Evidence map›Paper›PMID 37265836›Full record

ReviewHealthcare technology letters2023

Feasibility study of a clinical decision support system for polymedicated patients in primary care.

Juan Manuel Pinar Manzanet, Giuseppe Fico, Beatriz Merino-Barbancho, Liss Hernández, Cecilia Vera-Muñoz, Germán Seara, Macarena Torrego, Henar Gonzalez, Jonas Wastesson, Johan Fastbom and 4 more

Open access · goldAbstract readReview
In one paragraph

Review in Healthcare technology letters, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
  3. AI and Primary Care: Scoping Review.Journal of medical Internet research · 2025
    Article
  4. Article
  5. Article
  6. 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

14 authors at 4 institutions in 2 countries.

Juan Manuel Pinar ManzanetDoctorando en Epidemiología y Salud Pública. Universidad Rey Juan Carlos. Madrid. Centro de Salud Miguel Servet Madrid Spain.
Giuseppe FicoUniversidad Politécnica de Madrid, Life Supporting Technologies Research Group Madrid Spain.
Beatriz Merino-BarbanchoUniversidad Politécnica de Madrid, Life Supporting Technologies Research Group Madrid Spain.ORCID https://orcid.org/0000-0001-5070-4178
Liss HernándezUniversidad Politécnica de Madrid, Life Supporting Technologies Research Group Madrid Spain.
Cecilia Vera-MuñozUniversidad Politécnica de Madrid, Life Supporting Technologies Research Group Madrid Spain.
Germán SearaUnidad de Innovación, Hospital Clínico San Carlos, Fundación para la Investigación Biomédica Madrid Spain.
Macarena TorregoUnidad de Innovación, Hospital Clínico San Carlos, Fundación para la Investigación Biomédica Madrid Spain.
Henar GonzalezUnidad de Innovación, Hospital Clínico San Carlos, Fundación para la Investigación Biomédica Madrid Spain.
Jonas WastessonDepartment of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden.
Johan FastbomAging Research Center Karolinska Institutet Solna Sweden.
Julio MayolUnidad de Innovación, Hospital Clínico San Carlos, Fundación para la Investigación Biomédica Madrid Spain.
Kristina JohnellDepartment of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden.
Tomás Gómez-GascónFundación para la Investigación e Innovación Biosanitaria de Atención Primaria Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12) Madrid Spain.
María Teresa ArredondoUniversidad Politécnica de Madrid, Life Supporting Technologies Research Group Madrid Spain.
Universidad Politécnica de Madrid · ESHospital Clínico San Carlos · ESKarolinska Institutet · SEUniversidad Rey Juan Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Age-related changes in pharmacokinetics and pharmacodynamics, multimorbidity, frailty, and cognitive impairment represent challenges for drug treatments. Moreover, older adults are commonly exposed to polypharmacy, leading to increased risk of drug interactions and related adverse events, and higher costs for the healthcare systems. Thus, the complex task of prescribing medications to older polymedicated patients encourages the use of Clinical Decision Support Systems (CDSS). This paper evaluates the CDSS miniQ for identifying potentially inappropriate prescribing in poly-medicated older adults and assesses the usability and acceptability of the system in health care professionals, patients, and caregivers. The results of the study demonstrate that the miniQ system was useful for Primary Care physicians in significantly improving prescription, thereby reducing potentially inappropriate medication prescriptions for elderly patients. Additionally, the system was found to be beneficial for patients and their caregivers in understanding their medications, as well as usable and acceptable among healthcare professionals, patients, and caregivers, highlighting the potential to improve the prescription process and reduce errors, and enhancing the quality of care for elderly patients with polypharmacy, reducing adverse drug events, and improving medication management.

Indexed as

clinical decision support systempolypharmacyprimary careuser experience

Identifiers

PMID37265836
PMCPMC10230557
OpenAlexW4375863180

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.