Evidence map›Paper›PMID 34652700›Full record

ArticleEuropean geriatric medicine2019

Attitudes towards use of proton pump inhibitors among geriatricians in Italy.

Graziano Onder, Katie Palmer, Angelo Carfì, Carmen Angioletti, Angelo Zullo, Giuseppe Milazzo, Raffaele Antonelli Incalzi, Italian Geriatrics Society (Società Italiana di Geriatria e Gerontologia SIGG) and of the Italian Association of Hospital Gastroenterologists and Endoscopists (Associazione Italiana dei Gastronterologi ed Endoscopisti Digestivi Ospedalieri AIGO)

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Article in European geriatric medicine, 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
–field-weighted citation impact, top 85% 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.

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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

8 authors at 5 institutions in 1 country.

Graziano OnderFondazione Policlinico Universitario A. Gemelli, Rome, Italy.
Katie PalmerDepartment of Geriatrics, Centro Medicina dell'Invecchiamento, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168, Rome, Italy. katie.palmer@ki.se.ORCID http://orcid.org/0000-0001-8783-016X
Angelo CarfìFondazione Policlinico Universitario A. Gemelli, Rome, Italy.
Carmen AngiolettiFondazione Policlinico Universitario A. Gemelli, Rome, Italy.
Angelo ZulloGastroenterology and Digestive Endoscopy, Nuovo Regina Margherita 'Hospital', Rome, Italy.
Giuseppe MilazzoMedicina interna e Lungodegenza Ospedale Vittorio Emanuele III, Salemi, Italy.
Raffaele Antonelli IncalziCattedra di Medicina Interna e Geriatria, Università Campus Bio Medico, Rome, Italy.
Italian Geriatrics Society (Società Italiana di Geriatria e Gerontologia SIGG) and of the Italian Association of Hospital Gastroenterologists and Endoscopists (Associazione Italiana dei Gastronterologi ed Endoscopisti Digestivi Ospedalieri AIGO)
Agostino Gemelli University Polyclinic · ITUniversità Cattolica del Sacro Cuore · ITOspedale Civile di Vittorio Veneto · ITOspedale Regina Margherita · ITUniversità Campus Bio-Medico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesProton pump inhibitors (PPIs) are among the most commonly used drugs in the Italian older population. The study aimed to identify prescribing behaviours related to PPIs in Italian geriatricians, and assess their knowledge of prescription appropriateness, potential drug interactions and contraindications. DESIGN AND

settingSurvey conducted among geriatricians in Italy.

participantsA total of 144 geriatricians from acute hospital wards (n = 68, 47.2%), specialist healthcare clinics (n = 22, 15.2%), rehabilitation wards (n = 19, 13.2%), residential care homes (n = 19, 13.2%) and outpatient clinics (n = 16, 11.1%) participated. MEASUREMENTS: The self-administered survey included several vignettes on the use of PPIs with accompanying questions that the physicians could reply to with multiple-choice questions.

resultsThe geriatricians generally had a good level of knowledge on the risks of PPI and appropriate prescribing techniques. However, there were variations in the responses. Approximately half (52.1%) of physicians suggested that they would consider prescribing a PPI to an older patient taking low-dose acetylsalicylic acid, whereas a third (36.8%) did not. There were different responses concerning which clinical factors potentially limit PPI prescription; many geriatricians (75%) mentioned malnutrition and malabsorption but fewer (27.1%) listed gastric polyps.

conclusionThere are variations in knowledge and prescribing behaviours for PPIs between geriatricians in Italy. Guidelines are needed for the prescription and monitoring of PPIs in older persons to help geriatricians to increase appropriate prescribing of these drugs.

Indexed as

Appropriate prescribingElderlyGeriatriciansPPIProton pump inhibitors

Identifiers

PMID34652700
OpenAlexW2961105491

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Registered trials

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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.