Evidence map›Paper›PMID 31463236›Full record

ArticleJournal of family medicine and primary care2019

A multicentric cross-sectional study to characterize the scale and impact of polypharmacy in rural Indian communities, conducted as part of health workers training.

Sangeetha Balaji, Monsurul Hoq, Jachin Velavan, Beulah Raji, Eva Grace, Sara Bhattacharji, Nathan Grills

Open access · goldAbstract read
In one paragraph

Article in Journal of family medicine and primary care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Predictors and patterns of polypharmacy in chronic diseases in a middle-income country.International journal of physiology, pathophysiology and pharmacology · 2021
    Article
  3. Observational
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

7 authors at 4 institutions in 2 countries.

Sangeetha BalajiDepartment of Distance Education Unit, Christian Medical College, Vellore, Tamil Nadu, India.
Monsurul HoqClinical Epidemiology and Biostatistics Unit, Murdoch Children's Research Institute, Victoria, Australia.
Jachin VelavanDepartment of Distance Education Unit, Christian Medical College, Vellore, Tamil Nadu, India.
Beulah RajiDepartment of Distance Education Unit, Christian Medical College, Vellore, Tamil Nadu, India.
Eva GraceDepartment of Distance Education Unit, Christian Medical College, Vellore, Tamil Nadu, India.
Sara BhattacharjiDepartment of Distance Education Unit, Christian Medical College, Vellore, Tamil Nadu, India.
Nathan GrillsAustralia India Institute and Nossal Institute for Global Health, The University of Melbourne, Australia.
Christian Medical College · INChristian Medical College & Hospital · INMurdoch Children's Research Institute · AUUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextPolypharmacy and inappropriate medication usage is one of the world's most important public health issues. Yet in rural India, where medications are readily available, little is known about polypharmacy.

aimThis study explores factors related to polypharmacy in rural India to inform the response. SETTINGS AND

designA household survey was conducted by community health trainees, across 515 Indian villages collecting medication prescription and usage information for single illness in the past month. METHODS AND MATERIAL: Polypharmacy was defined as the concurrent usage of four or more medications for single illness. Data from 515 rural India villages were collected on medication usage for their last illness. Respondents who consulted one healthcare provider for this illness were included for analysis. STATISTICAL ANALYSIS USED: Bivariate logistic regression and multivariate generalized estimating equation analysis were used to explore associations with polypharmacy.

resultsPrevalence of polypharmacy was 13% (

conclusionsThe study demonstrates high rates of polypharmacy, identifies vulnerable populations, and provides information to improve the response to polypharmacy in rural India.

Indexed as

Drug interactionsIndiamedication errorspolypharmacyprescriptionpublic healthrural communitiesrural healthsurvey

Identifiers

PMID31463236
PMCPMC6691404
OpenAlexW2966323670

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.