Evidence map›Paper›PMID 35164584›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2022

Older Patient and Surrogate Attitudes Toward Deprescribing During the Transition From Acute to Post-Acute Care.

Emily Kay Hollingsworth, Avantika Saraf Shah, Matthew Stephen Shotwell, Sandra Faye Simmons, Eduard Eric Vasilevskis

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02979353 (A Randomized Controlled Trial to Deprescribe for Older Patients With Polypharmacy Transferred From the Hospital to Skilled Nursing Facilities), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 33% 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.

NCT02979353 nacompletednot on this map

A Randomized Controlled Trial to Deprescribe for Older Patients With Polypharmacy Transferred From the Hospital to Skilled Nursing Facilities

TypeinterventionalSponsorVanderbilt University Medical CenterRan2017 to 2021Enrolled372ConditionsPolypharmacy, Care Transitions, Geriatric SyndromesArmsShed-Meds: A Patient-Centered Deprescribing Intervention
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
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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

5 authors at 3 institutions in 1 country.

Emily Kay HollingsworthVanderbilt University Medical Center, Nashville, TN, USA.ORCID 0000-0002-6144-8840
Avantika Saraf ShahVanderbilt University Medical Center, Nashville, TN, USA.
Matthew Stephen ShotwellVanderbilt University, Nashville, TN, USA.
Sandra Faye SimmonsVanderbilt University Medical Center, Nashville, TN, USA.
Eduard Eric VasilevskisVanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt University Medical Center · USVA Tennessee Valley Healthcare System · USVanderbilt University · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
A Randomized Controlled Trial to Deprescribe for Older Patients with Polypharmacy Transferred from the Hospital to Skilled Nursing FacilitiesR01AG053264 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SIMMONS, SANDRA F, VASILEVSKIS, EDUARD E · 2016 to 2020
$2.9M
HSRD VA I01 HX002441NCATS NIH HHS UL1 TR000445NCRR NIH HHS UL1 RR024975NIA NIH HHS R01 AG053264
6 · The paper itself

Abstract

Attitudes toward deprescribing among hospitalized older patients transitioning to post-acute care in the United States are less known. This study describes older patients' and their surrogate's attitudes using all items of the Patient Attitudes Toward Deprescribing (PATD) questionnaire and compares perceived pill burden to the actual count of total daily pills and potentially inappropriate medications (PIMs). Overall, 93% of participants were willing to deprescribe if their physician agreed. Compared to patients, surrogates had 64% reduced odds (95% CI: 0.18-0.74) of believing that all of the care recipient's medications were necessary and 61% reduced odds (95% CI: 0.17-0.88) of attributing cost as a factor in deprescribing. Perceptions of medication burden were associated with patients' total daily pills (median 16) and PIMS (median 7), yet 61% agreed that all their medicines were necessary. Patients and surrogates typically express a willingness to deprescribe but have differing perceptions of medication appropriateness.

Indexed as

DeprescriptionsAttitudeHumansPolypharmacyPotentially Inappropriate Medication ListSubacute Careassessmentcare transitionsmedication burdenpolypharmacy

Identifiers

PMID35164584
PMCPMC8867732
OpenAlexW4212998667

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.