Evidence map›Paper›PMID 40197917›Full record

ArticleEpidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil2025

Prevalence of polypharmacy use and association with mortality: a cohort study of elderly people in Southern Brazil, 2014-2017.

Cristina Heloisa Müller, Andréa Dâmaso Bertoldi, Renata Moraes Bielemann, Karla Pereira Machado, Elaine Tomasi, Maria Cristina Gonzalez, Marysabel Pinto Telis Silveira

Abstract read
In one paragraph

Article in Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil, 2025. 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
–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.

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.

  1. Pharmaceutical services: opportunities and perspectives for generating scientific evidence.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025
    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

7 authors.

Cristina Heloisa MüllerUniversidade Federal de Pelotas, Instituto de Fisiologia, Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas, Pelotas, RS, Brazil.ORCID http://orcid.org/0009-0007-3915-3644
Andréa Dâmaso BertoldiUniversidade Federal de Pelotas, Faculdade de Medicina, Programa de Pós-Graduação em Epidemiologia, Pelotas, RS, Brasil.ORCID http://orcid.org/0000-0002-4680-3197
Renata Moraes BielemannUniversidade Federal de Pelotas, Faculdade de Nutrição, Programa de Pós-Graduação em Nutrição e Alimentos, Pelotas, RS, Brasil.ORCID http://orcid.org/0000-0003-0202-3735
Elaine TomasiUniversidade Federal de Pelotas, Faculdade de Medicina, Programa de Pós-Graduação em Epidemiologia, Pelotas, RS, Brasil.ORCID http://orcid.org/0000-0001-7328-6044
Maria Cristina GonzalezUniversidade Federal de Pelotas, Faculdade de Nutrição, Programa de Pós-Graduação em Nutrição e Alimentos, Pelotas, RS, Brasil.ORCID http://orcid.org/0000-0002-3901-8182
Marysabel Pinto Telis SilveiraUniversidade Federal de Pelotas, Instituto de Fisiologia, Programa de Pós-Graduação Multicêntrico em Ciências Fisiológicas, Pelotas, RS, Brazil.ORCID http://orcid.org/0000-0002-6453-8534

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo characterize prevalence of polypharmacy use and its association with mortality in elderly people.

methodsProspective cohort (2014 to 2017), with non-institutionalized individuals aged 60 years or over, living in Pelotas, Rio Grande do Sul, Brazil. Association between polypharmacy and mortality was analyzed using Cox regression. Hazard ratios (HR) and their respective 95% confidence intervals (95%CI) were calculated, following the Cox proportional hazards model. Interaction between age groupand multimorbidity was considered to be statistically significant when p-value<0.100.

resultsResults: Polypharmacy prevalence was 36.1% (95%CI 33.7; 38.6), being higher as age group increased (29.8% in those aged 60-69; 41.3% in those aged 70-79). and 47.8% inthose aged 80 years and over). In the adjusted analysis, risk of mortality was 62% higher among elderly people using polypharmacy (HR 1.62; 95%CI 1.10; 2.39), without interaction between age group (p-value 0.750) and multimorbidity (p-value 0.312). Thesurvival analysis demonstrated that the probability of survival was lower in elderly people using polypharmacy (85.6%).

conclusionPolypharmacy prevalence was found to be higher as age group increased and elderly people using polypharmacy had higher risk of mortality, regardless of age group and presence of multimorbidity.

Indexed as

MortalityPolypharmacyAgedAged, 80 and overAge FactorsBrazilCohort StudiesFemaleHumansMaleMiddle AgedMultimorbidityPrevalenceProportional Hazards ModelsProspective StudiesRisk Factors

Identifiers

PMID40197917
PMCPMC11978280

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.