Evidence map›Paper›PMID 37812379›Full record

ArticleEuropean geriatric medicine2023

Optimizing pharmacotherapy and deprescribing strategies in older adults living with multimorbidity and polypharmacy: EuGMS SIG on pharmacology position paper.

Eveline van Poelgeest, Lotta Seppala, Gülistan Bahat, Birkan Ilhan, Alpana Mair, Rob van Marum, Graziano Onder, Jesper Ryg, Marília Andreia Fernandes, Antonio Cherubini and 11 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in European geriatric medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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  6. Drug-Drug Interactions in Nursing Home Residents With vs Without Dementia.Journal of the American Medical Directors Association · 2026
    Observational
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  10. [Concepts to improve medication safety in older patients].Innere Medizin (Heidelberg, Germany) · 2026
    Review
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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

21 authors at 17 institutions in 10 countries.

Eveline van PoelgeestSection of Geriatric Medicine, Department of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. e.p.vanpoelgeest@amsterdamumc.nl.ORCID 0000-0002-2021-5602
Lotta SeppalaSection of Geriatric Medicine, Department of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-9197-1424
Gülistan BahatDivision of Geriatrics, Department of Internal Medicine, Istanbul Medical School, Istanbul University, Capa, Istanbul, Turkey.ORCID 0000-0001-5343-9795
Birkan IlhanDivision of Geriatrics, Department of Internal Medicine, Liv Hospital Vadistanbul, Istanbul, Turkey.ORCID 0000-0001-6039-5866
Alpana MairEffective Prescribing and Therapeutics, Health and Social Care Directorate, Scottish Government, Edinburgh, Scotland, UK.ORCID 0000-0002-8594-6860
Rob van MarumAging and Later Life, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.ORCID 0000-0003-4292-532X
Graziano OnderFondazione Policlinico Gemelli IRCCS, Rome, Italy.ORCID 0000-0003-3400-4491
Jesper RygDepartment of Geriatric Medicine, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-8641-3062
Marília Andreia FernandesDepartment of Internal Medicine, Hospital Curry Cabral, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal.ORCID 0000-0003-2790-0933
Antonio CherubiniGeriatria Accettazione geriatrica e Centro di Ricerca per l'invecchiamento IRCCS INRCA, Ancona, Italy.ORCID 0000-0003-0261-9897
Michael DenkingerAgaplesion Bethesda Clinic Ulm, Institute for Geriatric Research, Ulm University, Geriatric Center Ulm, Ulm, Germany.ORCID 0000-0002-8097-060X
Annette EidamCenter for Geriatric Medicine, Heidelberg University Hospital, AGAPLESION Bethanien Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-1490-9456
Angelique EgbertsDepartment of Hospital Pharmacy, Franciscus Gasthuis & Vlietland, Rotterdam, Schiedam, The Netherlands.ORCID 0000-0002-3133-8907
Aðalsteinn GudmundssonFaculty of Medicine, Landspitali University Hospital, University of Iceland, Reykjavik, Iceland.ORCID 0009-0007-3163-4785
Fatma Özge Kayhan KoçakDivision of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Ege University, Izmir, Turkey.ORCID 0000-0002-6447-2352
George SoulisOutpatient Geriatric Assessment Unit, Henry Dunant Hospital Center, Athens, Greece.ORCID 0000-0002-2291-5733
Jos TournoyDepartment of Geriatric Medicine, KU Leuven University Hospitals Leuven Gasthuisberg Campus, Leuven, Belgium.ORCID 0000-0002-0265-9154
Tahir MasudNottingham University Hospitals NHS Trust, Nottingham, UK.ORCID 0000-0003-1061-2898
Martin WehlingClinical Pharmacology Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.ORCID 0000-0002-5249-4669
Nathalie van der VeldeSection of Geriatric Medicine, Department of Internal Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-6477-6209
EuGMS SIG Pharmacology
Amsterdam University Medical Centers · NLHeidelberg University · DEAgaplesion Bethesda Klinik · DEEdinburgh Napier University · GBEge University · TRGGZ inGeest · NLHellenic Open University · GRHospital Curry Cabral · PTIstanbul University · TRIstituti di Ricovero e Cura a Carattere Scientifico · ITLiv Hospital · TRNottingham University Hospitals NHS Trust · GBSint Franciscus Gasthuis · NLUniversità Cattolica del Sacro Cuore · ITUniversitair Ziekenhuis Leuven · BEUniversity of Iceland · ISUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inappropriate polypharmacy is highly prevalent among older adults and presents a significant healthcare concern. Conducting medication reviews and implementing deprescribing strategies in multimorbid older adults with polypharmacy are an inherently complex and challenging task. Recognizing this, the Special Interest Group on Pharmacology of the European Geriatric Medicine Society has compiled evidence on medication review and deprescribing in older adults and has formulated recommendations to enhance appropriate prescribing practices. The current evidence supports the need for a comprehensive and widespread transformation in education, guidelines, research, advocacy, and policy to improve the management of polypharmacy in older individuals. Furthermore, incorporating deprescribing as a routine aspect of care for the ageing population is crucial. We emphasize the importance of involving geriatricians and experts in geriatric pharmacology in driving, and actively participating in this transformative process. By doing so, we can work towards achieving optimal medication use and enhancing the well-being of older adults in the generations to come.

Indexed as

DeprescriptionsGeriatricsInappropriate PrescribingAgedHumansMultimorbidityPolypharmacyAppropriate prescribingDeprescribingMultimorbidityOlder adultsPolypharmacy

Identifiers

PMID37812379
PMCPMC10754739
OpenAlexW4387441042

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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.