Evidence map›Paper›PMID 39968007›Full record

ArticleAging medicine (Milton (N.S.W))2025

Impact of a Multidisciplinary Approach to Polypharmacy Management in Community-Dwelling Older Adults: Insights From a Specialized Outpatient Clinic.

Victoria Roncal-Belzunce, Marta Gutiérrez-Valencia, Bernardo Abel Cedeño-Veloz, Ramón San Miguel, Itxaso Marín-Epelde, Arkaitz Galbete, Javier Preciado Goldaracena, María Irache Ezpeleta, Karmele Garaioa-Aramburu, Nicolás Martínez-Velilla

Registry-linked trialAbstract read
In one paragraph

Article in Aging medicine (Milton (N.S.W)), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05408598 (Cognitive and Functional Trajectories in Older Adults After a Pharmacologic Multidisciplinary Intervention), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

NCT05408598 unknown statusnot on this map

Cognitive and Functional Trajectories in Older Adults After a Pharmacologic Multidisciplinary Intervention: a Study Protocol

Typeobservational_patient_registrySponsorFundacion Miguel ServetRan2021 to 2023Enrolled104ConditionsPolypharmacy
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Observational
  3. 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

10 authors.

Victoria Roncal-BelzuncePublic University of Navarre (UPNA) Pamplona Navarre Spain.ORCID https://orcid.org/0000-0003-4803-2178
Marta Gutiérrez-ValenciaNavarre Institute for Health Research (IdiSNA) Pamplona Navarre Spain.ORCID https://orcid.org/0000-0002-3229-6614
Bernardo Abel Cedeño-VelozPublic University of Navarre (UPNA) Pamplona Navarre Spain.ORCID https://orcid.org/0000-0002-0190-4402
Ramón San MiguelPublic University of Navarre (UPNA) Pamplona Navarre Spain.
Itxaso Marín-EpeldeNavarre Institute for Health Research (IdiSNA) Pamplona Navarre Spain.
Arkaitz GalbetePublic University of Navarre (UPNA) Pamplona Navarre Spain.
Javier Preciado GoldaracenaHospital Reina Sofia Tudela Navarre Spain.
María Irache EzpeletaNavarrabiomed Pamplona Navarre Spain.
Karmele Garaioa-AramburuDepartment of Geriatrics Hospital Universitario de Navarra (HUN) Pamplona Navarre Spain.
Nicolás Martínez-VelillaPublic University of Navarre (UPNA) Pamplona Navarre Spain.ORCID https://orcid.org/0000-0001-9576-9960

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The increase in polypharmacy among older adults increases the risk of drug-related problems, making multidisciplinary interventions essential. This study evaluated the impact of a multidisciplinary polypharmacy consultation on medication management and outcomes in older outpatients. Methods: This prospective observational study at a Spanish teaching hospital involved geriatricians, clinical pharmacists, and nurses. Older adults (≥ 75 years) with polypharmacy underwent medication review at baseline and at 3 and 6 months. Data on medication use, adherence to Screening Tool of Older Person's Prescriptions (STOOP) criteria, and anticholinergic burden were analyzed. Results: The study included 104 older adults (mean age 86.2 years; 66% female). An average of 3.6 recommendations per participant was made (63.8% acceptance rate). Common drug-related problems were adverse effects (20%), non-adherence (18.1%), and incorrect dose/regimen (14.4%). Interventions led to an average reduction of 1.7 medications per patient, with 1.3 dosage or regimen changes and 1.1 new prescriptions. The mean number of medications decreased from 9.6 at baseline to 8.9 at 3 months ( Conclusions: A multidisciplinary clinic effectively managed polypharmacy in older adults by reducing medication load and improving appropriateness per STOPP criteria, highlighting the importance of proactive medication management. Trial Registration: ClinicalTrials.gov: NCT05408598 (March 1, 2022).

Indexed as

medication reviewolder adultsoutpatient clinicpolypharmacySTOPP criteria

Identifiers

PMID39968007
PMCPMC11833229

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Registered trials

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.