Evidence map›Paper›PMID 31680605›Full record

ArticleCritical reviews in clinical laboratory sciences2019

Polypharmacy: a healthcare conundrum with a pharmacogenetic solution.

Cierra N Sharp, Mark W Linder, Roland Valdes

Open access · greenAbstract read
In one paragraph

Article in Critical reviews in clinical laboratory sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Actionable medications in Australian Vietnam War veterans: Implications for pre-emptive pharmacogenetic testing.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2026
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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

3 authors at 1 institution in 1 country.

Cierra N SharpDepartment of Pathology and Laboratory Medicine, University of Louisville School of Medicine, Louisville, KY, USA.
Mark W LinderDepartment of Pathology and Laboratory Medicine, University of Louisville School of Medicine, Louisville, KY, USA.
Roland ValdesDepartment of Pathology and Laboratory Medicine, University of Louisville School of Medicine, Louisville, KY, USA.
University of Louisville · US

Funding

A Non-invasive Assay for Obstructive Sleep ApneaR43HL136220 · NHLBI · PGXL TECHNOLOGIES, LLC · PI VALDES, ROLAND · 2017 to 2017
$225k
NHLBI NIH HHS R43 HL136220
6 · The paper itself

Abstract

The use of multiple medications is growing at an alarming rate with some reports documenting an average of 12-22 prescriptions being used by individuals ≥50 years of age. The indirect consequences of polypharmacy include exacerbation of drug-drug interactions, adverse drug reactions, increased likelihood of prescribing cascades, chronic dependence, and hospitalizations - all of which have significant health and economic burden. While many practical solutions for reducing polypharmacy have been proposed, they have been met with limited efficacy. This highlights the need for a new systematic approach for fine-tuning dispensing of medications. Pharmacogenetic testing provides an empirical and scientifically rigorous approach for guiding appropriate selection of medicines, with the potential to reduce unnecessary polypharmacy while improving clinical outcomes. The goal of this review article is to provide healthcare providers with an understanding of polypharmacy, its adverse effects on the healthcare system and highlight how pharmacogenetic information can be used to avoid polypharmacy in patients.

Indexed as

PGx testingpharmacogeneticsPolypharmacy

Identifiers

PMID31680605
PMCPMC7195220
OpenAlexW2989441917

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.