Evidence map›Paper›PMID 28780910›Full record

ArticleInternational psychogeriatrics2017

Drug-related problems in community-dwelling primary care patients screened positive for dementia.

D Wucherer, J R Thyrian, T Eichler, J Hertel, I Kilimann, S Richter, B Michalowsky, I Zwingmann, A Dreier-Wolfgramm, C A Ritter and 2 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in International psychogeriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01401582 (Dementia), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 20% 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.

NCT01401582 nacompletednot on this map

Dementia: Life- and Personcentered Help in Germany

TypeinterventionalSponsorGerman Center for Neurodegenerative Diseases (DZNE)Ran2012 to 2024Enrolled634ConditionsDementiaArmsImplementation of Dementia Care Manager
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Ambulatory Medication Safety in Primary Care: A Systematic Review.Journal of the American Board of Family Medicine : JABFM
    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

12 authors at 2 institutions in 1 country.

D WuchererGerman Center for Neurodegenerative Diseases (DZNE),Rostock/Greifswald,Greifswald,Germany.ORCID 0000-0002-9324-1043
J R ThyrianGerman Center for Neurodegenerative Diseases (DZNE),Rostock/Greifswald,Greifswald,Germany.
T EichlerGerman Center for Neurodegenerative Diseases (DZNE),Rostock/Greifswald,Greifswald,Germany.
J HertelGerman Center for Neurodegenerative Diseases (DZNE),Rostock/Greifswald,Greifswald,Germany.
I KilimannGerman Center for Neurodegenerative Diseases (DZNE),Rostock/Greifswald,Rostock,Germany.
S RichterGerman Center for Neurodegenerative Diseases (DZNE),Rostock/Greifswald,Greifswald,Germany.
B MichalowskyGerman Center for Neurodegenerative Diseases (DZNE),Rostock/Greifswald,Greifswald,Germany.
I ZwingmannGerman Center for Neurodegenerative Diseases (DZNE),Rostock/Greifswald,Greifswald,Germany.
A Dreier-WolfgrammInstitute for Community Medicine,Section Epidemiology of Health Care and Community Health,University Medicine Greifswald,Greifswald,Germany.
C A RitterInstitute of Pharmacy,Section Clinical Pharmacy,University of Greifswald,Greifswald,Germany.
S TeipelDepartment of Psychiatry and Psychotherapy,University Medicine Greifswald,Greifswald,Germany.
W HoffmannGerman Center for Neurodegenerative Diseases (DZNE),Rostock/Greifswald,Greifswald,Germany.
German Center for Neurodegenerative Diseases · DEUniversitätsmedizin Greifswald · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder people have a higher risk of drug-related problems (DRPs). However, little is known about the prevalence of DRPs in community-dwelling people who screened positive for dementia. Our study aimed to determine (1) the prevalence and types of DRPs and (2) the socio-demographic and clinical variables associated with DRPs in people screened positive for dementia in primary care.

methodsThe Dementia: life- and person-centered help in Mecklenburg-Western Pomerania (DelpHi-MV) study is a general practitioner (GP)-based cluster-randomized controlled intervention study to implement and evaluate an innovative concept of collaborative dementia care management in the primary care setting in Germany. Medication reviews of 446 study participants were conducted by pharmacists based on a comprehensive baseline assessment that included a computer-based home medication assessment. ClinicalTrials.gov Identifier: NCT01401582.

resultsA total of 1,077 DRPs were documented. In 414 study participants (93%), at least one DRP was detected by a pharmacist. The most frequent DRPs were administration and compliance problems (60%), drug interactions (17%), and problems with inappropriate drug choice (15%). The number of DRPs was significantly associated with the total number of drugs taken and with a formal diagnosis of a mental or behavioral disorder.

conclusionsDegree of cognitive impairment (MMSE defined) and formal diagnosis of dementia were not risk factors for an increased number of DRPs. However, the total number of drug taken and the presence of a diagnosis of mental and behavioral disorders were associated with an increased total number of DRPs.

Indexed as

AgedAged, 80 and overCognitive DysfunctionCross-Sectional StudiesDementiaDrug-Related Side Effects and Adverse ReactionsFemaleGermanyHumansIndependent LivingLogistic ModelsMaleMultivariate AnalysisPrimary Health CarePsychiatric Status Rating ScalesRandomized Controlled Trials as TopicDelpHi-MV studydementiadrug-related problemmedication reviewprimary care

Identifiers

PMID28780910
PMCPMC5647675
OpenAlexW2743510904

What OpenQuestion holds

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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.