Evidence map›Paper›PMID 18625759›Full record

ArticleJournal of aging and health2008

Assessing multiple medication use with probabilities of benefits and harms.

Terrence E Murphy, Joseph V Agostini, Peter H Van Ness, Peter Peduzzi, Mary E Tinetti, Heather G Allore

Abstract read
In one paragraph

Article in Journal of aging and health, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Association between Statin Use and Balance in Older Adults.International journal of environmental research and public health · 2020
    Article
  3. Review
  4. Article
  5. Article
  6. 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

6 authors.

Terrence E MurphyDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA. terrence.murphy@yale.edu
Joseph V Agostini
Peter H Van Ness
Peter Peduzzi
Mary E Tinetti
Heather G Allore

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Denise Esserman · 2002 to 2026
$37.9M
NIA NIH HHS P30 AG021342NIA NIH HHS P30AG021342
6 · The paper itself

Abstract

objectiveA quantitative framework to assess harms and benefits of candidate medications in the context of drugs that a patient is already taking is proposed.

methodProbabilities of harms and benefits of a given medication are averaged to yield a utility value. The utility values of all medications under consideration are combined as a geometric mean to yield an overall measure of favorability. The grouping of medications yielding the highest favorability value is chosen.

resultsFive examples of choosing between widely used candidate medications demonstrate the feasibility of the proposed framework. DISCUSSION: The framework proposed provides a simple method for considering the trade-offs involved in prescribing multiple medications. It can be adapted to include additional parameters representing severity of condition, prioritization of outcomes, patient preferences, dosages, and medication interactions. Inconsistent reporting in the medical literature of data about benefits and harms of medications, dosages, and interactions constitutes its primary limitation.

Indexed as

Drug TherapyHealth Services for the AgedPolypharmacyAgedDrug-Related Side Effects and Adverse ReactionsHumansModels, StatisticalUnited States

Identifiers

PMID18625759
PMCPMC3477770

What OpenQuestion holds

Textmetadata
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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 OpenQuestion graph.