Impact of community-pharmacist-led medication review programmes on patient outcomes: A systematic review and meta-analysis of randomised controlled trials

Albabtain, Basmah; Cheema, Ejaz; Hadi, Muhammad Abdul

doi:10.1016/j.sapharm.2021.04.022

Cited by 31 publications

(34 citation statements)

References 50 publications

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Section: Discussionmentioning

confidence: 99%

“…Programs led by community pharmacists to improve medication use and patient outcomes have been implemented in different countries with various names [21]. These programs targeted chronic diseases, mainly hypertension, diabetes, dyslipidemia, asthma and COPD [21]. It has been well established that pharmacist-led pharmaceutical care can have a significant positive impact on clinical, humanistic, and economic outcomes [22][23][24].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The first nationwide implementation of pharmaceutical care practices through a continuing professional development approach for community pharmacists

Apikoglu

Selçuk²,

Ozcan³

et al. 2022

Int J Clin Pharm

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The first nationwide implementation of pharmaceutical care practices through a continuing professional development approach for community pharmacists

Apikoglu

Selçuk²,

Ozcan³

et al. 2022

Int J Clin Pharm

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show abstract

“…Previous reviews (systematic review and meta-analysis) have focused on various interventions by pharmacists regarding medication usage problems. However, they looked at the outcomes of pharmacists' interventions regarding medication usage problems of both the general population and older adults (i.e., mixed populations) and reviewed interventions that were carried out by pharmacists working in both primary and secondary care settings (i.e., different settings) [45][46][47][48]. These reviews focused on all types of community pharmacy-based services, and these were not exclusively focused on any specific sub-group of the population.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Humanistic Outcomes of Community Pharmacy-Based Healthcare Interventions Regarding Medication Use in Older Adults: A Systematic Review and Meta-Analysis

Christopher

Blebil

et al. 2021

Healthcare

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This review and meta-analysis aimed to determine the clinical and humanistic outcomes of community pharmacy-based interventions on medication-related problems of older adults at the primary care level. We identified randomized controlled trials (RCTs) examining the impact of various community pharmacy-based interventions from five electronic databases (namely, MEDLINE (Ovid), EMBASE (Ovid), CINAHL, APA PSYInfo, and Scopus) from January 2010 to December 2020. Consequently, we assessed these interventions’ clinical and humanistic outcomes on older adults and compared them with non-intervention. We included 13 RCTs in the current review and completed a meta-analysis with six of them. The included studies had a total of 6173 older adults. Quantitative analysis showed that patient education was significantly associated with an increase in the discontinuation of sedative–hypnotics use (risk ratio 1.28; 95% CI (1.20, 1.36) I2 = 0%, p < 0.00001). Moreover, the qualitative analysis showed that medication reviews and education with follow-ups could improve various clinical outcomes, including reducing adverse drug events, reducing uncontrolled health outcomes, and improving appropriate medication use among the elderly population. However, medication review could not significantly reduce the number of older adults who fall (risk ratio 1.25; 95% CI (0.78, 1.99) I2 = 0%, p = 0.36) and require hospitalization (risk ratio 0.72; 95% CI (0.47, 1.12) I2 = 45%, p = 0.15). This study showed that community pharmacy-based interventions could help discontinue inappropriate prescription medications among older adults and could improve several clinical and humanistic outcomes. However, more effective community pharmacy-based interventions should be implemented, and more research is needed to provide further evidence for clinical and humanistic outcomes of such interventions on older adults.

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“… 18 , 19 , 20 , 21 , 22 Furthermore, community pharmacist-led medication reviews have shown potential to improve certain clinical and healthcare utilisation outcomes in patients with long-term conditions. 23 However, pharmacists' clinical skills are often underutilised in primary care, and collaboration between public healthcare and community pharmacies is still limited. 24 , 25 , 26 …”

Section: Introductionmentioning

confidence: 99%

Developing an interprofessional people-centred care model for home-living older people with multimorbidities in a primary care health centre: A community-based study

Kari

Kortejärvi

Laaksonen

2022

Exploratory Research in Clinical and Social Pharmacy

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Impact of community-pharmacist-led medication review programmes on patient outcomes: A systematic review and meta-analysis of randomised controlled trials

Cited by 31 publications

References 50 publications

The first nationwide implementation of pharmaceutical care practices through a continuing professional development approach for community pharmacists

The first nationwide implementation of pharmaceutical care practices through a continuing professional development approach for community pharmacists

Clinical and Humanistic Outcomes of Community Pharmacy-Based Healthcare Interventions Regarding Medication Use in Older Adults: A Systematic Review and Meta-Analysis

Developing an interprofessional people-centred care model for home-living older people with multimorbidities in a primary care health centre: A community-based study

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