Evidence map›Paper›PMID 28775966›Full record

ArticleTranslational medicine @ UniSa2017

Implementing an ICT-Based Polypharmacy Management Program in Italy.

M Arcopinto, M Cataldi, V De Luca, V Orlando, G Simeone, R D'Assante, A Postiglione, A Guida, U Trama, M Illario and 8 more

Abstract read
In one paragraph

Article in Translational medicine @ UniSa, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

18 authors.

M ArcopintoDipartimento Assistenziale ad Attività Integrata di Medicina Interna e Patologia Clinica, Dipartimento di Scienze Mediche Traslazionali, Divisione di Medicina Interna e Riabilitazione Cardiologica, Università di Napoli Federico II, Milano, Italy.
M CataldiDipartimento di Neuroscienze, Scienze Riproduttive ed Odontostomatologiche, Divisione di Farmacologia, Università di Napoli Federico II, Milano, Italy.
V De LucaU.O.S. Ricerca e Sviluppo, Azienda Ospedaliera Universitarià Federico II, Milano, Italy.
V OrlandoFacoltà di Farmacia, CIRFF/Centro di Farmacoeconomia, Università di Napoli Federico II, Milano, Italy.
G SimeoneDipartimento di Neuroscienze, Scienze Riproduttive ed Odontostomatologiche, Divisione di Farmacologia, Università di Napoli Federico II, Milano, Italy.
R D'AssanteDipartimento di Cardiochirurgia, IRCCS Policlinico San Donato, Milano, Italy.
A PostiglioneU.O.S. Ricerca e Sviluppo, Azienda Ospedaliera Universitarià Federico II, Milano, Italy.
A GuidaU.O.S. Ricerca e Sviluppo, Azienda Ospedaliera Universitarià Federico II, Milano, Italy.
U TramaU.O.S. Ricerca e Sviluppo, Azienda Ospedaliera Universitarià Federico II, Milano, Italy.
M IllarioU.O.S. Ricerca e Sviluppo, Azienda Ospedaliera Universitarià Federico II, Milano, Italy.
N FerraraDivisione di Geriatria, Dipartimento di Scienze Mediche Traslazionali, Divisione di Medicina Interna e Riabilitazione Cardiologica, Università di Napoli Federico II, Salerno, Italy.
E CoscioniAzienda Ospedaliera Universitaria OO.RR. San Giovanni di Dio Ruggi d'Aragona, Salerno, Italy.
G IaccarinoDipartimento di Medicina, Chirurgia e Odontoiatria, Scuola Medica Salernitana, Università di Salerno, Italy.
P CuccaroU.O.S. Ricerca e Sviluppo, Azienda Ospedaliera Universitarià Federico II, Milano, Italy.
G D'OnofrioDirezione Sanitaria, Azienda Ospedaliera Universitaria Federico II, Napoli, Italia.
C VigoritoDipartimento Assistenziale ad Attività Integrata di Medicina Interna e Patologia Clinica, Dipartimento di Scienze Mediche Traslazionali, Divisione di Medicina Interna e Riabilitazione Cardiologica, Università di Napoli Federico II, Milano, Italy.
A CittadiniDipartimento Assistenziale ad Attività Integrata di Medicina Interna e Patologia Clinica, Dipartimento di Scienze Mediche Traslazionali, Divisione di Medicina Interna e Riabilitazione Cardiologica, Università di Napoli Federico II, Milano, Italy.
E MendittoFacoltà di Farmacia, CIRFF/Centro di Farmacoeconomia, Università di Napoli Federico II, Milano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although there is evidence of a growing awareness of the problem, no official policy statements or regulatory guidelines on polypharmacy have been released up to date by Italian Health Authorities. Medication review, application of appropriateness criteria and computerized prescription support systems are all possible approaches in order to improve the quality of prescribing in older persons. More focused training courses on multimorbidity and polytherapy management are encouraged. Furthermore a multidisciplinary approach integrating different health care professionals (physicians, pharmacists, and nurses) may positively impact on reducing the sense of fear related to discontinue or substitute drugs prescribed by others; the fragmentation of therapy among different specialists; reducing costs; and improving adverse drug reaction detection and reporting. Aiming at achieving the individualized pharmacotherapy, a multidisciplinary approach starting with identification of patients and risk for drug-related problems, followed by medication review overtime and use of inappropriateness criteria, supported by computerized systems has been proposed.

Indexed as

elderly patientspolypharmacy

Identifiers

PMID28775966
PMCPMC5536159

What OpenQuestion holds

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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.