User:DarwinJ99/sandbox

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This is place to practice clicking the "edit" button and practice adding references (via the citation button). Please see Help:My_sandbox or contact User_talk:JenOttawa with any questions.

Link: Project Homepage and Resources


 * Note: Please use your sandbox to submit assignment # 3 by pasting it below. When uploading your improvements to the article talk page please share your exact proposed edit (not the full assignment 3).


 * Talk Page Template: CARL Medical Editing Initiative/Fall 2019/Talk Page Template

Polypharmacy

Assignment #2
Focus: Polypharmacy and IBD


 * 1) How you searched for a source (search strategy – where you went to find it).

I used OVID MEDLINE to search for an article related to polypharmacy and inflammatory bowel disease then combined them with the “and” function. I also limited the results to the last 5 years.


 * 1) What potential sources were identified and considered (give examples of 1 or 2).

A review article titled ”Managing Risks with Biologics” and “Update on Therapeutic Drug Monitoring in Crohn’s Disease” was considered.


 * 1) Click, B. & Regueiro, M. Curr Gastroenterol Rep (2019) 21: 1. https://doi.org/10.1007/s11894-019-0669-6
 * 2) Heron, V., & Afif, W. (2017). Update on Therapeutic Drug Monitoring in Crohn's Disease. Gastroenterology clinics of North America, 3, 645–659


 * 1) Why the source was chosen (what made it better than other choices).

Ultimately, a review article titled “Medical management of inflammatory bowel disease in the elderly: balancing safety and efficacy” was chosen. The reason for this was because the prior 2 articles did not have a central focus on polypharmacy, while the latter did.


 * 1) List at least three reasons why the source that was selected meets     Wikipedia’s reliable medical sources (MEDRS) criteria.

-      The article was written within the last 5 years

-      It is a systematic review and thus a secondary source

-      It is from a reputable journal with a high impact factor


 * 1) How do you plan to use the source for improving the article?

I intend to add a citation to the sentence “For instance, adults with multiple common chronic conditions such as diabetes, hypertension, lymphedema, hypercholesterolemia, osteoporosis, constipation, and clinical depression can often be prescribed more than a dozen different medications daily”. I noticed that they didn’t mention that those with IBD also take a number of medications daily.

Assignment #3
1)    Outline your specific planned changes to your section of the article, labelled “Proposed Changes”. Target 1-2 sentences for your improvements. Use the exact language you plan to post to the Wikipedia community, and ensure that it is written in a way that is easily understood by non-medical people.

“For instance, adults with multiple common chronic conditions such as diabetes, hypertension, lymphedema, hypercholesterolemia, osteoporosis, constipation, inflammatory bowel disease, and clinical depression can often be prescribed more than a dozen different medications daily”

2)    After each proposed change, briefly explain the rationale for the change and the reference(s) you have used to support your content. Label this section “Rationale for proposed change.”

The rationale behind this change is there seems to be a clear omission of a chronic disease that should be included as an example. Multiple articles discuss the impact of polypharmacy on IBD, and I’ve used them to support this change.

Ha, C. Y. (2014). Medical management of inflammatory bowel disease in the elderly: balancing safety and efficacy. Clinics in geriatric medicine, 1, 67–78.

Due to how specific this topic is, finding recent articles is difficult. This is another article that nicely explains the change I intend to make; however, it wasn’t published in the last 5 years.

Parian, A. M., & Ha, C. Y. (2013). Su1130 Severe Polypharmacy and Major Medication Interactions Are Associated With Increasing Age and Comorbidity Among Inflammatory Bowel Disease Patients. Gastroenterology, 144(5). doi: 10.1016/s0016-5085(13)61497-3

3)    Identify any controversy or varied opinion about planned changes in your section, and explain how you decided to move forward with the position you have taken. Add this piece to the rationale section.

I don’t believe there will be controversy surrounding this change. Evidence suggests that IBD is one of the first chronic conditions that would come to mind when discussing polypharmacy.

4)    Please identify any issues or concerns with the source (including any possibility of bias) and how (or whether) this has impacted on your plans for the information you are choosing to share. Label this section “Critique of Source.”

My concern with this source is its specificity. The article I cited discusses polypharmacy in elderly people with IBD. Within the sentence on Wikipedia, the focus on the elderly isn’t consistent with the other examples as they relate to the general population. However, when looking at the Wikipedia article as a whole, they do discuss that polypharmacy is more likely to affect the elderly. So, the articles specificity to the elderly population is consistent with the topic of polypharmacy. Feedback:

1.Well done. Selection of the review article and reason for selecting it was well explained and justified..

To be the devil's advocate, one could argue that there is some controversy surround this proposed change. Why specifically add IBD and not pain management or heart failure management? It could be argued that there is a bias in adding this particular condition versus others. There would be value in explaining the rationale behind adding this particular chronic conditions versus the myriad of others.

Agata Szlanta