Evidence map›Paper›PMID 30536694›Full record

ArticleJournal of the American Geriatrics Society2019

Pharmacotherapy in Older Adults with Cardiovascular Disease: Report from an American College of Cardiology, American Geriatrics Society, and National Institute on Aging Workshop.

Janice B Schwartz, Kenneth E Schmader, Joseph T Hanlon, Darrell R Abernethy, Shelly Gray, Jacqueline Dunbar-Jacob, Holly M Holmes, Michael D Murray, Robert Roberts, Michael Joyner and 5 more

Abstract readConsensus Development Conference, NIH
In one paragraph

Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Trial
  4. Trial
  5. Article
  6. Practical compendium of antiarrhythmic drugs: a clinical consensus statement of the European Heart Rhythm Association of the European Society of Cardiology.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Review
  7. Article
  8. Article
  9. Article
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  14. Article
  15. Stable Coronary Artery Disease in the Age of Geriatric Cardiology.Journal of the American College of Cardiology · 2023
    Article
  16. Review
  17. Article
  18. Review
  19. Pathophysiology and Management of Heart Failure in the Elderly.The International journal of angiology : official publication of the International College of Angiology, Inc · 2022
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 14 institutions in 1 country.

Janice B SchwartzDivisions of Geriatrics and Clinical Pharmacology, Departments of Medicine and Bioengineering and Therapeutic Sciences, University of California, San Francisco, San Francisco, California.
Kenneth E SchmaderDivision of Geriatrics, Department of Medicine, Duke University Medical Center, Durham, North Carolina.
Joseph T HanlonDivision of Geriatrics, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Darrell R AbernethyOffice of Clinical Pharmacology, U.S. Food & Drug Administration, Silver Spings, Maryland.
Shelly GrayDepartment of Pharmacy, University of Washington, Seattle, Washington.
Jacqueline Dunbar-JacobSchool of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania.
Holly M HolmesGeriatric and Palliative Medicine, Department of Medicine, McGovern Medical School, Houston, Texas.
Michael D MurrayDepartment of Pharmacy Practice, Regenstrief Institute, Purdue University, West Lafayette, Indiana.
Robert RobertsDepartment of Medicine, College of Medicine, University of Arizona, Phoenix, Arizona.
Michael JoynerDepartments of Anesthesiology and Perioperative Medicine and Physiology and Biomedical Engineering, Mayo Clinic, Rochester, Minnesota.
Josh PetersonDepartments of Biomedical Informatics and Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
David LindemanCITRIS and the Banatao Institute, University of California, Berkeley, California.
Ming Tai-SealeDivision of Health Policy, Department of Family Medicine and Public Health, University of California, San Diego, San Diego, California.
Laura DowneyConcordance Health Solutions, West Lafayette, Indiana.
Michael W RichCardiovascular Division, Department of Internal Medicine, Washington University, St. Louis, Missouri.
University of Pittsburgh · USCenter for Drug Evaluation and Research · USCenter for Information Technology Research in the Interest of Society · USConcordance Health Solutions (United States) · USDuke Medical Center · USMayo Clinic · USRegenstrief Institute · USThe University of Texas Health Science Center · USUniversity of Arizona · USUniversity of California, San Diego · USUniversity of California, San Francisco · USUniversity of Washington · USVanderbilt University Medical Center · USWashington University in St. Louis · US

Funding

Integration of Geriatrics Principles into the Care of Older Adults with CardiovasU13AG047008 · NIA · AMERICAN COLLEGE OF CARDIOLOGY · PI RICH, MICHAEL W · 2014 to 2018
$210k
NIA NIH HHS U13 AG047008
6 · The paper itself

Abstract

objectivesTo identify the top priority areas for research to optimize pharmacotherapy in older adults with cardiovascular disease (CVD).

designConsensus meeting.

settingMultidisciplinary workshop supported by the National Institute on Aging, the American College of Cardiology, and the American Geriatrics Society, February 6-7, 2017.

participantsLeaders in the Cardiology and Geriatrics communities, (officers in professional societies, journal editors, clinical trialists, Division chiefs), representatives from the NIA; National Heart, Lung, and Blood Institute; Food and Drug Administration; Centers for Medicare and Medicaid Services, Alliance for Academic Internal Medicine, Patient-Centered Outcomes Research Institute, Agency for Healthcare Research and Quality, pharmaceutical industry, and trainees and early career faculty with interests in geriatric cardiology. MEASUREMENTS: Summary of workshop proceedings and recommendations.

resultsTo better align older adults' healthcare preferences with their care, research is needed to improve skills in patient engagement and communication. Similarly, to coordinate and meet the needs of older adults with multiple comorbidities encountering multiple healthcare providers and systems, systems and disciplines must be integrated. The lack of data from efficacy trials of CVD medications relevant to the majority of older adults creates uncertainty in determining the risks and benefits of many CVD therapies; thus, developing evidence-based guidelines for older adults with CVD is a top research priority. Polypharmacy and medication nonadherence lead to poor outcomes in older people, making research on appropriate prescribing and deprescribing to reduce polypharmacy and methods to improve adherence to beneficial therapies a priority.

conclusionThe needs and circumstances of older adults with CVD differ from those that the current medical system has been designed to meet. Optimizing pharmacotherapy in older adults will require new data from traditional and pragmatic research to determine optimal CVD therapy, reduce polypharmacy, increase adherence, and meet person-centered goals. Better integration of the multiple systems and disciplines involved in the care of older adults will be essential to implement and disseminate best practices. J Am Geriatr Soc 67:371-380, 2019.

Indexed as

AgedAged, 80 and overCardiologyCardiovascular AgentsCardiovascular DiseasesDeprescriptionsDrug PrescriptionsFemaleGeriatricsHumansMaleMedicareMedication AdherenceNational Institute on Aging (U.S.)PolypharmacySocieties, MedicalCardiovascular Agentsadherenceadverse effectscardiovascular medicationde-prescribingpolypharmacy

Identifiers

PMID30536694
PMCPMC6724196
OpenAlexW2904706612

What OpenQuestion holds

Textmetadata
LicenceTDM
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.