Evidence map›Paper›PMID 42774379›Full record

ArticleFrontiers in pharmacology2026

Structured medication review in elderly patients with chronic kidney disease to assess treatment appropriateness.

Gloria Navarro-Aznárez, Herminia Navarro-Aznárez, María Teresa García-Ruiz, Laura Galino-Serrano, Rosalía Díaz-Royo, Alejandro Balongo-Gutiérrez, Paula Berges-Mata, Fátima Méndez-López, María Antonia Sánchez-Calavera

Abstract read
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Article in Frontiers in pharmacology, 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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0citing papers 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

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

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

9 authors.

Gloria Navarro-AznárezAragonese Healthcare Service (SALUD), Zaragoza, Spain.
Herminia Navarro-AznárezAragonese Healthcare Service (SALUD), Zaragoza, Spain.
María Teresa García-RuizAragonese Healthcare Service (SALUD), Zaragoza, Spain.
Laura Galino-SerranoAragonese Healthcare Service (SALUD), Zaragoza, Spain.
Rosalía Díaz-RoyoAragonese Healthcare Service (SALUD), Zaragoza, Spain.
Alejandro Balongo-GutiérrezAragonese Healthcare Service (SALUD), Zaragoza, Spain.
Paula Berges-MataAragonese Healthcare Service (SALUD), Zaragoza, Spain.
Fátima Méndez-LópezDepartment of Physiatry and Nursery, Universidad de Zaragoza, Zaragoza, Spain.
María Antonia Sánchez-CalaveraAragonese Healthcare Service (SALUD), Zaragoza, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: to determine the proportion of patients aged 75 years or older with chronic kidney disease and an estimated glomerular filtration rate <60 mL/min/1.73 m Methods: A single-centre, uncontrolled longitudinal study evaluating a structured medication review and the subsequent implementation of proposed treatment modifications was conducted in patients aged 75 years or older with an estimated glomerular filtration rate below 60 mL/min/1.73 m Results: Among the 1,937 patients aged ≥75 years registered at the primary care centre, 178 met the study eligibility criteria based on a recorded eGFR <60 mL/min/1.73 m Conclusion: The structured medication review identified a substantial number of potential medication-related problems and proposed treatment modifications in older patients with reduced renal function. Approximately half of the proposed modifications were observed in the electronic prescription at follow-up. However, because the study lacked a control group, the extent to which these changes were attributable to the structured review cannot be determined.

Indexed as

chronic kidney diseasehealth educationmedication reviewpotentially inappropriate prescribing in the elderlyprevention

Identifiers

PMID42774379
PMCPMC13593841

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