ArticleEuropean journal of clinical pharmacology2004
Congruence on medication between patients and physicians involved in patient course.
Article in European journal of clinical pharmacology, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- The medication reconciliation process and classification of discrepancies: a systematic review.British journal of clinical pharmacology · 2016Pooled it
- Polypharmacy in Older Patients with Multimorbidity: The Agreement Between Patient and General Practitioner-Reported Drugs Observed in a Pilot cRCT.International journal of environmental research and public health · 2024Trial
- Comprehensive discharge follow-up in patients' homes by GPs and district nurses of elderly patients. A randomized controlled trial.Scandinavian journal of primary health care · 2010Trial
- Implementation of a shared medication list in primary care - a controlled pre-post study of medication discrepancies.BMC health services research · 2021Article
- Impact of a Pharmacy-Driven Transitions of Care Medication Reconciliation Following Hospitalization.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2020Article
- Exploring Transitional Care: Evidence-Based Strategies for Improving Provider Communication and Reducing Readmissions.P & T : a peer-reviewed journal for formulary management · 2015Article
- Influence of hospitalization on prescribing safety across the continuum of care: an exploratory study.BMC health services research · 2015Article
- Potentially inappropriate medication related to weakness in older acute medical patients.International journal of clinical pharmacy · 2014Article
- Medication documentation in a primary care network serving North Carolina medicaid patients: results of a cross-sectional chart review.BMC family practice · 2012Article
- Physicians' and pharmacies' overview of patients' medication. An analysis of fidelity coefficients.European journal of clinical pharmacology · 2011Article
- Discrepancies between sources providing the medication histories of acutely hospitalised patients.Pharmacy world & science : PWS · 2010Article
- Insufficient communication about medication use at the interface between hospital and primary care.Quality & safety in health care · 2007Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyse congruence on medication throughout patient courses, including an acute admission to a medical department.
designA prospective, observational study. Data were collected from patient records in primary health care, hospital departments, from the Health Insurance database and through patient interviews.
settingDepartments of internal medicine, general practice and patients' homes.
main outcome measuresNumber, type and character of discrepancies between paired sources of information on patient medication at predefined time points throughout the complete patient course. Assessment of likelihood and severity of potential untoward effects of discrepancies.
resultsData were obtained for 75 of 99 consecutive patients included. Patients stated use of four drugs (median, range 0-17) at admission, five (0-16) at discharge and four (0-15) 1 month after discharge. At admission, 11 patients used no drugs. A median of one (0-20) to three (0-16) discrepancies per patient were identified in seven paired source comparisons with no improvement along patient course. Full agreement throughout the course was found in six patients (8%; 95% confidence interval: 3-17%). No association was found among source discrepancies and number of drugs and age. Of discrepancies, 4-13% were considered serious and likely to cause untoward effects. Discrepancies due to synonymous and analogous drugs accounted for 2-7% of the discrepancies.
conclusionCongruence between sources of information on medication throughout patient courses cannot be obtained with separate medication charts. Discrepancies among patient, general practitioner and hospital give rise to a definitive risk of serious untoward effects.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.