Evidence map›Paper›PMID 27915426›Full record

ArticleInternational journal of clinical pharmacy2017

Impact of a medication therapy management service on the clinical status of patients with chronic obstructive pulmonary disease.

Kirla B Detoni, Isabela V Oliveira, Mariana M G Nascimento, Thaís R Caux, Mateus R Alves, Djenane Ramalho-de-Oliveira

Abstract read
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In one paragraph

Article in International journal of clinical pharmacy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 19% of its field
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Polypharmacy in Patients With COPD: A Scoping Review.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2025
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  8. Pharmacists' knowledge and attitudes toward medication therapy management service and the associated challenges and barriers for its implementation.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2022
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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

6 authors at 1 institution in 1 country.

Kirla B DetoniDepartment of Social Pharmacy, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil. kirladetoni@gmail.com.
Isabela V OliveiraDepartment of Social Pharmacy, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Mariana M G NascimentoDepartment of Social Pharmacy, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Thaís R CauxDepartment of Social Pharmacy, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Mateus R AlvesDepartment of Social Pharmacy, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Djenane Ramalho-de-OliveiraDepartment of Social Pharmacy, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background At this moment, there is no information in the literature showing the impact of comprehensive medication management (CMM) service delivered to patients with chronic obstructive pulmonary disease. Objective This study aims to present the clinical outcomes of this service provided to patients with chronic obstructive pulmonary disease. Settings Public specialty pharmacy where high cost drug treatments are provided for medical conditions not covered by the primary care such as COPD, located in Minas Gerais State, Brazil. Methods A retrospective analysis was conducted for 83 patients. The dependent variable in this study was the sum of the drug therapy problems detected during the first and second consultation. The independent variables were age, number of diseases and medications, diagnosis of hypertension, dyslipidemia and diabetes, and tabagism. Univariate and multivariate analyses were performed using Pearson's Chisquare test. A level of significance of 5% was adopted for all analyses. Main outcomes Number, types and proportion of resolved drug therapy problems. Results Two hundred seventy seven drug therapy problems were identified, of which 53.1% were resolved. The most frequent drug therapy problem was the "use of unnecessary drug therapy" (n = 55; 19.8%). The identification of three or more drug therapy problem was higher among patients using five medications or more and among those using ten or more (p < 0.05). After the delivery of medication therapy management, the proportion of patients presenting "stable" clinical status was raised from 27 to 54% (p = 0.001). Conclusion CMM service demonstrates a positive impact on clinical outcomes of patients with chronic obstructive pulmonary disease and should prioritize patients with polypharmacy because they might have a higher number of drug therapy problems.

Indexed as

PolypharmacyAdultAgedAged, 80 and overBrazilFemaleHumansMaleMedication Therapy ManagementMiddle AgedPharmaceutical ServicesPulmonary Disease, Chronic ObstructiveRetrospective StudiesTreatment OutcomeAmbulatory careBrazilChronic obstructive pulmonary diseaseCOPDMedication therapy managementOutcome assessmentPharmaceutical services

Identifiers

PMID27915426
OpenAlexW2557541704

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.