Evidence map›Paper›PMID 40391264›Full record

ArticleHealth science reports2025

The Prevalence of Polypharmacy and the Contribution of Age, Period, and Cohort Effects in Sweden From 2006 to 2020.

Theodore T Miao, Malin Ericsson, Jonas W Wastesson

Abstract read
In one paragraph

Article in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. Review
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

3 authors.

Theodore T MiaoAging Research Center, Department of Neurobiology Care Sciences and Society, Karolinska Institutet & Stockholm University Stockholm Sweden.ORCID 0009-0002-1278-3885
Malin EricssonAging Research Center, Department of Neurobiology Care Sciences and Society, Karolinska Institutet & Stockholm University Stockholm Sweden.
Jonas W WastessonAging Research Center, Department of Neurobiology Care Sciences and Society, Karolinska Institutet & Stockholm University Stockholm Sweden.ORCID 0000-0001-7601-4319

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the age, period, and cohort effects of polypharmacy in older adults using Swedish register data covering the period 2006 to 2020. Design: Repeated cross-sectional study using routinely-collected health care data. Setting: Nationwide, Sweden. Participants: A 10% random sample was drawn each year from the source population of all adults aged ≥ 65 in Sweden, 2006-2020 (cumulative Measurement: Polypharmacy was defined as the use of ≥ 5 medicines. Drug data were extracted from the National Prescribed Drug Register (NPDR) Medication use was assessed on 1st January (1-day point prevalence) each year based on the drug duration episodes. Age-Period-Cohort analysis was conducted to explore these effects. Results: Overall, 32.8% of older adults was exposed to polypharmacy in 2020 compared to 28.6% in 2006. This increase was more pronounced among individuals aged 85 to 89, from while the prevalence remained relatively steady among those aged 65 to 84. In the formal Age-Period-Cohort analysis, the cohort differences were weak for polypharmacy, but more prevalent for specific medication classes. Conclusion: Polypharmacy is mainly influenced by age and period effects, but not by cohort. The rise in polypharmacy is primarily propelled by an increased pace in medication use among individuals aged 75 to 89 years. These findings can provide valuable insights for making effective strategies aimed at reducing polypharmacy.

Indexed as

cohort analysisdrugepidemiologymedicationpolypharmacy

Identifiers

PMID40391264
PMCPMC12086637

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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.