Evidence map›Paper›PMID 40856967›Full record

ReviewDrugs & aging2025

Deprescribing for People with Dementia: A Roadmap.

Ariel R Green, Cynthia M Boyd, Rosalphie Quiles, Andrea E Daddato, Kathy Gleason, Tobie Taylor-McPhail, Aleksandra Wec, Stephanie K Nothelle, Rebecca S Boxer

Abstract readReview
In one paragraph

Review in Drugs & aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Trajectories of Medication Use Prior to Death in US Nursing Home Residents With Dementia.Journal of the American Medical Directors Association · 2026
    Article
  3. Review
  4. 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

9 authors.

Ariel R GreenDivision of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA. ariel@jhmi.edu.ORCID 0000-0003-4127-4617
Cynthia M BoydDivision of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Rosalphie QuilesDivision of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Andrea E DaddatoKaiser Permanente Colorado, Institute for Health Research, Aurora, CO, USA.
Kathy GleasonKaiser Permanente Colorado, Institute for Health Research, Aurora, CO, USA.
Tobie Taylor-McPhailKaiser Permanente Colorado, Institute for Health Research, Aurora, CO, USA.
Aleksandra WecDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Stephanie K NothelleDivision of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Rebecca S BoxerDepartment of Medicine, University of California Davis, Sacramento, CA, USA.

Funding

Training Core (I)U54AG063546 · NIA · BROWN UNIVERSITY · PI Abraham Aizer Brody, SUSAN L MITCHELL · 2019 to 2026
$125.9M
eAlign: A Patient Portal-based Intervention to Align Medications with What Matters MostR01AG077011 · NIA · JOHNS HOPKINS UNIVERSITY · PI Ariel Green, CHRISTINE D JONES · 2022 to 2026
$3.9M
Health Services and Outcomes Research for Aging PopulationsT32AG066576 · NIA · JOHNS HOPKINS UNIVERSITY · PI CYNTHIA Melinda BOYD, Jennifer L. Wolff · 2020 to 2026
$3.8M
Primary care based collaborative approach to care management for older adults with dementiaK23AG072037 · NIA · JOHNS HOPKINS UNIVERSITY · PI NOTHELLE, STEPHANIE · 2021 to 2025
$946k
National Institute on Aging IMPACT Collaboratory U54AG063546NIA NIH HHS K23 AG072037NIA NIH HHS K23AG072037NIA NIH HHS R01 AG077011NIA NIH HHS R01AG077011NIA NIH HHS T32 AG066576NIA NIH HHS T32AG066576NIA NIH HHS U54 AG063546
6 · The paper itself

Abstract

People with dementia (PWD) are frequently exposed to polypharmacy and potentially inappropriate medication use, in which the risks of medication use outweigh the benefits or the medication is not aligned with treatment goals. Appropriate deprescribing of unnecessary or potentially inappropriate medications is essential to high-quality care for PWD, to avoid iatrogenic harm and improve health and well-being for patients and their care partners. In this article, we review the risks of polypharmacy in PWD and evidence for the safety and efficacy of deprescribing in this population. Building off existing deprescribing frameworks for older adults with multimorbidity and limited life expectancy, we provide a roadmap for deprescribing in PWD that addresses the unique challenges of living dementia, including the variable disease course, high prevalence of distressing behavioral symptoms, and central role of care partners. The steps include: (1) identify potential targets for deprescribing by eliciting medication-related goals and considering tradeoffs, (2) develop a tapering plan, (3) complete additional actions that are necessary before deprescribing, and (4) provide close follow-up. Lastly, we provide evidence-based strategies for communicating with patients and their care partners about deprescribing, adapted from the FRAME tool.

Indexed as

DementiaDeprescriptionsHumansInappropriate PrescribingPolypharmacy

Identifiers

PMID40856967
PMCPMC12436473

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.