Characteristics | N=50 | % of 50 |
Type of article | ||
Randomised controlled trial* | 31 | 62 |
Quasi-experimental design | 11 | 22 |
Cohort studies | 4 | 8 |
Feasibility studies | 3 | 6 |
Case-controlled studies | 1 | 2 |
Country of origin | ||
UK | 9 | 18 |
The Netherlands | 7 | 14 |
USA | 7 | 14 |
Spain | 6 | 12 |
Australia | 4 | 8 |
Canada | 4 | 8 |
Ireland | 4 | 8 |
New Zealand | 2 | 4 |
France | 2 | 4 |
Portugal | 1 | 2 |
Switzerland | 1 | 2 |
Germany | 1 | 2 |
Scotland | 1 | 2 |
Multiple locations | 1 | 2 |
Year of publication | ||
<1999 | 4 | 8 |
2000–2005 | 5 | 10 |
2006–2010 | 4 | 8 |
2011–2015 | 7 | 14 |
2016–2021 | 31 | 60 |
ICD-11 category | ||
Mental illnesses | 17 | 33 |
Digestive illnesses | 5 | 10 |
Multimorbidity | 4 | 8 |
Nervous system | 2 | 4 |
General symptoms | 3 | 6 |
Circulatory | 2 | 4 |
Sleep–wake disorders | 2 | 4 |
Infectious | 1 | 2 |
Other | 4 | 8 |
Initial reason for prescription not given† | 10 | 20 |
Specific medication targeted for deprescription | ||
Polypharmacy | 16 | 32 |
Benzodiazepines | 14 | 28 |
Antidepressants | 6 | 12 |
Proton pump inhibitors | 5 | 10 |
Opioids | 3 | 6 |
Antihypertensives | 2 | 4 |
Psychotropics | 1 | 2 |
Antibiotics | 1 | 2 |
Anticholinergics | 1 | 2 |
Mirabegon (urinary incontinence) | 1 | 2 |
Reason for deprescription | ||
Inappropriate medication use | 27 | 53 |
Long-term use | 19 | 37 |
Adverse side effects | 4 | 8 |
Exploration of alternative treatment | 1 | 2 |
NB.
*Of the included RCTs, 10 were protocol papers and 11 were protocol registrations.
†These studies targeted polypharmacy, therefore initial reason for the prescription of multiple medications was not specified.
ICD, International Classification of Diseases; RCTs, randomised controlled trials.