Evidence map›Paper›PMID 42238997›Full record

ArticleFrontiers in public health2026

Self-reported problems in medication self-management in older polymedicated patients in general practice.

Anneke Luegering, Tatjana Richter, Albert Lukas, Robert Langner, Stefan Wilm, Thorsten R Doeppner, Dirk M Hermann, Helmut Frohnhofen, Carla Stenmanns, Janine Gronewold

Abstract read
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Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Anneke LuegeringHospital Pharmacy, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Tatjana RichterDepartment of Orthopedics and Trauma Surgery, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Albert LukasDepartment of Geriatrics, St. Martinus Hospital, Düsseldorf, Germany.
Robert LangnerInstitute of Systems Neuroscience, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Stefan WilmCenter for Health and Society, Institute of General Practice, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Thorsten R DoeppnerDepartment of Neurology, Klinikum Emden, Emden, Germany.
Dirk M HermannDepartment of Neurology and Center for Translational Neuro- and Behavioral Sciences (C-TNBS) University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Helmut FrohnhofenDepartment of Orthopedics and Trauma Surgery, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Carla StenmannsDepartment of Orthopedics and Trauma Surgery, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Janine GronewoldDepartment of Neurology and Center for Translational Neuro- and Behavioral Sciences (C-TNBS) University Hospital Essen, University Duisburg-Essen, Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Polypharmacy is common in the older population and is recognized as a geriatric syndrome. The self-administration of medication is complex and requires cognitive and physical capacities that decrease with age. To avoid medication errors or harm, medication management capacity needs to be thoroughly assessed in routine clinical care. Here, we report on measuring self-reported medication management capacity in older polymedicated patients in primary care in an exploratory study using a questionnaire developed in the "Ability to Self-administer Medication in Non-demented In-hospital Patients" (ABLYMED) study. Methods: 102 patients (≥70 years of age, regularly taking ≥5 different medicines autonomously) from a single general practice in Germany were included from March to November 2024. Patients were interviewed using a questionnaire developed in the ABLYMED study. It consists of 30 questions covering the three domains adherence [16 questions including 5 questions of the Medication Adherence Report Scale (MARS© Professor Rob Horne)], handling (8 questions) and belief/attitude/knowledge (6 questions). Results: The median (Q1; Q3) age of the study sample was 77 years (74; 84), 39% were male. In the domain adherence, 20% of the patients reported running out of medication and 5% reported mixing up medication, which is very relevant to safety of medication use. Regarding handling problems, eye drops were identified as the most challenging dosage form, with 40% of patients reporting difficulties. Furthermore, 19% of the sample reported handling problems due to problems with opening packages. In the domain belief/attitude/knowledge, only 15% of the patients did not know the rationale behind all of their medications and only 3% did not express a positive perception of their benefits. Discussion: Our study showed that a high proportion of older patients from a general practice (up to 40%) reported medication handling problems. These results were similar to those observed in the ABLYMED sample of hospital in-patients. Future studies need to concentrate on the implementation of interventions to address patients' self-reported medication management problems.

Indexed as

General PracticePolypharmacySelf-ManagementSelf ReportAgedAged, 80 and overFemaleGermanyHumansMaleSelf AdministrationSurveys and Questionnairesmedication management capacitymedication self-managementolder adultspolypharmacyself-administration

Identifiers

PMID42238997
PMCPMC13226524

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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.