Evidence map›Paper›PMID 37976015›Full record

SynthesisDrugs & aging2024

Potentially inappropriate prescribing in multimorbid and polymedicated older adults with AF: A Systematic Review and Meta-Analysis.

Cheima Amrouch, Delphine Vauterin, Souad Amrouch, Maxim Grymonprez, Lu Dai, Cecilia Damiano, Amaia Calderón-Larrañaga, Lies Lahousse, Dirk De Bacquer, Gregory Y H Lip and 4 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Drugs & aging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Multimorbidity in Atrial Fibrillation: Impact on Outcomes.Journal of the American Heart Association · 2026
    Article
  4. Review
  5. Observational
  6. Atrial fibrillation accelerates functional decline in older adults: a 15-year follow-up population-based study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  7. Article
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 7 institutions in 6 countries.

Cheima AmrouchDepartment of Internal Medicine and Paediatrics, Ghent University, Ghent, Belgium. cheima.amrouch@ugent.be.ORCID 0000-0001-6708-7372
Delphine VauterinDepartment of Bioanalysis, Pharmaceutical Care Unit, Ghent University, Ghent, Belgium.
Souad AmrouchDepartment of Medicine, Antwerp University, Antwerp, Belgium.
Maxim GrymonprezDepartment of Bioanalysis, Pharmaceutical Care Unit, Ghent University, Ghent, Belgium.
Lu DaiAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Cecilia DamianoDepartment of Cardiovascular, Endocrine-Metabolic Diseases and Aging, Istituto Superiore di Sanità, Rome, Italy.
Amaia Calderón-LarrañagaAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Lies LahousseDepartment of Bioanalysis, Pharmaceutical Care Unit, Ghent University, Ghent, Belgium.
Dirk De BacquerDepartment of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Gregory Y H LipDanish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Davide L VetranoAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Delphine De Smedt *Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Mirko Petrovic *Department of Internal Medicine and Paediatrics, Ghent University, Ghent, Belgium.
AFFIRMO consortium
Ghent University · BEStockholm University · SEGhent University Hospital · BEErasmus MC · NLIstituto Superiore di Sanità · ITUniversity of Antwerp · BEUniversity of Liverpool · GB

Funding

Horizon 2020 899871
6 · The paper itself

Abstract

aimPolypharmacy in multimorbid older patients with atrial fibrillation (AF) is a risk factor for potentially inappropriate prescribing (PIP). We aimed to systematically assess the evidence on the prevalence of PIP and its impact on adverse health outcomes in this patient group.

methodsA systematic search of the published peer-reviewed literature describing the prevalence of PIP and/or its association with adverse health outcomes in multimorbid (AF plus one comorbidity) and polymedicated (≥ 2 drugs) adults ≥ 65 years was done up to March 2023. A meta-analysis of the prevalence of PIP of (direct) oral anticoagulants ((D)OACs) was conducted using a random-effects model. Leave-one-out analysis was performed with R (version 4.2.2) and RStudio (version 2022.12.0+353).

resultsOf the 12 studies included, only one reported on the prevalence of overall PIP (65%). The meta-analysis of 10 studies assessing PIP of (D)OACs produced a pooled prevalence [95% confidence interval (CI)] of 35% [30-40%], with significant heterogeneity between the included studies (I

conclusionThis systematic review highlights the scarce evidence regarding the prevalence of PIP and its association with adverse health outcomes in multimorbid older adults with AF. Large, prospective and better-designed studies are needed.

Indexed as

Atrial FibrillationInappropriate PrescribingAgedComorbidityHospitalizationHumansProspective Studies

Identifiers

PMID37976015
PMCPMC10769941
OpenAlexW4388759845

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.