Evidence map›Paper›PMID 36266708›Full record

ArticleSystematic reviews2022

Interventions to address potentially inappropriate prescriptions and over-the-counter medication use among adults 65 years and older in primary care settings: protocol for a systematic review.

Andrew Beck, Navindra Persaud, Laure A Tessier, Roland Grad, Michael R Kidd, Scott Klarenbach, Christina Korownyk, Ainsley Moore, Brett D Thombs, Dee Mangin and 15 more

Open access · goldAbstract read
In one paragraph

Article in Systematic reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 34% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Screening for potentially inappropriate prescribing in primary care: Canadian guideline.Canadian family physician Medecin de famille canadien · 2026
    Guideline
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. 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

25 authors at 13 institutions in 3 countries.

Andrew BeckSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada. andrew.e.beck@outlook.com.ORCID 0000-0002-8308-2202
Navindra PersaudDepartment of Family and Community Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.
Laure A TessierGlobal Health and Guidelines Division, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Roland GradDepartment of Family Medicine, McGill University, Montreal, Quebec, Canada.
Michael R KiddCollege of Health & Medicine, The Australian National University, Canberra, Australia.
Scott KlarenbachDepartment of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Christina KorownykDepartment of Family Medicine, University of Alberta, Edmonton, Alberta, Canada.
Ainsley MooreDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Brett D ThombsLady Davis Institute of the Jewish General Hospital and Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Dee ManginDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Rita K McCrackenDepartment of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada.
Emily G McDonaldDepartment of Medicine, McGill University Health Centre, Montreal, Quebec, Canada.
Caroline SiroisFaculty of Pharmacy, Laval University; Centre d'excellence sur le vieillissement de Québec, VITAM research Centre, Québec, Québec, Canada.
Salmaan KanjiThe Ottawa Hospital, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Frank MolnarFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Stuart G NichollsClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Kednapa ThavornIndependent Information Specialist, Ottawa, Ontario, Canada.
Alexandria BennettSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Nicole ShaverSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Becky SkidmoreIndependent Information Specialist, Ottawa, Ontario, Canada.
Bradley R MitchelmoreGlobal Health and Guidelines Division, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Marc AveyGlobal Health and Guidelines Division, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Elizabeth Rolland-HarrisGlobal Health and Guidelines Division, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Julian LittleSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
David MoherSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
University of Ottawa · CAPublic Health Agency of Canada · CAOttawa Hospital · CAUniversity of Alberta · CAAustralian National University · AUJewish General Hospital · CAMcGill University · CAMcGill University Health Centre · CAMcMaster University · CASt. Michael's Hospital · CAUniversité Laval · CAUniversity of British Columbia · CAUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo inform recommendations by the Canadian Task Force on Preventive Health Care on potentially inappropriate prescribing and over-the-counter (OTC) medication use among adults aged 65 years and older in primary care settings. This protocol outlines the planned scope and methods for a systematic review of the benefits and harms and acceptability of interventions to reduce potentially inappropriate prescriptions and OTC medication use.

methodsDe novo systematic reviews will be conducted to synthesize the available evidence on (a) the benefits and harms of interventions to reduce potentially inappropriate prescriptions and OTC medications compared to no intervention, usual care, or non- or minimally active intervention among adults aged 65 years and older and (b) the acceptability of these interventions or attributes among patients. Outcomes of interest for the benefits and harms review are all-cause mortality, hospitalization, non-serious adverse drug reactions, quality of life, emergency department visits, injurious falls, medical visits, and the number of medications (and number of pills). Outcomes for the acceptability review are the preference for and relative importance of different interventions or their attributes. For the benefits and harms review, we will search MEDLINE, Embase, and Cochrane Central Register of Controlled Trials for randomized controlled trials. For the acceptability review, we will search MEDLINE, Embase, PsycInfo, Cochrane Central Register of Controlled Trials, and the NHS Economic Evaluation Database for experimental and observational studies with a comparator. Websites of relevant organizations, other grey literature sources, and reference lists of included studies and reviews will be searched. Title and abstract screening will be completed by two independent reviewers using the liberal accelerated approach. Full-text review, data extraction, risk of bias assessments, and GRADE (Grading of Recommendations Assessment, Development and Evaluation) will be completed independently by two reviewers, with any disagreements resolved by consensus or by consulting with a third reviewer. The GRADE approach will be used to assess the certainty of the evidence for outcomes. DISCUSSION: The results of this systematic review will be used by the Canadian Task Force on Preventive Health Care to inform their recommendation on potentially inappropriate prescribing and OTC medication use among adults aged 65 years and older. SYSTEMATIC REVIEW REGISTRATION: PROSPERO (KQ1: CRD42022302313; KQ2: CRD42022302324); Open Science Framework ( https://osf.io/urj4b/ ).

Indexed as

Inappropriate PrescribingQuality of LifeAdultBiasCanadaHumansPrimary Health CareSystematic Reviews as TopicGuidelineInappropriate prescribingOlder adultsOver-the-counter medicationPolypharmacyPrimary health careSystematic review

Identifiers

PMID36266708
PMCPMC9585747
OpenAlexW4306878642

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.