Evidence map›Paper›PMID 36767067›Full record

ArticleInternational journal of environmental research and public health2023

Patterns of Medication Management and Associated Medical and Clinical Features among Home-Dwelling Older Adults: A Cross-Sectional Study in Central Portugal.

Maria Dos Anjos Dixe, Joana Pinho, Filipa Pereira, Henk Verloo, Carla Meyer-Massetti, Sónia Gonçalves Pereira

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
  4. Review
  5. Review
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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

6 authors.

Maria Dos Anjos DixeCenter for Innovative Care and Health Technology, Polytechnic of Leiria, 2411-901 Leiria, Portugal.ORCID 0000-0001-9035-8548
Joana PinhoCenter for Innovative Care and Health Technology, Polytechnic of Leiria, 2411-901 Leiria, Portugal.
Filipa PereiraSchool of Health Sciences, HES-SO Valais-Wallis, 2800 Sion, Switzerland.ORCID 0000-0001-9207-4856
Henk VerlooSchool of Health Sciences, HES-SO Valais-Wallis, 2800 Sion, Switzerland.ORCID 0000-0002-5375-3255
Carla Meyer-MassettiClinical Pharmacology and Toxicology Unit, General Internal Medicine Clinic, University Hospital of Bern (Inselspital), 3010 Bern, Switzerland.ORCID 0000-0002-3523-5729
Sónia Gonçalves PereiraCenter for Innovative Care and Health Technology, Polytechnic of Leiria, 2411-901 Leiria, Portugal.ORCID 0000-0001-8197-1850

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ageing is frequently associated with multimorbidity and polypharmacy. The present study aimed to identify the current medication management patterns and the profiles of home-dwelling older adults and to find any association with their conditions, including frailty and cognitive impairment. Within the scope of this cross-sectional study, 112 older adults living in the community were assessed via face-to-face structured interviews. Frailty, cognitive status, medication management and clinical and sociodemographic variables were evaluated. Descriptive and inferential statistics were calculated. The mean participant age was 76.6 ± 7.1 years, 53.6% of participants were women, and 40.2% of participants lived alone. More than half were classified as having frailty (58.9%), almost one-fifth (19.6%) presented with a moderate cognitive impairment had more than one disease, and 60.7% were polymedicated. No associations were found between polymedication and medication self-management, the use of over-the-counter medications, living alone, having a poor understanding of pharmacological therapy and/or pathology, or having more than one prescriber. Self-management was associated with age, the number of medications, frailty and cognitive status. Binary logistic regressions showed that cognitive impairment had statistically significant differences with medication management, having a poor understanding of pharmacological therapy and/or pathology, having one prescriber and the use of medications not prescribed by physicians. Interventions to prevent medication-related problems in home-dwelling older adults are recommended.

Indexed as

Cognitive DysfunctionFrailtyAgedAged, 80 and overCross-Sectional StudiesFemaleHumansIndependent LivingMaleMedication Therapy ManagementPortugalfrailtyhome-dwellingmedication managementmedication-related problemsmultimorbidityolder adultspolypharmacy

Identifiers

PMID36767067
PMCPMC9914088

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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.