Evidence map›Paper›PMID 42099355›Full record

ReviewCureus2026

Pharmacist-Led Deprescribing Interventions in Older Adults: A Systematic Review of Medication Appropriateness, Patient Safety, and Clinical Outcomes.

Esteban Zavaleta-Monestel, Jeaustin Mora-Jiménez, Luis Herrera-Jiménez, Andrea Chaves-Arroyo, Kevin Cruz Mora, Sebastián Arguedas-Chacón

Abstract readReview
In one paragraph

Review in Cureus, 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

6 authors.

Esteban Zavaleta-MonestelDepartment of Research, Hospital Clinica Biblica, San José, CRI.
Jeaustin Mora-JiménezDepartment of Research, Hospital Clínica Bíblica, San José, CRI.
Luis Herrera-JiménezDepartment of Research, Hospital Clínica Bíblica, San José, CRI.
Andrea Chaves-ArroyoPharmacy, Hospital Clinica Biblica, San Jose, CRI.
Kevin Cruz MoraPharmacy, Hospital Clinica Biblica, San José, CRI.
Sebastián Arguedas-ChacónPharmacy, Hospital Clinica Biblica, San Jose, CRI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polypharmacy in older adults is associated with medication-related harm, including adverse drug events, drug-drug interactions, inappropriate prescribing, and hospitalization-related outcomes. This systematic review evaluated the effectiveness and safety of pharmacist-led deprescribing interventions in adults aged ≥65 years. The review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement, and searches were conducted in PubMed, Embase, and Scopus for studies published from January 2020 to December 2024. Five studies met the inclusion criteria, including two randomized controlled trials and three quasi-experimental studies across inpatient, emergency department, and ambulatory settings. Pharmacist-led interventions were generally associated with reductions in potentially inappropriate medication use and improvements in medication appropriateness. Evidence regarding adverse drug events, hospital admissions/readmissions, mortality, and other major clinical outcomes remained limited and heterogeneous. Overall, pharmacist-led deprescribing appears feasible and may improve prescribing quality, but larger randomized studies with longer follow-up are needed to determine its effect on major clinical outcomes.

Indexed as

aged adultdeprescribinginappropriate prescribingpolypharmacy managementprescribing safety

Identifiers

PMID42099355
PMCPMC13148282

What Socratic holds

Textmetadata
LicenceCC BY
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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.