Evidence map›Paper›PMID 41423197›Full record

ArticleBritish journal of clinical pharmacology2026

Prevalence and impact of prescribing cascades in community-dwelling adults: Longitudinal analysis of the Irish longitudinal study on ageing (TILDA).

Ann Sinéad Doherty, Rose Anne Kenny, Frank Moriarty, Fiona Boland, Barbara Clyne, Tom Fahey, Denis O' Mahony, Emma Wallace

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 2026. 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. Observational
  2. Article
  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

8 authors.

Ann Sinéad DohertyDepartment of General Practice, School of Medicine, University College Cork, Cork, Ireland.ORCID https://orcid.org/0000-0003-4149-1574
Rose Anne KennyThe Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0002-9336-8124
Frank MoriartyThe Irish Longitudinal Study on Ageing (TILDA), Trinity College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0001-9838-3625
Fiona BolandData Science Centre, School of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland.ORCID https://orcid.org/0000-0003-3228-0046
Barbara ClyneDepartment of Public Health & Epidemiology, School of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland.ORCID https://orcid.org/0000-0002-1186-9495
Tom FaheyDepartment of General Practice, RCSI University of Medicine and Health Sciences, Dublin, Ireland.ORCID https://orcid.org/0000-0002-5896-5783
Denis O' MahonyDepartment of Medicine, School of Medicine, University College Cork, Cork, Ireland.ORCID https://orcid.org/0000-0003-2236-5222
Emma WallaceDepartment of General Practice, School of Medicine, University College Cork, Cork, Ireland.ORCID https://orcid.org/0000-0002-9315-2956

Funding

Atlantic PhilanthropiesHealth Research Board Ireland ECSA-2020-002Irish GovernmentIrish Life plc
6 · The paper itself

Abstract

Prescribing cascades occur when medication is prescribed to prevent/treat the adverse effects of another medication and may be intentional/unintentional. This study examines the prevalence of nine prescribing cascades (ThinkCascades) in The Irish Longitudinal StuDy on Ageing (TILDA). A prospective cohort study examined those aged ≥50 years with three consecutive data collection waves (N = 6118) recorded between Wave 1 (2009/2011) and Wave 5 (2018). Nine separate analysis sets were created, representing each ThinkCascade. Exposure was the incident use of Drug A at wave x. A prescribing cascade was defined as the incident use of Drug B at wave x + 1, with continued use of Drug A. Five out of nine ThinkCascades were identified over 9 years of follow-up. Overall, 24 participants experienced at least one ThinkCascade, representing a 2.1% prevalence (n = 1153 eligible). This low prevalence may indicate prescribers' awareness of prescribing cascades. Higher event rates are required to examine any association with adverse health outcomes.

Indexed as

Drug PrescriptionsDrug-Related Side Effects and Adverse ReactionsPractice Patterns, Physicians'AgedAged, 80 and overAgingFemaleHumansIndependent LivingIrelandLongitudinal StudiesMaleMiddle AgedPrevalenceProspective Studieslongitudinal studiesmedication‐related harmpotentially inappropriate prescribingprescribing cascades

Identifiers

PMID41423197
PMCPMC13122288

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.