Evidence map›Paper›PMID 34149084›Full record

ArticleMissouri medicine

Polypharmacy in Multiple Sclerosis: Current Knowledge and Future Directions.

Joanie Thelen, Valeriy Zvonarev, Sarah Lam, Crystal Burkhardt, Sharon Lynch, Jared Bruce

Open access · greenAbstract read
In one paragraph

Article in Missouri medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  11. Medication self-management toolkits for adults with multiple sclerosis: A scoping review.Exploratory research in clinical and social pharmacy · 2023
    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

6 authors at 1 institution in 1 country.

Joanie ThelenDepartment of Psychology, University of Missouri - Kansas City, Kansas City, Missouri (UMKC KCMO).
Valeriy ZvonarevDepartment of Psychiatry, University of Missouri - Kansas City, Kansas City, Missouri (UMKC KCMO).
Sarah LamMedical Student, School of Medicine (SOM), University of Missouri - Kansas City, Kansas City, Missouri (UMKC KCMO).
Crystal BurkhardtDepartment of Pharmacy Practice, School of Pharmacy, University of Kansas, Lawrence, Kansas.
Sharon LynchDepartment of Neurology, University of Kansas Medical Center, Kansas City, Kansas.
Jared BruceDepartment of Biomedical and Health Informatics, the UMKC-KCMO.
University of Kansas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polypharmacy, or the daily use of five or more medications, is well documented in older adults and linked to negative outcomes such as medication errors, adverse drug reactions, and increased healthcare utilization. Like older adults, people with multiple sclerosis (PwMS) are susceptible to polypharmacy, owing to the variety of treatments used to address individual multiple sclerosis (MS) symptoms and other comorbidities. Between 15-65% of PwMS meet criteria for polypharmacy; in this population, polypharmacy is associated with increased reports of fatigue, subjective cognitive impairment, and reduced quality of life. Despite evidence of adverse outcomes, polypharmacy among PwMS remains a neglected area of research. This article examines the current literature regarding polypharmacy in MS, as well as implications for clinical practice and directions for future research.

Indexed as

Drug-Related Side Effects and Adverse ReactionsMultiple SclerosisAgedComorbidityHumansPolypharmacyQuality of Life

Identifiers

PMID34149084
PMCPMC8210980
OpenAlexW3173719913

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.