Evidence map›Paper›PMID 30848837›Full record

SynthesisBritish journal of clinical pharmacology2019

Availability and readability of patient education materials for deprescribing: An environmental scan.

Michael Anthony Fajardo, Kristie Rebecca Weir, Carissa Bonner, Danijela Gnjidic, Jesse Jansen

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
13.9field-weighted citation impact, top 1% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
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  6. Engaging Patients in Discussions About Medication Deprescribing.Journal of general internal medicine · 2025
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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

5 authors at 1 institution in 1 country.

Michael Anthony FajardoSydney School of Public Health, ASK-GP Centre of Research Excellence, The University of Sydney, NSW, Australia.ORCID 0000-0002-1302-009X
Kristie Rebecca WeirSydney School of Public Health, ASK-GP Centre of Research Excellence, The University of Sydney, NSW, Australia.
Carissa BonnerSydney School of Public Health, ASK-GP Centre of Research Excellence, The University of Sydney, NSW, Australia.
Danijela GnjidicSchool of Pharmacy and Charles Perkins Centre, The University of Sydney, Sydney, NSW, Australia.
Jesse JansenSydney School of Public Health, ASK-GP Centre of Research Excellence, The University of Sydney, NSW, Australia.ORCID 0000-0002-7739-0049
The University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo identify and evaluate content and readability of freely available online deprescribing patient education materials (PEMs).

methodsSystematic review of PEMs using MEDLINE, Embase, CINAHL, PsycINFO and The Cochrane Library of Systematic Reviews from inception to 25 September 2017 to identify PEMs. Additionally, deprescribing researchers and health professionals were surveyed to identify additional materials. Known repositories of materials were searched followed by a systematic Google search (22-28 January 2018). Materials were evaluated using an approach informed by the Patient Education Material Assessment Tool and the International Patient Decision Aids Standards Inventory. Readability of text-based materials was assessed using the US-based Gunning-Fog Index and Flesch-Kincaid Grade level.

resultsForty-eight PEMs were identified. PEMs addressing deprescribing of medications for symptom control (81%) were most common. Preventative medications were rarely addressed and material (39%) focused on older people. Only 37% of PEMs provided information about both potential benefits (e.g. reducing risk of side effects) and harms (e.g. withdrawal symptoms, increased risk of disease) of deprescribing, while 40% focussed on benefits only. Readability indices indicated an average minimum reading level of Grade 12. Option Grids and Decision Aids (mean reading level below Grade 10) were most suitable for people with average literacy levels.

conclusionsOver 1/3 of deprescribing PEMs present potential benefits and harms of deprescribing indicating most of the freely available materials are not balanced. Most PEMs are pitched above average reading levels making them inaccessible for low health literacy populations.

Indexed as

ComprehensionDeprescriptionsHumansInternetPatient Education as Topicdeprescribinghealth literacypatient education

Identifiers

PMID30848837
PMCPMC6595308
OpenAlexW2921963606

What OpenQuestion holds

Textmetadata
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.