Evidence map›Paper›PMID 33495164›Full record

ArticleBJGP open2021

Characteristics and determinants of high volume dispensing in long-term oral nutritional supplement users in primary care: a secondary analysis.

Patricia Dominguez Castro, Ciara Reynolds, Maria Gabriella Bizzaro, Sharon Kennelly, Barbara Clyne, Gerard Bury, Catriona Bradley, Karen Finnigan, Laura McCullagh, Celine Murrin and 3 more

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2021. 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
1.0field-weighted citation impact, top 28% 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, 8 citations in OpenAlex.

  1. Article
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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

13 authors at 5 institutions in 2 countries.

Patricia Dominguez CastroSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Republic of Ireland.
Ciara ReynoldsSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Republic of Ireland.
Maria Gabriella BizzaroSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Republic of Ireland.
Sharon KennellyNational Primary Care Division, Community Funded Schemes Service Improvement, Mountmellick Primary Care Building, Co. Laois, Republic of Ireland.
Barbara ClyneHRB Centre for Primary Care Research, Department of General Practice, Royal College of Surgeons in Ireland, Dublin, Republic of Ireland.
Gerard BurySchool of Medicine, University College Dublin, Belfield, Dublin, Republic of Ireland.
Catriona BradleyRoyal College of Surgeons in Ireland, Dublin, Republic of Ireland.
Karen FinniganDepartment of Pharmacology and Therapeutics, Trinity Centre for Health Sciences, St James's Hospital, Dublin, Republic of Ireland.
Laura McCullaghDepartment of Pharmacology and Therapeutics, Trinity Centre for Health Sciences, St James's Hospital, Dublin, Republic of Ireland.
Celine MurrinSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Republic of Ireland.
Carla PerrottaSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Republic of Ireland.
Eileen R GibneyUCD Institute of Food and Health, University College Dublin, Dublin, Republic of Ireland.
Clare A CorishSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Republic of Ireland clare.corish@ucd.ie.
University College Dublin · IERoyal College of Surgeons in Ireland · IESt. James's Hospital · IEAgriculture and Food · AUHealth Service Executive · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral nutritional supplements (ONS) are recommended for patients who are malnourished or at risk of malnutrition. Appropriate ONS prescribing requires regular monitoring to assess its continued requirement. Previous research identified long-term ONS prescriptions (>6 months) without review, with 70% of these influenced by social factors.

aimTo investigate the characteristics of long-term ONS users in Ireland and the determinants of larger volumes of ONS dispensing. DESIGN &

settingSecondary analysis of anonymous dispensed pharmacy claims data of patients dispensed standard ONS for 12 consecutive months in 2018 (

methodFactors showing significant (

resultsMedian age was 76 (range 18 to 101) years, with 66.9% of the sample being ≥65 years. Almost 70% of the samples were on polypharmacy (45.6%; ≥5 medications) or excessive polypharmacy (21.5%; ≥10 medications). Younger age and being on polypharmacy for drugs having an effect on the central nervous system (CNS) were significantly associated with being dispensed more ONS units in univariate and multivariate analysis. Those patients in the age range 18 to 44 were 2.5 fold more likely to be prescribed more ONS units (odds ratio [OR] 2.5; 95% confidence interval [CI] 1.5 to 4.3;

Indexed as

general practiceMalnutritionoral nutritional supplementspharmacypolypharmacyprescriptionsprimary careProtein-energy malnutrition

Identifiers

PMID33495164
PMCPMC8170613
OpenAlexW3124594637

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.