Evidence map›Paper›PMID 36513993›Full record

Observational studyBMC primary care2022

Appropriateness of drug prescriptions in patients with chronic kidney disease in primary care: a double-center retrospective study.

Sonia Ruiz-Boy, Montserrat Rodriguez-Reyes, Joan Clos-Soldevila, Marina Rovira-Illamola

Open access · goldAbstract readObservational Study
In one paragraph

Observational study 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

  • Commented on by
    2023
5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Sonia Ruiz-BoyPharmacy Department, Hospital Clínic de Barcelona, St. Villarroel 170, 08036, Barcelona, Spain. sruizb@clinic.cat.
Montserrat Rodriguez-ReyesPharmacy Department, Hospital Clínic de Barcelona, St. Villarroel 170, 08036, Barcelona, Spain.
Joan Clos-SoldevilaPrimary Care Centre Comte Borrell, Consorci d'Atenció Primària de Salut Barcelona Esquerra (CAPSBE), St. Comte Borrell 305, 08029, Barcelona, Spain.
Marina Rovira-IllamolaPharmacy Department, Hospital Clínic de Barcelona, St. Villarroel 170, 08036, Barcelona, Spain.
Consorci d’Atenció Primària de Salut Barcelona Esquerra · ESHospital Clínic de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is a highly prevalent disease worldwide. A basic pillar for the management of a patient with CKD is the safe use of drugs. Inadequate dosing of medication or contraindicated drugs in renal impairment can lead to negative outcomes. The primary objective was to analyse the drug prescriptions of patients with CKD from two primary care centres to see if they were optimally adapted to the patient's estimated glomerular filtration rate (eGFR).

methodsA retrospective observational study was conducted in two urban primary care centres. The study period was between September-October 2019. Patients over 18 years of age, with established CKD and with an eGFR less than 60 mL/min/1.73m

resultsA total of 273 patients were included. The most common patient profile was an elderly woman, polymedicated, with other concomitant diseases and with mild CKD. Two hundred and one IPs were detected, 13.9% of which were contraindicated drugs. Of all patients, 49.1% had been prescribed at least one IP on their medication plan, 93.8% had some potentially nephrotoxic drug and 8.4% had drugs with a high sodium content prescribed.

conclusionsPatients with CKD are at increased risk of medication-related problems. It is necessary to implement measures to improve the safety in the prescription of drugs in patients with CKD.

Indexed as

Renal Insufficiency, ChronicAdolescentAdultAgedDrug PrescriptionsFemaleHumansPrimary Health CareRetrospective StudiesSodiumSodiumChronic diseaseFrailtyGeriatricsMedical errors/patient safetyPharmacology/drug reactionsPrimary care

Identifiers

PMID36513993
PMCPMC9747536
OpenAlexW4311307381

What OpenQuestion holds

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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.