Evidence map›Paper›PMID 36162994›Full record

ArticleBMC primary care2022

MediQuit - an electronic deprescribing tool: a pilot study in German primary care; GPs' and patients' perspectives.

Matthias Michiels-Corsten, Navina Gerlach, Ulrike Junius-Walker, Tanja Schleef, Norbert Donner-Banzhoff, Annika Viniol

Open access · goldAbstract read
In one paragraph

Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 41% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
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 2 institutions in 1 country.

Matthias Michiels-CorstenDepartment of General Practice and Family Medicine, Faculty of Medicine, Philipps-University of Marburg, Marburg, Germany. michiels@uni-marburg.de.
Navina GerlachDepartment of General Practice and Family Medicine, Faculty of Medicine, Philipps-University of Marburg, Marburg, Germany.
Ulrike Junius-WalkerInstitute of General Practice, Hannover Medical School, Hannover, Germany.
Tanja SchleefInstitute of General Practice, Hannover Medical School, Hannover, Germany.
Norbert Donner-BanzhoffDepartment of General Practice and Family Medicine, Faculty of Medicine, Philipps-University of Marburg, Marburg, Germany.
Annika ViniolDepartment of General Practice and Family Medicine, Faculty of Medicine, Philipps-University of Marburg, Marburg, Germany.
Philipps University of Marburg · DEMedizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral practitioners (GPs) are the central coordinators for patients with multimorbidity and polypharmacy in most health care systems. They are entrusted with the challenging task of deprescribing when inappropriate polypharmacy is present. MediQuit (MQu) is a newly developed electronic tool that guides through a deprescribing consultation. It facilitates the identification of a medicine to be discontinued (stage 1), a shared decision-making process weighing the pros and cons (stage 2), and equips patients with take-home instructions on how to discontinue the drug and monitor its impact (stage 3). We here aim to evaluate utility and acceptance of MQu from GPs' and patients' perspectives.

methodsUncontrolled feasibility study, in which 16 GPs from two regions in Germany were invited to use MQu in consultations with their multimorbid patients. We collected quantitative data on demography, utility and acceptance of MQu and performed descriptive statistical analyses.

resultsTen GPs performed 41 consultations using MQu. Identification (step 1) and implementation elements (Step 3) were perceived most helpful by GPs. Whereas, shared-decision making elements (step 2) revealed room for improvement. Patients appreciated the use of MQu. They were broadly satisfied with the deprescribing consultation (85%) and with their decision made regarding their medication (90%).

conclusionsImplementation of MQu in general practice generally seems possible. Patients welcome consultations targeting medication optimization. GPs were satisfied with the support of MQu and likewise gave important hints for future development.

Indexed as

DeprescriptionsGeneral PractitionersElectronicsHumansPilot ProjectsPrimary Health CareDeprescribingGeneral practice/Family medicineHealth care technologyMultimorbidityPolypharmacyPrimary CareShared decision-making / Patient involvement

Identifiers

PMID36162994
PMCPMC9511770
OpenAlexW4297237499

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.