Evidence map›Paper›PMID 38097949›Full record

ArticleBMC gastroenterology2023

Polypharmacy and pattern of medication use among patients with gastroesophageal reflux disease: results from Pars Cohort study.

Arash Ghamar-Shooshtari, Zahra Rahimian, Hossein Poustchi, Zahra Mohammadi, Bita Mesgarpour, Mohammadreza Akbari, Alireza Kamalipour, Seyed Reza Abdipour-Mehrian, Elham-Sadat Hashemi, Pooria Zare and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 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
1.1field-weighted citation impact, top 21% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Observational
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.

Arash Ghamar-Shooshtari *MD-MPH Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID http://orcid.org/0009-0006-7956-6964
Zahra Rahimian *MD-MPH Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Hossein PoustchiLiver and Pancreatobiliary Disease Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Zahra MohammadiLiver and Pancreatobiliary Disease Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Bita MesgarpourVice Chancellery for Research and Technology, National Institute for Medical Research and Development (NIMAD), Tehran, Iran.
Mohammadreza AkbariMD-MPH Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Alireza KamalipourDepartment of Ophthalmology, Shiley Eye Institute, Hamilton Glaucoma Center, University of California, San Diego, CA, USA.
Seyed Reza Abdipour-MehrianHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Elham-Sadat HashemiMD-MPH Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Pooria ZareMD-MPH Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Kamran Bagheri LankaraniHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Reza MalekzadehDigestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Fatemeh MalekzadehDigestive Diseases Research Center, Digestive Diseases Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Hossein Molavi VardanjaniMD-MPH Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. hosseinmolavi@ymail.com.ORCID http://orcid.org/0000-0001-7024-8894
Shiraz University of Medical Sciences · IRTehran University of Medical Sciences · IRShariati Hospital · IRUniversity of San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastroesophageal Reflux Disease (GERD) is a common chronic condition. Its chronic nature may affect the pattern of medication use. This study aimed to investigate the prevalence, associated factors, and patterns of polypharmacy and medication use among GERD patients in southwestern Iran.

methodsWe used data from the Pars Cohort Study. We classified drugs using the Anatomical Therapeutic Chemical classification system. The Lexicomp® database was used to assess potential drug-drug interactions. Multivariable Poisson regression was applied. Adjusted prevalence ratio (PR) and its 95% confidence interval (CI) were estimated.

resultsA total of 9262 participants were included. Among 2,325 patients with GERD, age-standardized prevalence of polypharmacy was 9.5% (95% CI: 7.5%, 11.6%) in males, and 19.3% (95% CI: 17.2%, 21.4%) in females. The PR of experiencing Polypharmacy by GERD patients compared to non-GERD patients was 1.82 (95% CI: 1.61, 2.05%). Multimorbidity (PR: 3.33; CI: 2.66, 4.15), gender (PR: 1.68; CI: 1.30, 2.18), and metabolic syndrome (PR: 1.77; CI: 1.45, 2.15) were associated with polypharmacy among GERD patients. Drugs for acid-related disorders were the most common used drugs among men, women and elders. We found that 13.9%, 4.2%, and 1.1% of GERD patients had type C, D and X drug interactions, respectively.

conclusionGERD is correlated with a higher prevalence of polypharmacy. Among GERD patients, females, those with multi-morbidities, and those with metabolic syndrome may be affected more by polypharmacy. Considering the fairly high rate of interactions identified, a review of the medication list is essential when approaching GERD patients, and physicians must check for medications that may worsen GERD.

Indexed as

Gastroesophageal RefluxMetabolic SyndromeAgedCohort StudiesFemaleHumansMalePolypharmacyPrevalenceRisk FactorsDrug-drug interactionGastroesophageal reflux DiseaseIranMedication usePharmacoepidemiologyPolypharmacy

Identifiers

PMID38097949
PMCPMC10720105
OpenAlexW4389764750

What OpenQuestion holds

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LicenceCC BY
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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.