Evidence map›Paper›PMID 29806660›Full record

Observational studyRevista espanola de salud publica2018

[Gastrointestinal bleeding and potentially inappropriate medication by NSAIDs].

Josep Pastor Cano, Ana Aranda García, José Francisco Sánchez Ruiz, Víctor José Rausell Rausell, Mariana Tobaruela Soto, Juan José Gascón Cánovas

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Revista espanola de salud publica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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

6 authors at 2 institutions in 1 country.

Josep Pastor CanoServicio de Gestión Farmacéutica. Dirección General Asistencia Sanitaria. Servicio Murciano de Salud. Murcia. España.
Ana Aranda GarcíaServicio de Gestión Farmacéutica. Dirección General Asistencia Sanitaria. Servicio Murciano de Salud. Murcia. España.
José Francisco Sánchez RuizSubdirección General de Tecnologías de la Información. Dirección General Asistencia Sanitaria. Servicio Murciano de Salud. Murcia. España.
Víctor José Rausell RausellServicio de Gestión Farmacéutica. Dirección General Asistencia Sanitaria. Servicio Murciano de Salud. Murcia. España.
Mariana Tobaruela SotoServicio de Farmacia Hospitalaria. Hospital Morales Meseguer (Facultativo Responsable R.P.M. San Basilio). Hospital Morales Meseguer. Murcia. España.
Juan José Gascón CánovasÁrea de Medicina Preventiva y Salud Pública Facultad de Medicina (Universidad de Murcia). Grupo de Investigación de Metodología de Investigación en Ciencias de la Salud (IMIB-Arrixaca). Murcia. España.
Servicio Murciano de Salud · ESHospital General Universitario Morales Meseguer · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNon-Steroidal Anti-Inflammatory Drugs (NSAIDs) are widely used but they increase the risk of gastrointestinal haemorrage among other adverse effects. The objective of this study was to compare potentially inappropriate medications (PIM) by NSAIDs using the original Beers Criteria, a global reference for evaluating elderly people's prescriptions, and the Spanish adaptation of the same; and the relation between PIM of NSAIDs and gastrointestinal bleeding.

methodsThe study was a retrospective observational study carried out located in a primary care district in the province of de Murcia, south-eastern Spain. The study population (n=7.856) were citizens aged 65 and above, with at least one drug prescribed in a Spanish health district during the study period . We analized illnesses and treatments registered in the primary care's electronic medical history of patients and hospital admissions, during the 12 month study period (2012). The original Beers Criteria and their Spanish adaptation were used to evaluate PIM of NSAIDs in patients considering the medication globally and also each active substance. Gastrointestinal bleeding events recorded in the data bases studied were evaluated.

resultsDetection of PIM of NSAIDs was 5,6% with the original version and 7,0% (Δ=25,5%; p less than 0,001) with the adapted one. PIM of NSAIDs was related with an increased incidence of gastrointestinal bleeding without significant differences between PIM exposed and NSAID exposed patients AINE (RR=1,6; IC:0,2-14,5).

conclusionsThe Spanish adaptation of the Beers criteria identified a greater degree of PIM of NSAIDs than the original version, and in both versions the detection of PIM was not related with a significant increase of gastrointestinal bleeding compared to patients exposed to NSAIDs.

Indexed as

Potentially Inappropriate Medication ListAgedAged, 80 and overAnti-Inflammatory Agents, Non-SteroidalFemaleGastrointestinal HemorrhageHospitalizationHumansInappropriate PrescribingIncidenceLongitudinal StudiesMaleRetrospective StudiesSpainAnti-Inflammatory Agents, Non-SteroidalBeers CriteriaElderlyGastrointestinal hemorrhageInappropriate prescriptionNSAIDPharmacoepidemiologyPolypharmacyPrimary health careSpain

Identifiers

PMID29806660
PMCPMC11587265
OpenAlexW2972740825

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.