Evidence map›Paper›PMID 37553585›Full record

ArticleBMC geriatrics2023

Handling polypharmacy -a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals.

Thorbjørn Hougaard Mikkelsen, Jens Søndergaard, Niels Kristian Kjaer, Jesper Bo Nielsen, Jesper Ryg, Lene Juel Kjeldsen, Christian Backer Mogensen

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
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  4. Article
  5. Article
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  9. 'It's a job to be done'. Managing polypharmacy at home: A qualitative interview study exploring the experiences of older people living with frailty.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
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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

7 authors at 3 institutions in 1 country.

Thorbjørn Hougaard MikkelsenEmergency Department, Hospital Sønderjylland, Aabenraa, Denmark. Thorbjorn.Hougaard.Mikkelsen@rsyd.dk.
Jens SøndergaardResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Niels Kristian KjaerResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Jesper Bo NielsenResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Jesper RygDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
Lene Juel KjeldsenHospital Sønderjylland, Kresten Philipsens vej 15, indgang F, Aabenraa, 6200, Denmark.
Christian Backer MogensenEmergency Department, Hospital Sønderjylland, Aabenraa, Denmark.
University of Southern Denmark · DKOdense University Hospital · DKSygehus Sønderjylland · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOn average, older patients use five or more medications daily. A consequence is an increased risk of adverse drug reactions, interactions, or medication errors. Therefore, it is important to understand the challenges experienced by the patients, relatives, and healthcare professionals pertinent to the concomitant use of many drugs.

methodsWe conducted a qualitative study using focus group interviews to collect information from patients, relatives, and healthcare professionals regarding older patients' management of prescribed medicine. We interviewed seven patients using five or more medications daily, three relatives, three general practitioners, nine nurses from different healthcare sectors, one home care assistant, two hospital physicians, and four pharmacists.

resultsThe following themes were identified: (1) Unintentional non-adherence, (2) Intentional non-adherence, (3) Generic substitution, (4) Medication lists, (5) Timing and medication schedule, (6) Medication reviews and (7) Dose dispensing/pill organizers.

conclusionMedication is the subject of concern among patients and relatives. They become confused and insecure about information from different actors and the package leaflets. Therefore, patients often request a thorough medication review to provide an overview, knowledge of possible side effects and interactions, and a clarification of the medication's timing. In addition, patients, relatives and nurses all request an indication of when medicine should be taken, including allowable deviations from this timing. Therefore, prescribing physicians should prioritize communicating information regarding these matters when prescribing.

Indexed as

Drug-Related Side Effects and Adverse ReactionsGeneral PractitionersFocus GroupsHumansMedication ErrorsPolypharmacyQualitative ResearchAdverse drug interactionsContinuity of careExperiencesFocus group interviewsMedication errorsNon-adherenceOlder peoplePolypharmacyQualitative research

Identifiers

PMID37553585
PMCPMC10410867
OpenAlexW4385654811

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.