Evidence map›Paper›PMID 41236395›Full record

ArticlePharmacoepidemiology and drug safety2025

The Reporting and Methodological Recommendations for Observational Studies Estimating the Effects of Deprescribing Medications (REMROSE-D) ISPE-Endorsed Guidance.

Kaleen N Hayes, Joshua D Niznik, Danijela Gnjidic, Frank Moriarty, Dimitri Bennett, Marie-Laure Laroche, Denis Talbot, Matthew Alcusky, Maurizio Sessa, Antoinette B Coe and 7 more

Abstract read
In one paragraph

Article in Pharmacoepidemiology and drug safety, 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. 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

17 authors.

Kaleen N HayesDepartment of Health Services, Policy, & Practice, Brown University School of Public Health, Providence, Rhode Island, USA.
Joshua D NiznikDivision of Geriatric Medicine and Center for Aging and Health, University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0000-0003-1466-5751
Danijela GnjidicSchool of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Frank MoriartySchool of Pharmacy and Biomolecular Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Dimitri BennettGlobal Evidence and Outcomes, Takeda Development Center Americas, Inc, Cambridge, Massachusetts, USA.ORCID 0000-0002-8387-9342
Marie-Laure LarocheCentre of Pharmacovigilance and Pharmacoepidemiology, Department of Pharmacology-Toxicology and Centre of Pharmacovigilance, University Hospital of Limoges, Limoges, France.
Denis TalbotDepartment of Social and Preventive Medicine, Faculty of Medicine, Université Laval, Québec, Canada.ORCID 0000-0003-0431-3314
Matthew AlcuskyDepartment of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts, USA.
Maurizio SessaDrug Safety Group, Department of Drug Design and Pharmacology, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-0874-4744
Antoinette B CoeDepartment of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, Massachusetts, USA.
Caroline SiroisFaculty of Pharmacy, Université Laval, Québec, Canada.ORCID 0000-0003-3294-7883
Andrew R ZulloDepartment of Health Services, Policy, & Practice, Brown University School of Public Health, Providence, Rhode Island, USA.ORCID 0000-0003-1673-4570
Xiaojuan LiDepartment of Population Medicine, Harvard Medical School & Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA.ORCID 0000-0002-1305-0846
Sri Harsha ChalasaniDepartment of Pharmacy Practice, JSS College of Pharmacy, JSS Academy of Higher Education & Research, Mysuru, India.
Jehath SyedDepartment of Pharmaceutical Sciences, School of Health Sciences and Technology, Dr. Vishwanath Karad MIT World Peace University, Pune, India.
Mouna SawanSchool of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Daniela C MogaDepartment of Pharmacy Practice and Science, College of Pharmacy; and Department of Epidemiology and Environmental Health, College of Public Health, University of Kentucky, Lexington, Kentucky, USA.ORCID 0000-0002-3648-8197

Funding

Benefits and Harms of Antihypertensive Management Strategies for Nursing Home Residents with ADRDRF1AG087210 · NIA · UNIVERSITY OF DELAWARE · PI HARRIS, DANIEL, HAYES, KALEEN NICOLE · 2025 to 2025
$2.6M
Benefits and Harms of Long-term Osteoporosis Pharmacotherapy: Impact of Treatment Length, Type, Switching, and HolidaysR01AG078759 · NIA · BROWN UNIVERSITY · PI CADARETTE, SUZANNE, HAYES, KALEEN NICOLE · 2022 to 2025
$2.5M
Prescribing Cascades among Nursing Home Residents with ADRDRF1AG089541 · NIA · BROWN UNIVERSITY · PI HAYES, KALEEN NICOLE, ZULLO, ANDREW REIS · 2024 to 2024
$2.2M
Research Continuity and Retention Supplement: Optimizing care for older adults in the new treatment era for type 2 diabetes and heart failureK01AG073651 · NIA · HARVARD PILGRIM HEALTH CARE, INC. · PI Xiaojuan Li · 2022 to 2026
$700k
International Society for PharmacoepidemiologyNIA NIH HHS K01 AG073651NIA NIH HHS R01 AG078759NIA NIH HHS R01AG078759NIA NIH HHS RF1 AG087210NIA NIH HHS RF1AG087210NIA NIH HHS RF1 AG089541NIA NIH HHS RF1AG089541
6 · The paper itself

Abstract

purposePharmacoepidemiologic studies on deprescribing are challenging to implement, yet little guidance exists on methods to avoid bias and minimum reporting for replicability and appraisal. We developed consensus recommendations for the methods and reporting of observational studies that aim to examine the effects of deprescribing.

methodsWe formed candidate recommendations based on our prior systematic review that methodologically appraised observational studies on deprescribing. We then conducted a two-round modified Delphi process with researchers working in deprescribing pharmacoepidemiology to refine, select, and reach consensus on recommendations for a checklist based on > 70% agreement of their importance. We termed this list the REMROSE-D (Reporting and Methodological Recommendations for Observational Studies estimating the Effects of Deprescribing medications) guidance.

resultsTwenty-three candidate recommendations were presented to the Delphi panel. The round 1 survey was completed by 55 participants, and 18 of the 23 candidate recommendations were selected for inclusion. Five candidate recommendations without consensus plus two additional items suggested by participants were included in a round 2 survey of 25 deprescribing researchers. Five of these seven items garnered consensus for inclusion, and two were excluded. The final REMROSE-D guidance contains 23 recommendations for the methods and reporting of observational research on deprescribing.

conclusionTo ensure rigor and reproducibility in observational studies of the effects of deprescribing, the REMROSE-D guidance provides recommendations for important reporting and methods considerations, including time zero, precise definitions of deprescribing, addressing confounding by indication, and careful consideration of follow-up to avoid immortal time bias.

Indexed as

DeprescriptionsObservational Studies as TopicPharmacoepidemiologyResearch DesignConsensusDelphi TechniqueHumanscomparative effectiveness researchdeprescribingepidemiologic methodsgeriatricsinappropriate prescribingpharmacoepidemiologypolypharmacyreal‐world evidenceresearch methodologysystematic review

Identifiers

PMID41236395
PMCPMC12617387

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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.