Evidence map›Paper›PMID 37109364›Full record

ArticleJournal of clinical medicine2023

Deprescribing Strategies: A Prospective Study on Proton Pump Inhibitors.

Giulia Calvini, Giammarco Baiardi, Francesca Mattioli, Giulia Milano, Francesca Calautti, Alessia Zunino, Carla Elda Fraguglia, Fabio Caccavale, Francesca Lantieri, Giancarlo Antonucci

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

10 authors.

Giulia CalviniClinical Pharmacology Unit, E.O. Ospedali Galliera, Mura Delle Cappuccine, 14, 16128 Genoa, Italy.
Giammarco BaiardiClinical Pharmacology Unit, E.O. Ospedali Galliera, Mura Delle Cappuccine, 14, 16128 Genoa, Italy.ORCID 0000-0001-7809-077X
Francesca MattioliClinical Pharmacology Unit, E.O. Ospedali Galliera, Mura Delle Cappuccine, 14, 16128 Genoa, Italy.ORCID 0000-0001-8460-0262
Giulia MilanoDepartment of Laboratory Medicine, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.ORCID 0000-0001-5335-4038
Francesca CalauttiS.C. Farmacia Interna, E.O. Ospedali Galliera, Mura Delle Cappuccine, 14, 16128 Genoa, Italy.
Alessia ZuninoS.C. Farmacia Interna, E.O. Ospedali Galliera, Mura Delle Cappuccine, 14, 16128 Genoa, Italy.
Carla Elda FragugliaS.C. Farmacia Interna, E.O. Ospedali Galliera, Mura Delle Cappuccine, 14, 16128 Genoa, Italy.
Fabio CaccavaleChartered Accountancy and Advisory Firm, Piazza Remondini 3, 16131 Genoa, Italy.
Francesca LantieriBiostatistics Unit, Health Science Department, University of Genoa, Via Pastore 1, 16132 Genoa, Italy.ORCID 0000-0002-8923-0165
Giancarlo AntonucciInternal Medicine Unit, E.O. Ospedali Galliera, Mura Delle Cappuccine, 14, 16128 Genoa, Italy.ORCID 0009-0009-3758-3717

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Proton pump inhibitors (PPIs) are among the most controversially prescribed drugs in polypharmacy. This observational prospective study assessed the PPI prescriptive trend during hospitalization before and after implementation of a prescribing/deprescribing algorithm in a real-life hospital setting and the related clinical-economic benefit at discharge. PPI prescriptive trends were compared between three quarters of 2019 (9 months) and the same period of 2018 by a chi-square test with a Yate's correction. The proportions of treated patients in the two years (1120 discharged patients in 2018 and 1107 in 2019) were compared by the Cochran-Armitage trend test. DDDs (defined daily doses) were compared between 2018 and 2019 by the non-parametric Mann-Whitney test and normalizing DDD/DOT (days of therapy) and DDD/100 bd (bed days) for each patient. Multivariate logistic regression was performed on PPI prescriptions at discharge. The distribution of patients with PPIs at discharge was significantly different in the two years (

Indexed as

clinical pharmacologydeprescribingpolypharmacyprescriptive appropriatenessproton pump inhibitors

Identifiers

PMID37109364
PMCPMC10140867

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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.