Evidence map›Paper›PMID 31997117›Full record

ArticleDrugs & aging2020

Nursing Home Residents' Thoughts on Discussing Deprescribing of Preventive Medications.

Wade Thompson, Ida Theemann Jacobsen, Dorte Ejg Jarbøl, Peter Haastrup, Jesper Bo Nielsen, Carina Lundby

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Drugs & aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.1field-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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. 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 at 2 institutions in 1 country.

Wade ThompsonResearch Unit of General Practice, University of Southern Denmark, Odense, Denmark. wthomp01@gmail.com.ORCID http://orcid.org/0000-0002-8268-4092
Ida Theemann JacobsenHospital Pharmacy Funen, Odense University Hospital, Odense, Denmark.
Dorte Ejg JarbølResearch Unit of General Practice, University of Southern Denmark, Odense, Denmark.
Peter HaastrupResearch Unit of General Practice, University of Southern Denmark, Odense, Denmark.
Jesper Bo NielsenResearch Unit of General Practice, University of Southern Denmark, Odense, Denmark.
Carina LundbyHospital Pharmacy Funen, Odense University Hospital, Odense, Denmark.
University of Southern Denmark · DKOdense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeprescribing of preventive medications may be considered in some nursing home residents. It is important to understand how to effectively communicate around this complex decision, from both a physician and resident perspective.

objectiveThe objective of this study was to explore how nursing home residents would like to discuss deprescribing of preventive medications with their physicians.

methodsWe conducted a qualitative study with face-to-face, semi-structured interviews. Participants were Danish nursing home residents aged ≥70 years deemed cognitively able to participate by nursing staff. They were taking one or more of statins, antihypertensives, antihyperglycemics, or antiplatelets. Interviews were audio recorded and transcribed verbatim. Analysis was conducted based on systematic text condensation.

resultsNine nursing home residents (median age 85 years, seven female) were interviewed. Participants were generally aware of their overall number of medications but unaware of specific medications and why they were taking them. All participants displayed a high degree of trust in their physicians, preferring to defer decisions to them, and generally believed their medication was necessary if their physician had prescribed it. Residents would be open to deprescribing if their physician suggested it but were not aware of the possibility to be involved in the decision (e.g., discuss goals of care and treatment preferences) and had difficulty imagining what they could discuss with their physician about a deprescribing decision.

conclusionThe interviewed nursing home residents could not imagine how they might discuss potential deprescribing of preventive medications with their physician, and what topics would be important. Future work should explore how nursing home residents can be encouraged to be part of such discussions and investigate ways to have residents share their goals and preferences regarding deprescribing.

Indexed as

DeprescriptionsAged, 80 and overDecision MakingFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleNursing Homes

Identifiers

PMID31997117
OpenAlexW3003510084

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.