Evidence map›Paper›PMID 40757185›Full record

ReviewHealth science reports2025

Acceptability of Interventions to Address Polypharmacy in Older Adult Outpatients: A Systematic Review and Meta-Analysis.

Nav Persaud, Amal Rizvi, Aine Workentin, Becky Skidmore, Emily G McDonald

Abstract readReview
In one paragraph

Review 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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Screening for potentially inappropriate prescribing in primary care: Canadian guideline.Canadian family physician Medecin de famille canadien · 2026
    Guideline
  2. Article
  3. Article
  4. 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

5 authors.

Nav PersaudMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital Unity Health Toronto Toronto Ontario Canada.ORCID https://orcid.org/0000-0003-3327-5580
Amal RizviMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital Unity Health Toronto Toronto Ontario Canada.
Aine WorkentinMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital Unity Health Toronto Toronto Ontario Canada.
Becky SkidmoreSkidmore Research & Information Consulting Ottawa Ontario Canada.
Emily G McDonaldCanadian Medication Appropriateness and Deprescribing Network Montreal Quebec Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Interventions to address potentially inappropriate prescribing (PIP), where risks outweigh benefits, are effective but often not implemented due to barriers (e.g., patient, provider, systems). Concerns about questioning healthcare providers or symptom resurgence when discontinuing medications may make PIP interventions less acceptable. This systematic review aims to determine the acceptability of PIP interventions among older adult outpatients. Methods: We searched MEDLINE, Embase, and other databases for controlled studies of PIP interventions including older adults (≥ 65 years) residing in community or care home settings. The review included interventions aimed at reducing PIP, whether clinical or external providers. We assessed risk of bias and performed a meta-analysis. Results: Nine studies ( Conclusion: PIP interventions are as acceptable to patients as usual care, despite some burden for patients and prescribers. Patients are more willing to engage in deprescribing conversations when a deprescribing intervention is present.

Indexed as

acceptabilityinappropriate prescribingpolypharmacy

Identifiers

PMID40757185
PMCPMC12313817

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.