Evidence map›Paper›PMID 37444713›Full record

ArticleHealthcare (Basel, Switzerland)2023

The Barriers to Deprescription in Older Patients: A Survey of Spanish Clinicians.

Marta Mejías-Trueba, Aitana Rodríguez-Pérez, Emilio García-Cabrera, Carlos Jiménez-Juan, Susana Sánchez-Fidalgo

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Marta Mejías-TruebaUnidad de Gestión Clínica de Farmacia, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain.ORCID 0000-0003-3819-4966
Aitana Rodríguez-PérezUnidad de Gestión Clínica de Farmacia, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain.ORCID 0000-0002-9995-5899
Emilio García-CabreraDepartamento de Medicina Preventiva y Salud Pública, Universidad de Sevilla, 41009 Sevilla, Spain.ORCID 0000-0002-5529-6035
Carlos Jiménez-JuanUnidad de Gestión Clínica Medicina Interna, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain.
Susana Sánchez-FidalgoDepartamento de Medicina Preventiva y Salud Pública, Universidad de Sevilla, 41009 Sevilla, Spain.ORCID 0000-0002-3630-7122

Funding

Instituto de Salud Carlos III CM21/00115
6 · The paper itself

Abstract

BACKGROUND AND

objectiveThere are barriers to deprescription that hinder its implementation in clinical practice. The objective of this study was to analyse the main barriers and limitations of the deprescription process perceived by physicians who care for multipathological patients. MATERIALS AND

methodsThe "

resultsOf the 72 respondents, 72.2% were in favour of deprescribing. Regarding the analyses, the demographic characteristics did not influence rankings. The deprescription of preventive drugs and consensus with patients were associated with a positive attitude towards deprescribing, while withdrawing drugs prescribed by other professionals, time constraints and patient reluctance emerged as possible barriers. The only factor independently associated with deprescribing was lack of time.

conclusionsTime was found to be the main barrier to deprescription. Training, the creation of multidisciplinary teams and integrated health systems are key facilitators.

Indexed as

barrierscliniciansdeprescriptionquestionnaire

Identifiers

PMID37444713
PMCPMC10341199

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.