User:Mfo1209/sandbox

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Practice Editing Here (Nov 23rd in-class Wiki session work)
Polypharmacy
 * This is a place to practice clicking the "edit" button and practice adding references (via the citation button).

Assignment # 3

 * Note: You will be emailing your assignment # 3 directly to your tutor, however, please paste a version here that excludes your personal information. This will allow us to support your efforts on Wikipedia prior to editing "live" in the article.

Article Title: Polypharmacy

1.	Proposed Changes (2 marks)

•	In the “interventions” section, remove the third paragraph, starting with “A team approach…” and ending with “...a team of healthcare professionals”

•	Change the sentence “It is unclear if specific interventions to improve adequate polypharmacy in older adults have significant clinical results; they seem to reduce inappropriate prescribing and medication-related problems in early research, but more research is needed” to “The effectiveness of specific interventions to improve the appropriate use of polypharmacy such as pharmaceutical care (wikilink) and computerised decision support is unclear. This is due to low quality of current evidence surrounding these interventions (cite chosen source).

2.	Rationale for proposed changes (3 marks)

•	I propose removing the entire third paragraph as there are no relevant references cited in the paragraph. I checked the paper that is cited at the end of the paragraph and there is no mention of a team based approach, the advantages of a more “holistic” approach to polypharmacy, or Medicare D and Medication Therapy Management. The intervention described in this paragraph is quite unspecific, and is instead better covered in the context of the systematic review which I am adding into the next paragraph. The “interventions” section of this article is also quite overlong considering how few interventions are described in detail. These combined reasons have led me to decide that the third paragraph should be removed from the “interventions” section entirely.

•	I propose changing the selected sentence to highlight the interventions in polypharmacy that are currently being studied even though their advantages are currently unclear. This is because the “intervention” section of this article is incredibly focused on deprescribing, making it seem as though this is the only intervention that exists for polypharmacy. I sought to de-emphasize deprescribing in the Polypharmacy article overall and highlight other intervention with appropriate citations.

3.	Area of Controversy (1 mark)

•	The listed interventions I would like to add in are not clearly advantageous based on current clinical research. I still think there is merit in quickly highlighting them as they are current areas of study, and there are so few well established interventions for polypharmacy.

4.	Critique of source (2 marks)

•	There seems to be very little potential for bias with the chosen source. There are no sponsorships at all, let alone from any specific drug manufacturer or otherwise. The source is a Cochrane review, indicating it is of high quality. Additionally, the authors are quite transparent with their conclusion that all of the polypharmacy interventions require improved study to make definite conclusions about their advantages or disadvantages.

5.	Article Improvement (2 marks)

What to post on the Wikipedia article talk page?

 * This will also be covered on Nov 23rd in class. Your group should use the below template to share an outline of your proposed improvements (including your new wording and citations). Article talk pages are not places to share your assignment answers. The Wikipedia community will be more interested in viewing your exact article improvement suggestions including where you plan to improve the article (which section), what wording you suggest, and the exact citation (Note: all citations must meet WP:MEDRS)
 * You will not be able to paste citations directly from your sandbox to talk pages (unless you are interested in editing/learning Wiki-code in the "source editing" mode). We suggest re-adding your citations on the talk page manually (using the cite button and populating the citation by pasting in the DOI, website, or PMID). You will have to repeat this process yet again when you edit the actual article live.
 * Talk Page Template: CARL Medical Editing Initiative/Fall 2020/Talk Page Template