Evidence map›Paper›PMID 35227626›Full record

ReviewJournal of geriatric oncology2022

Polypharmacy in older adults with cancer undergoing radiotherapy: A review.

Jennifer Novak, Annette Goldberg, Kavita Dharmarajan, Arya Amini, Ronald J Maggiore, Carolyn J Presley, Ginah Nightingale

Open access · greenAbstract readReview
In one paragraph

Review in Journal of geriatric oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
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

7 authors at 6 institutions in 1 country.

Jennifer NovakDepartment of Radiation Oncology, City of Hope National Medical Center, Duarte, CA, USA.
Annette GoldbergDepartment of Nutrition Services, Dana Farber Cancer Institute, Boston, MA, USA.
Kavita DharmarajanDepartment of Geriatrics and Palliative Medicine, Mount Sinai Health System, New York, NY, USA; Department of Radiation Oncology, Mount Sinai Health System, New York, NY, USA.
Arya AminiDepartment of Radiation Oncology, City of Hope National Medical Center, Duarte, CA, USA.
Ronald J MaggioreDepartment of Medical Oncology, University of Rochester, Rochester, NY, USA.
Carolyn J PresleyDivision of Medical Oncology, Department of Internal Medicine, The Ohio State University, Columbus, OH, USA.
Ginah NightingaleDepartment of Pharmacy Practice, Jefferson College of Pharmacy, Thomas Jefferson University, Philadelphia, PA, USA. Electronic address: ginah.nightingale@jefferson.edu.
City Of Hope National Medical Center · USDana-Farber Cancer Institute · USMount Sinai Health System · USThe Ohio State University · USThomas Jefferson University · USUniversity of Rochester Medical Center · US

Funding

Residing in the Community with Dementia at the End of Life: Understanding Hospice Use and Residential SettingP30AG028741 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ORNA INTRATOR · 2010 to 2026
$21.9M
Improving Outcomes for Older Adults Undergoing Palliative Radiation TreatmentK76AG068516 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI DHARMARAJAN, KAVITA VYAS · 2021 to 2025
$1.2M
NIA NIH HHS K76 AG068516NIA NIH HHS P30 AG028741
6 · The paper itself

Abstract

Polypharmacy is characterized by the simultaneous use of multiple medications, including prescription drugs, over-the-counter drugs, and nutritional supplements. Polypharmacy is known to increase the risk of adverse drugs reactions, drug-drug interactions, and medication errors, and to negatively impact quality of life. The prevalence of polypharmacy varies by population, but has been reported to exceed 90% among older adults with cancer. Polypharmacy may be exacerbated among older adults with cancer receiving radiation therapy due to the resulting acute or chronic side effects that need to be managed with additional medications. The medications prescribed to manage radiation-related side effects increase the risk of adverse drug events, as do changes in nutritional status related to the secondary side effects of radiation treatment. Side effects from treatment may result in the need for breaks in cancer therapy or treatment delays, which ultimately can lead to worse oncologic outcomes. Few studies have examined polypharmacy in the context of older adults undergoing radiation therapy. We sought to review the literature pertaining to polypharmacy among older adults with cancer and discuss implications specifically for those individuals undergoing radiation therapy. This paper presents a narrative review of studies published in the past decade that provided detailed information on polypharmacy in older adults undergoing radiation therapy for cancer. The review elucidated good practices to avoid adverse drug events from polypharmacy, but more studies are warranted to develop standard guidelines.

Indexed as

Drug-Related Side Effects and Adverse ReactionsNeoplasmsAgedDrug InteractionsHumansPolypharmacyQuality of LifeAntioxidantsCancerOlder adultsPolypharmacyRadiation oncologySupplements

Identifiers

PMID35227626
PMCPMC9283217
OpenAlexW4214738298

What OpenQuestion holds

Textmetadata
LicenceTDM
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.