Evidence map›Paper›PMID 35676628›Full record

ArticleBMC geriatrics2022

Continue or not to continue? Attitudes towards deprescribing among community-dwelling older adults in China.

Jie Tan, MinHong Wang, XiaoRui Pei, Quan Sun, ChongJun Lu, Ying Wang, Li Zhang, Chenkai Wu

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Current Landscape and Future Directions of Deprescribing and Polypharmacy Practices in Jordan.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2024
    Review
  4. Article
  5. 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

8 authors at 3 institutions in 2 countries.

Jie Tan *Global Health Research Center, Duke Kunshan University, Academic Building 3038 No. 8 Duke Avenue, 215316, Kunshan, Jiangsu, China.
MinHong Wang *Department of Geriatric Medicine, Suzhou Municipal Hospital, Gusu School, The Affiliated Suzhou Hospital of Nanjing Medical University, Nanjing Medical University, 215002, Suzhou, Jiangsu Province, China.
XiaoRui PeiDepartment of Geriatric Medicine, Suzhou Municipal Hospital, Gusu School, The Affiliated Suzhou Hospital of Nanjing Medical University, Nanjing Medical University, 215002, Suzhou, Jiangsu Province, China.
Quan SunGusu District Wumenqiao street Nanhuan community Health Service Center, 215008, Suzhou, Jiangsu Province, China.
ChongJun LuGusu District Pingjiang street Loujiang community Health Service Center, 215008, Suzhou, Jiangsu Province, China.
Ying WangGlobal Health Research Center, Duke Kunshan University, Academic Building 3038 No. 8 Duke Avenue, 215316, Kunshan, Jiangsu, China.
Li ZhangDepartment of Geriatric Medicine, Suzhou Municipal Hospital, Gusu School, The Affiliated Suzhou Hospital of Nanjing Medical University, Nanjing Medical University, 215002, Suzhou, Jiangsu Province, China. zhangli0123@126.com.
Chenkai WuGlobal Health Research Center, Duke Kunshan University, Academic Building 3038 No. 8 Duke Avenue, 215316, Kunshan, Jiangsu, China. chenkai.wu@dukekunshan.edu.cn.
Duke Kunshan University · CNSuzhou Municipal Hospital · CNCommunity Health Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInappropriate prescribing of medications and polypharmacy among older adults are associated with a wide range of adverse outcomes. It is critical to understand the attitudes towards deprescribing-reducing the use of potentially inappropriate medications (PIMs)-among this vulnerable group. Such information is particularly lacking in low - and middle-income countries.

methodsIn this study, we examined Chinese community-dwelling older adults' attitudes to deprescribing as well as individual-level correlates. Through the community-based health examination platform, we performed a cross-sectional study by personally interviews using the revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire (version for older adults) in two communities located in Suzhou, China. We recruited participants who were at least 65 years and had at least one chronic condition and one prescribed medication.

resultsWe included 1,897 participants in the present study; the mean age was 73.8 years (SD = 6.2 years) and 1,023 (53.9%) were women. Most of older adults had one chronic disease (n = 1,364 [71.9%]) and took 1-2 regular drugs (n = 1,483 [78.2%]). Half of the participants (n = 947, 50%) indicated that they would be willing to stop taking one or more of their medicines if their doctor said it was possible, and 924 (48.7%) older adults wanted to cut down on the number of medications they were taking. We did not find individual level characteristics to be correlated to attitudes to deprescribing.

conclusionsThe proportions of participants' willingness to deprescribing were much lower than what prior investigations among western populations reported. It is important to identify the factors that influence deprescribing and develop a patient-centered and practical deprescribing guideline that is suitable for Chinese older adults.

Indexed as

DeprescriptionsAgedAttitudeChinaCross-Sectional StudiesFemaleHumansIndependent LivingMalePolypharmacyChinaDeprescribingOlder adultsPatient attitudesPolypharmacyPotentially inappropriate medications (PIMs)

Identifiers

PMID35676628
PMCPMC9175377
OpenAlexW4281658688

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.