Evidence map›Paper›PMID 37105749›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2023

Polypharmacy and antidepressant acceptability in comorbid depression and type 2 diabetes: a cohort study using UK primary care data.

Annie Jeffery, Cini Bhanu, Kate Walters, Ian Ck Wong, David Osborn, Joseph F Hayes

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 21% 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, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. The Interconnected Complexity of Diabetes and Depression.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  5. Article
  6. Article
  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

6 authors at 3 institutions in 3 countries.

Annie JefferyEpidemiology and Applied Clinical Research Department, Division of Psychiatry, University College London, London, UK.ORCID 0000-0001-6218-0711
Cini BhanuEpidemiology and Applied Clinical Research Department, Division of Psychiatry, University College London, London, UK.ORCID 0000-0002-3168-4172
Kate WaltersDepartment of Primary Care and Population Health, Institute of Epidemiology and Health, University College London, London, UK.ORCID 0000-0003-2173-2430
Ian Ck WongResearch Department of Practice and Policy, School of Pharmacy, University College London, UK; Centre for Safe Medication Practice and Research, Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong.ORCID 0000-0001-8242-0014
David OsbornEpidemiology and Applied Clinical Research Department, Division of Psychiatry, University College London, London, UK.ORCID 0000-0003-2519-1539
Joseph F HayesEpidemiology and Applied Clinical Research Department, Division of Psychiatry, University College London, London, UK.ORCID 0000-0003-2286-3862
University College London · GBDepartment of Health and Social Care · GBInstitute for Safe Medication Practices · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPolypharmacy may increase the risk of drug interactions, side effects, and poor adherence; however, the impact of polypharmacy on antidepressant acceptability in individuals with type 2 diabetes (T2DM) is unknown.

aimTo investigate the association between number of prescribed medications and early antidepressant discontinuation in adults with T2DM. DESIGN AND

settingCohort study using UK primary care data from the Clinical Practice Research Datalink between 1 January 2000 and 31 December 2018.

methodCox regression with penalised B-splines was used to describe the association between the number of concurrently prescribed medications at the time of starting antidepressant treatment and each of the outcomes.

resultsA total of 73 808 individuals with comorbid depression and T2DM starting antidepressant treatment for the first time were identified. A median of 7 concurrent medications were prescribed. Within 32 weeks, 44.26% (

conclusionEarly discontinuation of antidepressants is common in adults with T2DM; however, individuals with higher levels of concurrent polypharmacy may be more adherent to treatment. These are likely to represent individuals with worse physical or mental health. Individuals with lower levels of concurrent polypharmacy may benefit from adherence support.

Indexed as

DepressionDiabetes Mellitus, Type 2AdultAntidepressive AgentsCohort StudiesHumansPolypharmacyPrimary Health CareUnited KingdomAntidepressive Agentsantidepressantsdepressionmultimorbiditypolypharmacyprimary caretype 2 diabetes

Identifiers

PMID37105749
PMCPMC9923766
OpenAlexW4307868851

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.