Evidence map›Paper›PMID 26822776›Full record

ArticleBMC palliative care2016

'I don't think I'd be frightened if the statins went': a phenomenological qualitative study exploring medicines use in palliative care patients, carers and healthcare professionals.

Adam Todd, Holly Holmes, Sallie Pearson, Carmel Hughes, Inga Andrew, Lisa Baker, Andy Husband

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 5 pooled it
4.3field-weighted citation impact, top 6% of its field
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

22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Patient beliefs and attitudes to taking statins: systematic review of qualitative studies.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Pooled it
  6. Article
  7. Deprescribing for patients nearing end of life: views, barriers and facilitators of palliative care patients, carers and nurses.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  8. Article
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  13. Medication work among nonagenarians: a qualitative study of the Newcastle 85+ cohort participants at 97 years old.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  14. Article
  15. Palliative Care: A Primary Care Pharmacist Perspective.Pharmacy (Basel, Switzerland) · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Pharmacist-led medication assessment and deprescribing intervention for older adults with cancer and polypharmacy: a pilot study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    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

7 authors at 5 institutions in 3 countries.

Adam ToddDivision of Pharmacy, School of Medicine, Pharmacy and Health, Durham University, Queen's Campus, University Boulevard, Thornaby, Stockton-on-Tees, TS17 6BH, UK. adam.todd@durham.ac.uk.
Holly HolmesDivision of Geriatric and Palliative Medicine, The University of Texas Health Science Center, Houston, TX, USA. Holly.M.Holmes@uth.tmc.edu.
Sallie PearsonFaculty of Pharmacy and School of Public Health, The University of Sydney, Sydney, Australia. sallie.pearson@sydney.edu.au.
Carmel HughesSchool of Pharmacy, Queen's University, Belfast, UK. c.hughes@qub.ac.uk.
Inga AndrewSt Benedict's Hospice and Centre for Specialist Palliative Care, Ryhope, Sunderland, UK. inga.andrew@stft.nhs.uk.
Lisa BakerSt Benedict's Hospice and Centre for Specialist Palliative Care, Ryhope, Sunderland, UK. Lisa.Baker@stft.nhs.uk.
Andy HusbandDivision of Pharmacy, School of Medicine, Pharmacy and Health, Durham University, Queen's Campus, University Boulevard, Thornaby, Stockton-on-Tees, TS17 6BH, UK. a.k.husband@durham.ac.uk.
Durham University · GBSt Christopher's Hospice · GBQueen's University Belfast · GBThe University of Texas Health Science Center at Houston · USUniversity of Sydney · AU

Funding

Medication Adherence Among Older Persons Enrolled in Medicare Part DK23AG038476 · NIA · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HOLMES, HOLLY M. · 2011 to 2015
$653k
6 · The paper itself

Abstract

backgroundThere is a growing body of evidence suggesting patients with life-limiting illness use medicines inappropriately and unnecessarily. In this context, the perspective of patients, their carers and the healthcare professionals responsible for prescribing and monitoring their medication is important for developing deprescribing strategies. The aim of this study was to explore the lived experience of patients, carers and healthcare professionals in the context of medication use in life-limiting illness.

methodsIn-depth interviews, using a phenomenological approach: methods of transcendental phenomenology were used for the patient and carer interviews, while hermeneutic phenomenology was used for the healthcare professional interviews.

resultsThe study highlighted that medication formed a significant part of a patient's day-to-day routine; this was also apparent for their carers who took on an active role-as a gatekeeper of care-in managing medication. Patients described the experience of a point in which, in their disease journey, they placed less importance on taking certain medications; healthcare professionals also recognize this and refer it as a 'transition'. This point appeared to occur when the patient became accepting of their illness and associated life expectancy. There was also willingness by patients, carers and healthcare professionals to review and alter the medication used by patients in the context of life-limiting illness.

conclusionsThere is a need to develop deprescribing strategies for patients with life-limiting illness. Such strategies should seek to establish patient expectations, consider the timing of the discussion about ceasing treatment and encourage the involvement of other stakeholders in the decision-making progress.

Indexed as

Medication Therapy ManagementActivities of Daily LivingAdultAgedAged, 80 and overCaregiversFemaleHealth PersonnelHumansMaleMiddle AgedPalliative CarePatientsPolypharmacyQualitative ResearchQuality of Life

Identifiers

PMID26822776
PMCPMC4731932
OpenAlexW2263998457

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.