Evidence map›Paper›PMID 36692678›Full record

SynthesisDrugs & aging2023

Prevalence of Drug-Drug Interactions in Older Community-Dwelling Individuals: A Systematic Review and Meta-analysis.

John E Hughes, Catherine Waldron, Kathleen E Bennett, Caitriona Cahir

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Drugs & aging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06865885 (Study of Optimal LDL-C Value Enhancement With Inclisiran in Patients With Multiple Comorbidities in Which There Are Drug-Drug Interactions Limiting LDL-C Lowering), which is not on this map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
6.4field-weighted citation impact, top 3% 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.

NCT06865885 phase4recruitingstarted 2025, after this paper: background citation

Study of Optimal LDL-C Value Enhancement With Inclisiran in Patients With Multiple Comorbidities in Which There Are Drug-Drug Interactions Limiting LDL-C Lowering

Ran2025Enrolled100Registered outcomes4Posted comparisons0ConditionsCardiometabolic Syndrome, Drug Interactions, LDL-Cholersterol Lowering, Primary PreventionArmsInclisiran sodium 300 mg (equivalent to 284 mg inclisiran) in 1.5 mL
Open the trial in the graph
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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  2. Medication Use Quality and Safety in Older Adults: 2023 Update.Journal of the American Geriatrics Society · 2025
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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

4 authors at 1 institution in 1 country.

John E HughesSchool of Population Health, RCSI University of Medicine and Health Sciences, Dublin 2, Ireland. johnehughes@rcsi.com.ORCID 0000-0002-3944-8326
Catherine WaldronSchool of Population Health, RCSI University of Medicine and Health Sciences, Dublin 2, Ireland.ORCID 0000-0002-0408-8543
Kathleen E BennettSchool of Population Health, RCSI University of Medicine and Health Sciences, Dublin 2, Ireland.ORCID 0000-0002-2861-7665
Caitriona CahirSchool of Population Health, RCSI University of Medicine and Health Sciences, Dublin 2, Ireland.ORCID 0000-0002-7137-5737
University College Dublin · IE

Funding

Health Research Board RL-15-1579Health Research Board SDAP-2021-020
6 · The paper itself

Abstract

backgroundDrug-drug interactions (DDIs) can lead to medication-related harm, and the older population is at greatest risk. We conducted a systematic review and meta-analysis to estimate DDI prevalence and identify common DDIs in older community-dwelling adults.

methodsPubMed and EMBASE were searched for observational studies published between 01/01/2010 and 10/05/2021 reporting DDI prevalence in community-dwelling individuals aged ≥ 65 years. Nursing home and inpatient hospital studies were excluded. Study quality was assessed using the Joanna Briggs Institute critical appraisal tool. Meta-analysis was performed using a random-effects model with logit transformation. Heterogeneity was evaluated using Cochran's Q and I

resultsThere were 5144 unique articles identified. Thirty-three studies involving 17,011,291 community-dwelling individuals aged ≥ 65 years met inclusion criteria. Thirty-one studies reported DDI prevalence at the study-participant level, estimates ranged from 0.8% to 90.6%. The pooled DDI prevalence was 28.8% (95% CI 19.3-40.7), with significant heterogeneity (p < 0.10; I

conclusionsDDIs are prevalent among older community-dwelling individuals; however, the methodology used to estimate these events varies considerably. A standardised methodology is needed to allow meaningful measurement and comparison of DDI prevalence.

Indexed as

Independent LivingNursing HomesAgedDrug InteractionsHumansPrevalenceSkilled Nursing Facilities

Identifiers

PMID36692678
PMCPMC9925489
OpenAlexW4317830732

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.