Evidence map›Paper›PMID 19823939›Full record

ArticlePharmacy world & science : PWS2010

Medications collected for disposal by outreach pharmacists in Australia.

Kyrillos Guirguis

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Article in Pharmacy world & science : PWS, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Waste audits in healthcare: A systematic review and description of best practices.Waste management & research : the journal of the International Solid Wastes and Public Cleansing Association, ISWA · 2023
    Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Article
  6. Unused medicine take-back programmes: a systematic review.Journal of pharmaceutical policy and practice · 2024
    Review
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  11. Review
  12. Expired Medication: Societal, Regulatory and Ethical Aspects of a Wasted Opportunity.International journal of environmental research and public health · 2020
    Review
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  17. An analysis of unused and expired medications in Mexican households.International journal of clinical pharmacy · 2015
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Kyrillos GuirguisOutreach Medication Review (OMR) Program, St. Vincent's Hospital, P.O. Box 2900, Fitzroy, VIC, 3065, Australia. kyrillos.guirguis@svhm.org.au

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the types, quantities, and monetary value of drugs which are disposed of by patients of outreach pharmacists, and to describe the role of outreach pharmacists in promoting the safe disposal of drug waste and reducing medication cost.

settingAn Outreach Medication Review service at a major public hospital in Melbourne, Australia.

methodsPart of the service offered by outreach pharmacists in OMR at St Vincent's Hospital Melbourne is to collect the medications that have expired, or are no longer needed by patients. This audit looked at all the items collected over a period of 2 months, July and August of 2008. We recorded the types of medication groups and the number of items in each of these groups. An estimate of the value of this medicinal waste was also made.

main outcome measureMeasurable parameters were the number of medications collected in the various therapeutic groups, and an estimate of their monetary value. This served to provide an estimate of the total value of wasted medications.

resultsMedications collected fell into 11 therapeutic groups, with a total of 293 items collected. The largest number of medications belonged to the cardiovascular group. The number of patients seen was 40 patients, with each patient having an average of 7.3 items that are either expired or unnecessary. The estimated value of medicinal waste per patient is about AU$1308 annually.

conclusionOutreach pharmacists are in a good position to collect unnecessary medications, and to educate patients on the prudent use of government subsidy of medications. The economic ramification of medication disposal is significant, in terms of the cost of medications that end up not being used. Cardiovascular medications are the main group that end up being wasted, and is among the most expensive to subsidize. Further studies are needed to examine ways of minimising medication waste and reducing the cost of such wastage.

Indexed as

Community-Institutional RelationsPharmaceutical PreparationsPharmacistsWaste ProductsAgedAged, 80 and overAustraliaFees, PharmaceuticalFinancing, GovernmentHumansPharmacy Service, HospitalPovertyPharmaceutical PreparationsWaste Products

Identifiers

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Registered trials

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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.