Evidence map›Paper›PMID 28690693›Full record

ArticlePharmacy practice

A community pharmacy-based cardiovascular risk screening service implemented in Iran.

Zahra Jahangard-Rafsanjani, Negar Hakimzadeh, Amir Sarayani, Sheyda Najafi, Kazem Heidari, Mohammad R Javadi, Molouk Hadjibabaie, Kheirollah Gholami

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In one paragraph

Article in Pharmacy practice. 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
–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

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

  1. Pooled it
  2. Clinical and economic impacts of clinical pharmacists' interventions in Iran: a systematic review.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2019
    Pooled it
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  11. Health consumer engagement in developing novel preventive health community pharmacy roles in cardiovascular disease in Saudi Arabia: A qualitative analysis.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2020
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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

8 authors.

Zahra Jahangard-RafsanjaniAssistant Professor of Clinical Pharmacy. Department of Pharmacotherapy, Faculty of Pharmacy, Tehran University of Medical Sciences. Tehran (Iran). zjahangard@sina.tums.ac.ir.ORCID 0000-0002-2050-5159
Negar HakimzadehPharmD. Faculty of Pharmacy, Tehran University of Medical Sciences. Tehran (Iran). negar.hakimzadeh@gmail.com.
Amir SarayaniPharmD. Research Center for Rational Use of Drugs, Tehran University of Medical Sciences, Tehran (Iran). sarayani@ufl.edu.ORCID 0000-0003-2790-9938
Sheyda NajafiPharmD. Department of Pharmaceutical Care, Faculty of Pharmacy, Tehran University of Medical Sciences, Imam Khomeini Hospital Complex. Tehran (Iran). shayda8466@yahoo.com.
Kazem HeidariPhD (Epidemiol). School of Public Health, Tehran University of Medical Sciences. Tehran (Iran). k_heidari@razi.tums.ac.ir.ORCID 0000-0003-2790-9938
Mohammad R JavadiProfessor of Clinical Pharmacy. Department of Pharmacotherapy, Faculty of Pharmacy, Tehran University of Medical Sciences. Tehran (Iran). mrjavadi@sina.tums.ac.ir.
Molouk HadjibabaieProfessor of Clinical Pharmacy. Research center for rational use of drugs and faculty of pharmacy, Tehran university of Medical sciences, Tehran (Iran). Email: hajibaba@tums.ac.ir.
Kheirollah GholamiProfessor of Clinical Pharmacy. Reseasrch Center for Rational Use of Drugs, Tehran, University of Medical Sciences. Tehran (Iran). khgholami@sina.tums.ac.ir.ORCID 0000-0003-1340-8454

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular disease is a major health concern around the world.

objectiveTo assess the outcomes and feasibility of a pharmacy-based cardiovascular screening in an urban referral community pharmacy in Iran.

methodsA cross sectional study was conducted in a referral community pharmacy. Subjects aged between 30-75 years without previous diagnose of cardiovascular disease or diabetes were screened. Measurement of all major cardiovascular risk factors, exercise habits, medical conditions, medications, and family history were investigated. Framingham risk score was calculated and high risk individuals were given a clinical summary sheet signed by a clinical pharmacist and were encouraged to follow up with their physician. Subjects were contacted one month after the recruitment period and their adherence to the follow up recommendation was recorded.

resultsData from 287 participants were analyzed and 146 were referred due to at least one abnormal laboratory test. The results showed 26 patients with cardiovascular disease risk greater than 20%, 32 high systolic blood pressure, 22 high diastolic blood pressures, 50 high total cholesterol levels, 108 low HDL-C levels, and 22 abnormal blood glucose levels. Approximately half of the individuals who received a follow up recommendation had made an appointment with their physician. Overall, 15.9% of the individuals received medications and 15.9% received appropriate advice for risk factor modification. Moreover, 7.5% were under evaluation by a physician.

conclusionA screening program in a community pharmacy has the potential to identify patients with elevated cardiovascular risk factor. A plan for increased patient adherence to follow up recommendations is required.

Indexed as

CardiovascularCardiovascular DiseasesCommunity Pharmacy ServicesDiagnostic TechniquesIranMass ScreeningPharmacies

Identifiers

PMID28690693
PMCPMC5499348

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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.