Evidence map›Paper›PMID 26535585›Full record

ArticlePloS one2015

Multimorbidities and Overprescription of Proton Pump Inhibitors in Older Patients.

Anne Delcher, Sylvie Hily, Anne Sophie Boureau, Guillaume Chapelet, Gilles Berrut, Laure de Decker

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

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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

6 authors.

Anne DelcherDepartment of Geriatrics, Saint-Nazaire Hospital, Saint-Nazaire, France.
Sylvie HilyDepartment of Geriatrics, Saint-Nazaire Hospital, Saint-Nazaire, France.
Anne Sophie BoureauDepartment of Geriatrics, Nantes University Hospital, Nantes, France.
Guillaume ChapeletDepartment of Geriatrics, Nantes University Hospital, Nantes, France.
Gilles BerrutDepartment of Geriatrics, Nantes University Hospital, Nantes, France.
Laure de DeckerDepartment of Geriatrics, Nantes University Hospital, Nantes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine whether there is an association between overprescription of proton pump inhibitors (PPIs) and multimorbidities in older patients.

designMulticenter prospective study.

settingAcute geriatric medicine at the University Hospital of Nantes and the Hospital of Saint-Nazaire.

participantsOlder patients aged 75 and over hospitalized in acute geriatric medicine. MEASUREMENTS: Older patients in acute geriatric medicine who received proton pump inhibitors. Variables studied were individual multimorbidities, the burden of multimorbidity evaluated by the Cumulative Illness Rating Scale, age, sex, type of residence (living in nursing home or not), functional abilities (Lawton and Katz scales), nutritional status (Body Mass Index), and the type of concomitant medications (antiaggregant, corticosteroids', or anticoagulants).

resultsOverprescription of proton pump inhibitors was found in 73.9% older patients. In the full model, cardiac diseases (odds ratio [OR] = 4.17, p = 0.010), metabolic diseases (OR = 2.14, p = 0.042) and corticosteroids (OR = 5.39, p = 0.028) were significantly associated with overprescription of proton pump inhibitors. Esogastric diseases (OR = 0.49, p = 0.033) were negatively associated with overprescription of proton pump inhibitors.

conclusionCardiac diseases and metabolic diseases were significantly associated with overprescription of proton pump inhibitors.

Indexed as

Adrenal Cortex HormonesAgedAged, 80 and overAge FactorsComorbidityFemaleHeart DiseasesHospitalizationHumansLogistic ModelsMaleMetabolic DiseasesOdds RatioPrescription Drug OveruseProspective StudiesProton Pump InhibitorsAdrenal Cortex HormonesProton Pump Inhibitors

Identifiers

PMID26535585
PMCPMC4633104

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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.