Evidence map›Paper›PMID 26100966›Full record

ArticleScandinavian journal of primary health care2015

The Norwegian General Practice--Nursing Home criteria (NORGEP-NH) for potentially inappropriate medication use: A web-based Delphi study.

Gunhild Nyborg, Jørund Straand, Atle Klovning, Mette Brekke

Registry-linked trialAbstract read
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In one paragraph

Article in Scandinavian journal of primary health care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03736577 (Psychotropic Drug Use in the Elderly Living in Nursing Homes - Associations With Clinical Symptoms and the Influence of a Structured Drug Review), which is not on this map. Cited by 37 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 6 pooled it
–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.

NCT03736577 nacompletednot on this mapstarted 2018, after this paper: background citation

Psychotropic Drug Use in the Elderly Living in Nursing Homes - Associations With Clinical Symptoms and the Influence of a Structured Drug Review

TypeinterventionalSponsorOstfold Hospital TrustRan2018 to 2019Enrolled224ConditionsCognitive Symptom, Depression, Anxiety, Neuropsychiatric SyndromeArmsDrug reviews with NorGeP-NH
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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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.

Gunhild NyborgDepartment of General Practice/Family Medicine, Institute of Health and Society, University of Oslo , Norway.
Jørund Straand
Atle Klovning
Mette Brekke

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop a set of explicit criteria for pharmacologically inappropriate medication use in nursing homes.

designIn an expert panel, a three-round Delphi consensus process was conducted via survey software.

settingNorway. SUBJECTS: Altogether 80 participants - specialists in geriatrics or clinical pharmacology, physicians in nursing homes and experienced pharmacists - agreed to participate in the survey. Of these, 62 completed the first round, and 49 panellists completed all three rounds (75.4% of those ultimately entering the survey).

main outcome measuresThe authors developed a list of 27 criteria based on the Norwegian General Practice (NORGEP) criteria, literature, and clinical experience. The main outcome measure was the panellists' evaluation of the clinical relevance of each suggested criterion on a digital Likert scale from 1 (no clinical relevance) to 10. In the first round panellists could also suggest new criteria to be included in the process. For each criterion, degree of consensus was based on the average Likert score and corresponding standard deviation (SD).

resultsA list of 34 explicit criteria for potentially inappropriate medication use in nursing homes was developed through a three-round web-based Delphi consensus process. Degree of consensus increased with each round. No criterion was voted out. Suggestions from the panel led to the inclusion of seven additional criteria in round two. IMPLICATIONS: The NORGEP-NH list may serve as a tool in the prescribing process and in medication list reviews and may also be used in quality assessment and for research purposes.

Indexed as

ConsensusDrug PrescriptionsGeneral PracticeHomes for the AgedNursing HomesPotentially Inappropriate Medication ListPractice Patterns, Physicians'AgedDelphi TechniqueHumansInternetNorwayPharmacistsPhysiciansSurveys and QuestionnairesDelphi techniqueexplicit criteriageneral practiceinappropriate medication useNorwaynursing homespharmacoepidemiology

Identifiers

PMID26100966
PMCPMC4834501

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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 OpenQuestion graph.