Evidence map›Paper›PMID 41676163›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2026

[Telegeriatrics for chronic disease management through polypharmacy reduction in primary health careTelegeriatria para o controle de doenças crônicas por meio da redução da polifarmácia na atenção primária à saúde].

Sofía Ponce, Josefina Galimany, Gerardo Fasce, Sara Arancibia

Abstract readEnglish Abstract
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2026. 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

4 authors.

Sofía PonceServicio de Salud Coquimbo Coquimbo Chile Servicio de Salud Coquimbo, Coquimbo, Chile.
Josefina GalimanyUniversidad de Chile Santiago Chile Universidad de Chile, Santiago, Chile.
Gerardo FasceCélula de Geriatría Departamento de Salud Digital Ministerio de Salud Santiago Chile Célula de Geriatría, Departamento de Salud Digital, Ministerio de Salud, Santiago, Chile.
Sara ArancibiaFacultad de Ingeniería y Ciencias Universidad Diego Portales Santiago Chile Facultad de Ingeniería y Ciencias, Universidad Diego Portales, Santiago, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the effect of using asynchronous geriatric consultations to reduce polypharmacy and unscheduled consultations in older persons in Chile. Methods: An asynchronous geriatric teleconsultation was introduced that enabled primary care teams to present clinical cases to a multidisciplinary geriatrics team, resulting in changes in chronic disease management and the optimization of pharmacological treatment. A total of 462 consultations between May 2022 and January 2024 were randomly analyzed. Descriptive analyses and hypothesis testing were used before and after the intervention, with follow-up at six months. The number of medications, potentially inappropriate medications, and unscheduled consultations were measured as outcome variables. Results: The use of geriatric teleconsultations was associated with a statistically significant reduction in the total number of medications prescribed, potentially inappropriate medications, and the frequency of unscheduled consultations among older persons. Conclusions: Telegeriatrics allows for multidisciplinary review of therapeutic regimens and has demonstrated a relevant clinical impact by suspending the prescription of pharmaceuticals and reducing unscheduled visits. It is a safe and effective tool for improving care and reducing health inequities in primary care.

Indexed as

geriatricsPolypharmacyprimary health caretelemedicine

Identifiers

PMID41676163
PMCPMC12888927

What Socratic holds

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LicenceCC BY-NC-ND
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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.