Evidence map›Paper›PMID 36148363›Full record

ArticleFrontiers in public health2022

Rational medication management mode and its implementation effect for the elderly with multimorbidity: A prospective cohort study in China.

Qi Tang, Litao Wan, Jing Lu, Wenhui Wu, Huanyun Wu, Zhenwei Liu, Sitang Zhao, Chengyue Li, Gang Chen, Jun Lu

Open access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 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
1.2field-weighted citation impact, top 21% 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, 10 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

10 authors at 1 institution in 1 country.

Qi TangSchool of Public Health, Fudan University, Shanghai, China.
Litao WanSchool of Public Health, Fudan University, Shanghai, China.
Jing LuSchool of Public Health, Fudan University, Shanghai, China.
Wenhui WuSchool of Public Health, Fudan University, Shanghai, China.
Huanyun WuShanghai Jinshan District Health Service Management Center, Shanghai Jinshan District Municipal Health Commission, Shanghai, China.
Zhenwei LiuSchool of Public Health, Fudan University, Shanghai, China.
Sitang ZhaoSchool of Public Health, Fudan University, Shanghai, China.
Chengyue LiSchool of Public Health, Fudan University, Shanghai, China.
Gang ChenSchool of Public Health, Fudan University, Shanghai, China.
Jun LuSchool of Public Health, Fudan University, Shanghai, China.
Fudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: As one of the countries with the most serious degree of aging, the incidence of potentially inappropriate drug use among the elderly is as high as 30. 4% in Chinese communities, and the lack of effective medication management and poor medication compliance at home are the main factors. Given these situations, we constructed a Rational Medication Management Mode based on family physician service, carried out an empirical research and evaluated the implementation effect. Methods: A prospective cohort study was conducted from September to December 2021 to analyze the implementation effect of the Rational Medication Management Mode by comparing the outcome indicators between the intervention group and control group. The primary outcome of this study was medication number and polypharmacy (taking 5 or more medications) at 90 days. The secondary outcomes included the situation for behavioral self-management and knowledge-belief-behavior of rational medication use. Results: A total of 618 elderly patients (309 in the intervention group and 309 in the control group) with multimorbidity were included in this study, those were all available at follow-up at 90 days. At 90 days, the number of medications was achieved by 3.88 (1.48), and patients with polypharmacy were reduced by 59.55% in the intervention group, having a significant difference compared with the control group ( Conclusion: The Rational Medication Management Mode based family physician service, which provides the support of manuals and pillboxes, can decrease the elderly patients' number of drugs with multimorbidity, reduce the incidence of polypharmacy, enhance behavioral self-management, increase the knowledge and belief of rational medication use, and improve the security and compliance of medication usage behavior. In order to provide a practical basis for rational medication management of elderly patients with multimorbidity under the background of long-term prescriptions in China.

Indexed as

MultimorbidityPotentially Inappropriate Medication ListAgedHumansMedication Therapy ManagementPolypharmacyProspective Studieschronic diseaseelderlyfamily physicianshealth educationmedication managementpublic health challenge

Identifiers

PMID36148363
PMCPMC9486462
OpenAlexW4294740409

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.