Evidence mapPaperPMID 41358144Full record

ArticleJournal of pharmaceutical policy and practice2025

Effectiveness of a multidisciplinary team-delivered deprescribing intervention for patients with chronic kidney disease: a protocol for a randomised controlled trial.

Amani Zidan, Abdullah Hamad, Rania Ibrahim, Mohamed El-Kadi, Hasan El-Malki, Mohamed Al-Esnawi, Safeya Habib, Muhammad Abdul Hadi, Fatema Babiker, Daoud Al-Badriyeh and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of pharmaceutical policy and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06324045 (Development and Evaluation of a Multidisciplinary Team Delivered Deprescribing Intervention for Patients With Chronic Kidney Disease in Qatar), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06324045 narecruitingnot on this map

Development and Evaluation of a Multidisciplinary Team Delivered Deprescribing Intervention for Patients With Chronic Kidney Disease in Qatar: A Randomized Controlled Trial

TypeinterventionalSponsorHamad Medical CorporationRan2024 to 2026Enrolled424ConditionsChronic Kidney DiseasesArmsDeprescribing
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

11 authors.

Amani ZidanQU Health, Qatar University, Doha, Qatar.ORCID https://orcid.org/0000-0002-2859-1370
Abdullah HamadNephrology Division, Hamad Medical Corporation, Doha, Qatar.
Rania IbrahimNephrology Division, Hamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0003-4241-3746
Mohamed El-KadiNephrology Division, Hamad Medical Corporation, Doha, Qatar.
Hasan El-MalkiNephrology Division, Hamad Medical Corporation, Doha, Qatar.
Mohamed Al-EsnawiNephrology Division, Hamad Medical Corporation, Doha, Qatar.
Safeya HabibCollege of Pharmacy, QU-Health Sector, Qatar University, Doha, Qatar.
Muhammad Abdul HadiCollege of Pharmacy, QU-Health Sector, Qatar University, Doha, Qatar.ORCID https://orcid.org/0000-0003-0108-7833
Fatema BabikerNephrology Division, Hamad Medical Corporation, Doha, Qatar.
Daoud Al-BadriyehCollege of Pharmacy, QU-Health Sector, Qatar University, Doha, Qatar.ORCID https://orcid.org/0000-0001-7791-954X
Ahmed AwaisuCollege of Pharmacy, QU-Health Sector, Qatar University, Doha, Qatar.ORCID https://orcid.org/0000-0002-9029-8925

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Inappropriate polypharmacy is prevalent among patients with chronic kidney disease (CKD), and can be mitigated by deprescribing. We aim to evaluate the clinical and economic impact of a multidisciplinary deprescribing programme in Qatar's healthcare system. Methods: This randomised controlled trial will be conducted at ambulatory dialysis centres, with an internal pilot to assess the feasibility of recruitment, intervention implementation, and safety measures. Patients will be randomised to usual care or an intervention group where a clinical pharmacist, in collaboration with a multidisciplinary healthcare team, will deliver a structured deprescribing intervention, including periodic monitoring over six months. Outcomes will be measured at baseline, three, and six months. The primary outcome is the proportion of patients with at least one potentially inappropriate medication (PIM). Secondary outcomes include pill burden, treatment burden, hospitalisations, emergency department visits, quality of life, and adherence. A cost-benefit analysis will also be performed. A total of 250 patients provides 90% power to detect a 50% reduction in PIM prevalence (α = 0.05). The statistical analysis will be based on the intention-to-treat principle, using mixed-effects models to account for repeated measures. Discussion: Findings will provide novel evidence on deprescribing in CKD, informing future clinical and policy interventions. Trial Registration: ClinicalTrial.gov. NCT06324045. Registered on 15 March 2024.

Indexed as

chronic kidney diseaseclinical trialDeprescriptionskidney failurerenal dialysis

Identifiers

PMID41358144
PMCPMC12677148

What Socratic holds

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Registered trials

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.