{"id":"https://openalex.org/W4387705358","doi":"https://doi.org/10.1038/s41598-023-45095-2","title":"Prevalence of polypharmacy among older adults in Ethiopia: a systematic review and meta-analysis","display_name":"Prevalence of polypharmacy among older adults in Ethiopia: a systematic review and meta-analysis","publication_year":2023,"publication_date":"2023-10-17","ids":{"openalex":"https://openalex.org/W4387705358","doi":"https://doi.org/10.1038/s41598-023-45095-2","pmid":"https://pubmed.ncbi.nlm.nih.gov/37848565","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10582100"},"language":"en","primary_location":{"id":"doi:10.1038/s41598-023-45095-2","doi":"https://doi.org/10.1038/s41598-023-45095-2","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-023-45095-2","pdf_url":"https://www.nature.com/articles/s41598-023-45095-2.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41598-023-45095-2.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007368471","display_name":"Tegene Atamenta Kitaw","orcid":"https://orcid.org/0000-0002-7199-1249","observed_orcids":["https://orcid.org/0000-0002-7199-1249"]},"institutions":[{"id":"https://openalex.org/I4210159645","display_name":"Woldia University","ror":"https://ror.org/05a7f9k79","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210159645"]}],"countries":["ET"],"is_corresponding":true,"raw_author_name":"Tegene Atamenta kitaw","raw_affiliation_strings":["Department of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia. tegene2013@gmail.com","Department of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia. tegene2013@gmail.com","institution_ids":["https://openalex.org/I4210159645"]},{"raw_affiliation_string":"Department of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia","institution_ids":["https://openalex.org/I4210159645"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5002822416","display_name":"Ribka Nigatu Haile","orcid":"https://orcid.org/0000-0003-1193-5920","observed_orcids":["https://orcid.org/0000-0003-1193-5920"]},"institutions":[{"id":"https://openalex.org/I4210159645","display_name":"Woldia University","ror":"https://ror.org/05a7f9k79","country_code":"ET","type":"education","lineage":["https://openalex.org/I4210159645"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Ribka Nigatu Haile","raw_affiliation_strings":["Department of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia","institution_ids":["https://openalex.org/I4210159645"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5007368471"],"corresponding_institution_ids":["https://openalex.org/I4210159645"],"apc_list":{"value":2390,"currency":"USD","value_usd":2390},"apc_paid":{"value":2390,"currency":"USD","value_usd":2390},"fwci":0.763,"has_fulltext":true,"cited_by_count":20,"citation_normalized_percentile":{"value":0.57701149,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":97,"max":99},"biblio":{"volume":"13","issue":"1","first_page":"17641","last_page":"17641"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13970","display_name":"Pharmacy and Medical Practices","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/polypharmacy","display_name":"polypharmacy","score":1.0},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.9950000047683716},{"id":"https://openalex.org/keywords/prevalence","display_name":"prevalence","score":0.7350000143051147},{"id":"https://openalex.org/keywords/ethiopia","display_name":"Ethiopia","score":0.828000009059906},{"id":"https://openalex.org/keywords/geriatric-syndromes","display_name":"geriatric syndromes","score":0.9449999928474426},{"id":"https://openalex.org/keywords/cardiovascular-disease","display_name":"cardiovascular disease","score":0.7039999961853027},{"id":"https://openalex.org/keywords/hospitalized-patients","display_name":"hospitalized patients","score":0.7450000047683716},{"id":"https://openalex.org/keywords/pill-burden","display_name":"medication burden","score":0.6019999980926514},{"id":"https://openalex.org/keywords/medication-therapy-management","display_name":"medication therapy management","score":0.7170000076293945},{"id":"https://openalex.org/keywords/role-of-pharmacists","display_name":"pharmacist role","score":0.5170000195503235}],"concepts":[{"id":"https://openalex.org/C36434225","wikidata":"https://www.wikidata.org/wiki/Q1895998","display_name":"Polypharmacy","level":2,"score":0.9542657732963562},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7060004472732544},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.6734825968742371},{"id":"https://openalex.org/C82605166","wikidata":"https://www.wikidata.org/wiki/Q967190","display_name":"Funnel plot","level":4,"score":0.6728867292404175},{"id":"https://openalex.org/C187960798","wikidata":"https://www.wikidata.org/wiki/Q7631152","display_name":"Subgroup analysis","level":3,"score":0.6476970314979553},{"id":"https://openalex.org/C2776478404","wikidata":"https://www.wikidata.org/wiki/Q1105187","display_name":"Cochrane Library","level":3,"score":0.606505274772644},{"id":"https://openalex.org/C2780439572","wikidata":"https://www.wikidata.org/wiki/Q919364","display_name":"Publication bias","level":3,"score":0.5910740494728088},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.5187970995903015},{"id":"https://openalex.org/C54183767","wikidata":"https://www.wikidata.org/wiki/Q10384","display_name":"Geriatrics","level":2,"score":0.42984816431999207},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3847353756427765},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.23672401905059814},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.18217334151268005},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005002","descriptor_name":"Ethiopia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010595","descriptor_name":"Pharmacists","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D015995","descriptor_name":"Prevalence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019338","descriptor_name":"Polypharmacy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1038/s41598-023-45095-2","doi":"https://doi.org/10.1038/s41598-023-45095-2","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-023-45095-2","pdf_url":"https://www.nature.com/articles/s41598-023-45095-2.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10582100","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10582100","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10582100/pdf/41598_2023_Article_45095.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sci Rep","raw_type":"Text"},{"id":"pmid:37848565","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37848565","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific reports","raw_type":"Meta-Analysis"},{"id":"pmh:oai:doaj.org/article:4e1ef83e23e245e988ae2c6d8d62e050","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/4e1ef83e23e245e988ae2c6d8d62e050","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Scientific Reports, Vol 13, Iss 1, Pp 1-9 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1038/s41598-023-45095-2","doi":"https://doi.org/10.1038/s41598-023-45095-2","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-023-45095-2","pdf_url":"https://www.nature.com/articles/s41598-023-45095-2.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"},{"display_name":"Meta-Analysis","id":"https://openalex.org/study-designs/meta-analysis"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4387705358.pdf","grobid_xml":"https://content.openalex.org/works/W4387705358.grobid-xml"},"referenced_works_count":57,"referenced_works":["https://openalex.org/W1963867953","https://openalex.org/W1979423827","https://openalex.org/W1991833417","https://openalex.org/W2013893928","https://openalex.org/W2051517959","https://openalex.org/W2070827665","https://openalex.org/W2075477269","https://openalex.org/W2078433479","https://openalex.org/W2079075269","https://openalex.org/W2090602898","https://openalex.org/W2094993908","https://openalex.org/W2141517978","https://openalex.org/W2142901177","https://openalex.org/W2161374186","https://openalex.org/W2169869022","https://openalex.org/W2355477690","https://openalex.org/W2411951963","https://openalex.org/W2418860659","https://openalex.org/W2495443058","https://openalex.org/W2517797865","https://openalex.org/W2588681363","https://openalex.org/W2613487130","https://openalex.org/W2763920048","https://openalex.org/W2773711501","https://openalex.org/W2782214767","https://openalex.org/W2783040364","https://openalex.org/W2789707409","https://openalex.org/W2795256121","https://openalex.org/W2802821761","https://openalex.org/W2803353338","https://openalex.org/W2806453502","https://openalex.org/W2810797036","https://openalex.org/W2892084528","https://openalex.org/W2923267135","https://openalex.org/W2935654744","https://openalex.org/W2951084795","https://openalex.org/W2955544044","https://openalex.org/W2982327476","https://openalex.org/W2998952322","https://openalex.org/W2999381282","https://openalex.org/W3024189091","https://openalex.org/W3030479625","https://openalex.org/W3092215543","https://openalex.org/W3135197215","https://openalex.org/W3136287578","https://openalex.org/W3160133344","https://openalex.org/W3163288990","https://openalex.org/W3194891085","https://openalex.org/W3196221712","https://openalex.org/W3197071740","https://openalex.org/W3209603404","https://openalex.org/W4205468697","https://openalex.org/W4224100515","https://openalex.org/W4283217264","https://openalex.org/W4285801369","https://openalex.org/W4296071803","https://openalex.org/W4308638649"],"related_works":["https://openalex.org/W3160133344","https://openalex.org/W4416403085","https://openalex.org/W4286218443","https://openalex.org/W3196221712","https://openalex.org/W2782214767","https://openalex.org/W4409559421","https://openalex.org/W4401550806","https://openalex.org/W4200181470","https://openalex.org/W4399567539","https://openalex.org/W7133328099"],"abstract_inverted_index":{"Abstract":[0],"Polypharmacy":[1,27],"is":[2,17,28,57,304,334],"a":[3,58,187,295],"significant":[4,305],"concern":[5],"for":[6],"older":[7,21,68,82,191,216,254,276,287,332],"adults.":[8,69],"Taking":[9],"multiple":[10],"medicines":[11],"to":[12,25,53,74,98,125,137,150,173,306],"prevent":[13,307],"and":[14,44,100,109,113,131,145,164,197,260,318,328],"treat":[15],"comorbidities":[16],"very":[18],"common":[19],"in":[20,84,200,218,238,278,285,331],"adults,":[22],"potentially":[23],"leading":[24],"polypharmacy.":[26,179],"associated":[29],"with":[30,186,256],"the":[31,54,63,76,127,139,152,175,194,210,229,270],"development":[32],"of":[33,49,60,65,79,89,111,141,154,178,189,213,273],"geriatric":[34,302,316],"syndromes,":[35],"including":[36,91],"cognitive":[37],"impairment,":[38],"delirium,":[39],"falls,":[40],"frailty,":[41],"urinary":[42],"incontinence,":[43],"weight":[45],"loss.":[46],"The":[47,203],"prevalence":[48,64,78,177,212,250,272],"polypharmacy":[50,66,80,214,249,274],"varies":[51],"according":[52],"literature.":[55],"There":[56],"paucity":[59],"data":[61],"regarding":[62],"among":[67,81,215,235,253,275],"Therefore,":[70],"this":[71,201],"study":[72],"aimed":[73],"estimate":[75],"pooled":[77,176,211,248,271],"adults":[83,192,217,255,277,288,333],"Ethiopia.":[85],"A":[86,167,224],"comprehensive":[87],"search":[88],"databases,":[90],"PubMed,":[92],"MEDLINE,":[93],"EMBASE,":[94],"Hinari,":[95],"Cumulative":[96],"Index":[97],"Nursing":[99],"Allied":[101],"Health":[102],"Literature,":[103],"International":[104],"Scientific":[105],"Indexing,":[106],"Cochrane":[107],"library":[108],"Web":[110],"Science,":[112],"Google":[114],"Scholar,":[115],"was":[116,123,158,171,220,232,251,267,280],"conducted.":[117],"STATA":[118],"statistical":[119],"software":[120],"(version":[121],"17)":[122],"used":[124,172],"analyze":[126],"data.":[128],"Forest":[129],"plot":[130],"I2":[132],"heterogeneity":[133,230],"test":[134],"were":[135,148,198],"computed":[136],"examine":[138],"existence":[140],"heterogeneity.":[142,155],"Subgroup":[143,225],"analysis":[144,147],"sensitivity":[146],"done":[149,237],"explore":[151],"source":[153],"Publication":[156],"bias":[157],"evaluated":[159],"by":[160],"using":[161],"funnel":[162],"plots":[163],"Egger\u2019s":[165],"test.":[166],"random":[168],"effect":[169],"model":[170],"determine":[174],"After":[180],"reviewing":[181],"123":[182],"studies,":[183],"13":[184,206],"studies":[185,207,236],"total":[188],"3547":[190],"fulfilled":[193],"inclusion":[195],"criteria":[196],"included":[199],"meta-analysis.":[202],"result":[204],"from":[205],"revealed":[208],"that":[209,228,269],"Ethiopia":[219,279],"37.10%":[221],"(95CI:":[222],"28.28\u201345.91).":[223],"Meta-analysis":[226],"showed":[227],"level":[231],"slightly":[233],"lower":[234],"Oromia":[239],"region":[240],"(I2":[241],"=":[242,245],"46.62,":[243],"P-value":[244],"0.154).":[246],"Higher":[247],"found":[252,268],"cardiovascular":[257],"disorders":[258],"(42.7%)":[259],"admitted":[261],"patients":[262],"(51.4%).":[263],"In":[264],"general,":[265],"it":[266],"high.":[281],"More":[282],"than":[283],"one":[284],"three":[286],"take":[289],"five":[290],"or":[291],"more":[292],"medications":[293],"at":[294],"time.":[296],"Thus,":[297],"intervention":[298],"focusing":[299],"on":[300],"rational":[301],"pharmacotherapy":[303],"unnecessary":[308],"pill":[309],"burden,":[310],"adverse":[311],"drug":[312],"events,":[313],"medical":[314],"costs,":[315],"morbidity,":[317],"mortality.":[319],"Furthermore,":[320],"enhancing":[321],"pharmacist":[322],"roles":[323],"towards":[324],"medication":[325],"therapy":[326],"management":[327],"safety":[329],"monitoring":[330],"also":[335],"indicated.":[336]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":10},{"year":2024,"cited_by_count":5}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2023-10-18T00:00:00"}
