已发表论文

减药处方的现状与研究趋势:文献计量学综述

 

Authors Shi C , Li X, Wu Y, Qin W , Liu L

Received 29 July 2025

Accepted for publication 11 November 2025

Published 18 November 2025 Volume 2025:17 Pages 239—252

DOI https://doi.org/10.2147/DHPS.S557043

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Siew Siang Chua

Changcheng Shi,1,2 Xinyi Li,1,3 Yan Wu,4 Wangjun Qin,3 Lihong Liu1,3 

1China-Japan Friendship Hospital (Institute of Clinical Medical Sciences), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, People’s Republic of China; 2Key Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province, Affiliated Hangzhou First People’s Hospital, School of Medicine, Westlake University, Hangzhou, People’s Republic of China; 3Department of Pharmacy, China-Japan Friendship Hospital, Beijing, People’s Republic of China; 4Department of Pharmacy, Ningbo Yinzhou No.2 Hospital, Ningbo, People’s Republic of China

Correspondence: Lihong Liu, China-Japan Friendship Hospital (Institute of Clinical Medical Sciences), Chinese Academy of Medical Sciences & Peking Union Medical College, No. 2, Yinghuayuan East Street, Chaoyang District, Beijing, People’s Republic of China, Email llh-hong@outlook.com

Background: Polypharmacy has emerged as a major global public health concern. To mitigate its adverse effects, deprescribing has been introduced and integrated into clinical practice. This study aims to analyze the current research landscape and identify emerging trends in deprescribing from a bibliometric perspective.
Methods: Relevant studies on deprescribing published prior to December 2024 were retrieved from the Web of Science Core Collection database. Bibliometric analysis and visualization of co-authorship, citation, co-citation, co-occurrence, and burst detection were performed using VOSviewer, CiteSpace, and Bibliometrix.
Results: A total of 1809 publications were identified, with a marked increase over the past decade. The field is dominated by contributions from developed countries, notably the United States, Australia, and Canada. Studies primarily focus on chronic conditions, such as psychiatric disorders, cardiometabolic diseases, and chronic pain, and the medications used to treat them. Influential publications highlighted barriers and facilitators of deprescribing, deprescribing tools, and deprescribing interventions and their associated outcomes. Burst detection analysis pointed to increasing attention on pharmaceutical care and implementation science.
Conclusion: This study presents the first comprehensive bibliometric overview of deprescribing. The findings demonstrate that the field has grown rapidly but remains dominated by developed countries and a limited set of chronic diseases. The integration of implementation science frameworks emerges as a promising approach to enhance the design and evaluation of deprescribing interventions. Future studies should broaden their scope to include a wider range of diseases and medications, and encourage greater participation from developing countries.

Keywords: deprescribing, polypharmacy, bibliometrics, implementation science