Evaluation of real-world evidence to assess health outcomes related to deprescribing medications in older adults: an International Society for Pharmacoepidemiology–endorsed systematic review of methodology - Takeaways - MDSpire

Evaluation of real-world evidence to assess health outcomes related to deprescribing medications in older adults: an International Society for Pharmacoepidemiology–endorsed systematic review of methodology

  • By

  • Kaleen N Hayes

  • Joshua David Niznik

  • Danijela Gnjidic

  • Frank Moriarty

  • Nha Tran

  • Antoinette B Coe

  • Andrew R Zullo

  • Sirui Zhang

  • Matthew Alcusky

  • Dimitri Bennett

  • Sirpa Hartikainen

  • Marie-Laure Laroche

  • Xiaojuan Li

  • Joshua K Lin

  • Jennifer L Lund

  • Maurizio Sessa

  • Shahar Shmuel

  • Caroline Sirois

  • Denis Talbot

  • Miia Tiihonen

  • Xuerong Wen

  • Mouna J Sawan

  • Daniela C Moga

  • November 4, 2024

  • 0 min

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  • 1

    The systematic review analyzed observational studies using real-world data to evaluate the health effects of medication deprescribing in older adults.

  • 2

    Forty-five studies were included, covering various drug classes, with most adequately addressing potential time-related biases.

  • 3

    Twelve studies lacked a clear definition of deprescribing, and there was significant heterogeneity in how deprescribing duration was defined.

  • 4

    Observational studies face challenges such as misclassification of deprescribing and biases like confounding by indication and selection bias.

  • 5

    The review highlights the need for minimum reporting criteria to enhance the transparency and quality of future deprescribing research.

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