Evidence map›Paper›PMID 39351122›Full record

ArticleExploratory research in clinical and social pharmacy2024

Montelukast deprescribing in outpatient specialty clinics: A single center cross-sectional study.

David C Foote, Jamie L Miller, Grant H Skrepnek, Stephen Neely, Kiya Bennett, Paul M Boylan

Abstract read
In one paragraph

Article in Exploratory research in clinical and social pharmacy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

David C FooteDepartment of Experiential Education, The University of Oklahoma Health Sciences College of Pharmacy, 1110 N Stonewall Ave, CPB 139, Oklahoma City, OK 73117, United States of America.
Jamie L MillerDepartment of Pharmacy: Clinical and Administrative Sciences, The University of Oklahoma Health Sciences College of Pharmacy, 1110 N Stonewall Ave, O'Donoghue Research Building #4417, Oklahoma City, OK 73117, United States of America.
Grant H SkrepnekDepartment of Pharmacy: Clinical and Administrative Sciences, The University of Oklahoma Health Sciences College of Pharmacy, 1110 N Stonewall Ave, CPB 207, Oklahoma City, OK 73117, United States of America.
Stephen NeelyOffice of Instruction, Assessment, and Faculty and Staff Development, The University of Oklahoma Health Sciences College of Pharmacy, 1110 N Stonewall Ave, CPB 222, Oklahoma City, OK 73117, United States of America.
Kiya BennettDepartment of Pharmacy: Clinical and Administrative Sciences, The University of Oklahoma Health Sciences College of Pharmacy, 1110 N Stonewall Ave, CPB 219, Oklahoma City, OK 73117, United States of America.
Paul M BoylanDepartment of Pharmacy: Clinical and Administrative Sciences, The University of Oklahoma Health Sciences College of Pharmacy, 1110 N Stonewall Ave, CPB 239, Oklahoma City, OK 73117, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To identify and evaluate montelukast deprescribing in outpatient specialty clinics. Methods: This was a single-center, retrospective, cross-sectional study conducted at an academic health system in the southern US including 21 specialty clinics. Subjects included adults ≥18 years with an active prescription for montelukast who attended at least one appointment in pulmonology, otolaryngology, or neurology outpatient specialty clinics between January 1, 2021 to December 31, 2022. Patients <18 years and those with diagnoses of uncontrolled asthma or allergic rhinitis were excluded. Outcomes assessed included the frequency and period prevalence of montelukast deprescribing, defined by a documented montelukast discontinuation within the medical record, and evaluation of reasoning for discontinuation mentioned in visit notes. Results: There were 1152 patients who met inclusion criteria. Of these, 43 (3.7 %) experienced a montelukast deprescribing event: 18 (41.9 %) in neurology, 13 (30.2 %) in otolaryngology, and 12 (27.9 %) in pulmonology. Documented reasons for deprescribing were only available for 11 patients (25.6 %); reasons for deprescribing included patient-provider shared decision-making regarding the Black Box Warning [ Conclusion: Montelukast deprescribing rates were less than 5 % in outpatient specialty clinics. Factors associated with montelukast deprescribing beget further investigation.

Indexed as

Black box warningsDeprescribingDrug labelingHospital outpatient clinicsMontelukast

Identifiers

PMID39351122
PMCPMC11439829

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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.