Shukla, Ratinder Jhaj, Shubham Atal, Anindo Majumdar, Mahadev Meena, Sandeep Tiwari, Bushra Siddiqui, Jerin Jose Cherian, Atiya R Faruqui, Sowparnika Treasa Sabu

Abstract read
In one paragraph

Article in Systematic reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Ajay Kumar ShuklaDepartment of Pharmacology, AIIMS, Bhopal, Madhya Pradesh, 462020, India. ajay.pharm@aiimsbhopal.edu.in.ORCID 0000-0002-1164-6056
Ratinder JhajDepartment of Pharmacology, AIIMS, Bhopal, Madhya Pradesh, 462020, India.
Shubham AtalDepartment of Pharmacology, AIIMS, Bhopal, Madhya Pradesh, 462020, India.
Anindo MajumdarDepartment of CFM, AIIMS, Bhopal, 462020, India.
Mahadev MeenaDepartment of General Medicine, AIIMS, Bhopal, 462020, India.
Sandeep TiwariDepartment of Pharmacology, AIIMS, Bhopal, Madhya Pradesh, 462020, India.
Bushra SiddiquiDepartment of Pharmacology, AIIMS, Bhopal, Madhya Pradesh, 462020, India.
Jerin Jose CherianIndian Council of Medical Research, New Delhi, India.
Atiya R FaruquiDepartment of Pharmacology, St. John's Medical College, Bengaluru, Karnataka, India.
Sowparnika Treasa SabuDivision of Development Research, ICMR Headquarter, New Delhi, India.

Funding

Indian Council of Medical Research SRUM/2023/BMS/Part4/RatinderJhaj
6 · The paper itself

Abstract

backgroundAmong the elderly, who are often exposed to polypharmacy, explicit deprescribing tools offer clear, validated guidelines for safely reducing medications. However, the effectiveness of these tools varies across healthcare settings and populations. In India, unique sociocultural and healthcare challenges demand a tailored approach to deprescribing for elderly patients, and the need to adapt existing tools to local contexts. The primary objective of this scoping review is mapping of the contextual relevance and applicability of the existing explicit deprescribing tools for elderly population in Indian healthcare settings. METHODOLOGY: The scoping review will be carried out in six stages: (1) Identifying the review question. (2) Identifying relevant studies through electronic databases (i.e., PubMed, Web of Science, and Embase). (3) Selection of studies to be included based on inclusion and exclusion criteria. Inclusion criteria for this scoping review are studies implementing explicit deprescribing tools involving Indian elderly patients, reporting on outcomes, validation methods, or contextual relevance of deprescribing tools, published in English or non-English language with English translation available. Exclusion criteria for this scoping review are studies focused on implicit deprescribing tools, review articles, case reports, commentaries, and editorials. Two independent reviewers will conduct the search and initial screening of studies. Discrepancies will then be solved through discussion with the third reviewer. (4) Charting, categorizing, and thematic analysis of the extracted data. (5) Collating, summarizing, and reporting the results. (6) Dissemination of findings. DISCUSSION: By reviewing the patient population and study setting of studies of explicit tools in India, vis a vis the healthcare setting and patient population for which the tool was designed, our scoping review highlighted the strengths and weaknesses in the existing literature. These findings could be used to direct future research and assess the need for a deprescribing tool adapted for the Indian elderly patients.

Indexed as

DeprescriptionsPolypharmacyAgedHumansIndiaScoping Reviews as TopicDeprescribingElderly patientsIndiaPolypharmacyScoping review

Identifiers

PMID40781344
PMCPMC12333108

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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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.