Evidence map›Paper›PMID 30279013›Full record

ArticleAtencion primaria2018

[Deprescribing to increase people health or when deprescribing could be the best pill].

Óscar Esteban Jiménez, María Pilar Arroyo Aniés, Caterina Vicens Caldentey, Francisca González Rubio, Miguel Ángel Hernández Rodríguez, Mara Sempere Manuel

Abstract read
In one paragraph

Article in Atencion primaria, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. [PAPPS update on older people 2024].Atencion primaria · 2024
    Guideline
  2. Review
  3. Review
  4. Article
  5. [PAPPS update on older people 2022].Atencion primaria · 2022
    Article
  6. 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.

Óscar Esteban JiménezCentro de Salud Borja, Zaragoza, España; Grupo de Trabajo de Utilización de Fármacos de la SemFYC. Electronic address: oscarej@hotmail.com.
María Pilar Arroyo AniésCentro de Salud Huarte, Navarra, España; Grupo de Trabajo de Utilización de Fármacos de la SemFYC.
Caterina Vicens CaldenteyCentro de Salud Son Serra-La Vileta. Ib-salut, Palma de Mallorca, España; Grupo de Trabajo de Utilización de Fármacos de la SemFYC.
Francisca González RubioGrupo EpiChron de investigación en enfermedades crónicas, Centro de Salud Delicias Sur, Zaragoza, España; Grupo de Trabajo de Utilización de Fármacos de la SemFYC.
Miguel Ángel Hernández RodríguezUnidad de Apoyo-Plan de Salud, Dirección del Servicio Canario de la Salud, Santa Cruz de Tenerife, España; Grupo de Trabajo de Utilización de Fármacos de la SemFYC.
Mara Sempere ManuelCentro de Salud Sueca, Valencia, España; Grupo de Trabajo de Utilización de Fármacos de la SemFYC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The increasing longevity of the population, the increase in morbidity and the consumption of medications have caused that polypharmacy is a priority health problem due to its consequences: increase of adverse effects, pharmacological interactions and favor the functional deterioration of the patient. The clinical situation of the patients changes over time and it is necessary to adjust the medication in each stage, assessing the fragility, the level of dependence and the functional deterioration. Deprescription is complex and requires an adequate clinical and pharmacological formation. In Primary Care lies the greater knowledge of the patient and their environment, and in a shared way with the patient and caregivers, it is necessary to assess which drugs to maintain and which ones to withdraw from a clinical, ethical and social perspective. There are tools to help deprescription that can be useful for Primary Care to facilitate this process and that are detailed in this article.

Indexed as

DeprescriptionsFamily PracticeFrail ElderlyNeurodegenerative DiseasesTerminal CareAgedHumansPolypharmacyPrimary Health CareAnciano frágilDeprescripciónDeprescriptionDrug therapyFrail elderlyInappropriate prescribingPolimedicación/polifarmaciaPolypharmacyPrescripción inapropiadaTerapia médica

Identifiers

PMID30279013
PMCPMC6837147

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.