Evidence map›Paper›PMID 35135816›Full record

ArticleBJGP open2022

Experiences of patients receiving Home Care and living with polypharmacy: a qualitative interview study.

Stina Mannheimer, Monica Bergqvist, Pia Bastholm-Rahmner, Lars L Gustafsson, Anikó Vég, Katharina Schmidt-Mende

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2022. 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
0.6field-weighted citation impact, top 36% 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, 5 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

6 authors at 4 institutions in 2 countries.

Stina MannheimerStockholm Region and Division of Family Medicine and Primary Care, Academic Primary Healthcare Centre, Stockholm, Sweden stina.mannheimer@gmail.com.
Monica BergqvistDivision of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
Pia Bastholm-RahmnerKarolinska Institute, Division of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska University Hospital, Stockholm, Sweden.
Lars L GustafssonKarolinska Institute, Division of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska University Hospital, Stockholm, Sweden.
Anikó VégPedagogue, Region Stockholm, Health Care Administration, Stockholm, Sweden.
Katharina Schmidt-MendeStockholm Region and Division of Family Medicine and Primary Care, Academic Primary Healthcare Centre, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-0446-8930
Karolinska University Hospital · SEHealthcare in Sweden · SEKarolinska Institutet · SEStockholm Health Care Services · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Sweden, patients receiving Home Care (HC) are older people with frailty and multimorbidity, and are often treated with many medicines. Their perspectives on polypharmacy have been sparsely explored.

aimTo investigate HC patients' experiences and perceptions regarding polypharmacy. DESIGN &

settingSemi-structured interviews with 17 patients with HC in Stockholm, Sweden.

methodThe interview questions were open and aimed to encourage participants to speak freely about their personal experiences of living with polypharmacy. Data were analysed using an inductive thematic analysis.

resultsThe participants' median age was 83.5 years (range 74-97 years) and the median number of prescribed medicines was 11 (range 5-30). The following two themes were identified: (1) experiences from daily life with polypharmacy; and (2) dependency on the relationship to healthcare professionals. The first theme contains the main finding, which was the diversity in how older people experienced polypharmacy and how they coped with polypharmacy in everyday life. While some were satisfied despite having multiple medicines, others experienced such psychological unease owing to polypharmacy that it led to reduced quality of life. The second theme reflects the importance of the relationship between the older person and healthcare professionals for medicine-related ideas and attitudes.

conclusionThe individual variation in experiences regarding polypharmacy points to the value of interprofessional teamwork with the patient as an active partner. Therefore, healthcare professionals need to adapt a more person-centred approach where the patient's perspectives are respected and considered in medicine-related decisionmaking.

Indexed as

frailtygeneral practicehealth services for the agedmultimorbiditypolypharmacyprimary healthcarepsychosocial functioning

Identifiers

PMID35135816
PMCPMC9447318
OpenAlexW4210933767

What OpenQuestion holds

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LicenceCC BY
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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.