Evidence map›Paper›PMID 27231800›Full record

Trial reportJournal of managed care & specialty pharmacy2016

Medication Reconciliation in Oncological Patients: A Randomized Clinical Trial.

Triana González-Carrascosa Vega, Jesús Francisco Sierra-Sánchez, María José Martínez-Bautista, Fátima García-Martín, Francisco Suárez-Carrascosa, Jose Manuel Baena-Cañada

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of managed care & specialty pharmacy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 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

11 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Reducing medication errors for adults in hospital settings.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Clinical and economic impact of medication reconciliation in cancer patients: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Pooled it
  4. Impact of medication reconciliation for improving transitions of care.The Cochrane database of systematic reviews · 2018
    Pooled it
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Importance of medication reconciliation in cancer patients.Journal of pharmaceutical policy and practice · 2021
    Article
  11. Article
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

6 authors.

Triana González-Carrascosa Vega1 Area de Gestión Sanitaria Norte de Cádiz, Spain.
Jesús Francisco Sierra-Sánchez2 Department of Pharmacy, Area de Gestión Sanitaria Norte de Cádiz, Spain.
María José Martínez-Bautista3 Department of Pharmacy, Hospital Universitario Puerta del Mar, Cádiz, Spain.
Fátima García-Martín3 Department of Pharmacy, Hospital Universitario Puerta del Mar, Cádiz, Spain.
Francisco Suárez-Carrascosa3 Department of Pharmacy, Hospital Universitario Puerta del Mar, Cádiz, Spain.
Jose Manuel Baena-Cañada4 Department of Oncology, Hospital Universitario Puerta del Mar, Cádiz, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedication reconciliation is considered to be an important strategy for increasing the safety of medication use. However, few studies have been carried out showing the effect of a medication reconciliation program on the incidence of reconciliation errors (REs) in oncological patients treated in the outpatient setting.

objectiveTo measure the effect of a medication reconciliation program on the incidence of reconciliation error that reached the patient (RERP) in cancer patients receiving chemotherapy as outpatients.

methodsA randomized, prospective, controlled study was carried out to identify the proportion of patients with at least 1 RERP. Medication reconciliation (intervention group) was compared with standard practice (control group) in patients starting new chemotherapy and who were receiving at least 1 home medication before the start of chemotherapy. A prespecified analysis of factors capable of influencing the occurrence of RE in oncological patients was also carried out.

resultsA total of 147 patients were included (76 in the intervention group and 71 controls) in this study. There were 3 (4%) patients with RERP (primary endpoint) in the intervention group and 21 (30%) patients in the control group (relative risk [RR] = 0.13, 95% CI = 0.04-0.43; P = 0.0009). The prespecified analysis of the effects of the Eastern Cooperative Oncology Group performance status (ECOG), Charlson Comorbidity Index score, and degree of poly-medication upon the number of patients with RE showed the Charlson Comorbidity Index to be unrelated to RE occurrence. However, the risk of RE was greater in patients with ECOG ≥ 2 (RR = 2.18, 95% CI = 1.4-3.4; P = 0.018) and among patients with major poly-medication (RR = 2.49, 95% CI = 1.52-4.09; P <0.001).

conclusionsMedication reconciliation results in a marked decrease in RERP in cancer patients. The factors that may influence RE occurrence in oncological patients have not been fully established, although parameters such as the degree of poly-medication and performance status may play a role. DISCLOSURES: No outside funding supported this study. The authors declare that they have no affiliations with or financial interests in any company, product, or service described in the manuscript. Study concept and design were contributed by Sierra-Sánchez, Martínez-Bautista, Baena-Cañada, and González-Carrascosa Vega. Martínez-Bautista, García-Martín, Suárez-Carrascosa, and González-Carrascosa Vega collected the data, which was interpreted by Sierra-Sánchez, Martínez-Bautista, Baena-Cañada, and González-Carrascosa Vega. The manuscript was written by Sierra-Sánchez and González-Carrascosa Vega and revised by Sierra-Sánchez, Martínez-Bautista, Baena-Cañada, and González-Carrascosa Vega.

Indexed as

PharmacistsProfessional RoleAgedAntineoplastic AgentsFemaleHumansMaleMedication ErrorsMedication ReconciliationMiddle AgedNeoplasmsPatient DischargeProspective StudiesAntineoplastic Agents

Identifiers

PMID27231800
PMCPMC10398067

What OpenQuestion holds

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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.