Evidence map›Paper›PMID 29222733›Full record

ArticleInternational journal of clinical pharmacy2018

Frail older people with multi-morbidities in primary care: a new integrated care clinical pharmacy service.

Lelly Oboh, Catherine Leon, Sulman Qadir, Felicity Smith, Sally-Anne Francis

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Article in International journal of clinical pharmacy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

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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

5 authors.

Lelly ObohAdult Local Community Health Services, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Catherine LeonAdult Local Community Health Services, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Sulman QadirAdult Local Community Health Services, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Felicity SmithUCL School of Pharmacy, London, UK.
Sally-Anne FrancisAnglia Ruskin University, Chelmsford, UK. sally-anne.francis@anglia.ac.uk.ORCID http://orcid.org/0000-0003-2384-1518

Funding

Guy's and St Thomas' Charity GT10040
6 · The paper itself

Abstract

Background Older people confined to their own homes due to frailty, multiple longterm conditions and/or complex needs, are known to be at risk of medicines-related problems. Whilst a health and social care team approach to supporting these patients is advocated, there is limited evidence regarding how pharmacists can best contribute. Objective To describe a new specialist pharmacy service (called the integrated care clinical pharmacist) in terms of how it works, what it achieves and its policy implications. Setting Patients' own homes in Lambeth, London, UK. Method Community matrons identified patients who were experiencing medicines related problems. These were referred to the integrated care clinical pharmacist who undertook a full medication review and recorded activities, which were independently analysed anonymously. Main outcome measure Medicines-related problems and the associated interventions. Result 143 patients were referred to the service over a 15-month period. A total of 376 medicines-related problems were identified: 28 (7%) supply issues, 107 (29%) compliance issues, 241 (64%) clinical issues. A diverse range of interventions were instigated by the pharmacist, requiring the coordination of community pharmacists, primary and secondary health and social care professionals. Conclusion This project demonstrated that including an integrated care clinical pharmacy service as part of the health and social care team that visits frail, older people in their own homes has benefits. The service operated as part of a wider inter-professional community team. The service also supported current health policy priorities in medicines optimization by identifying and addressing a wide range of medicines related problems for this vulnerable patient group.

Indexed as

Frail ElderlyProfessional RoleAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPatient Care TeamPharmacistsPharmacy Service, HospitalPrimary Health CareSurveys and QuestionnairesFrailtyIntegrated careMedicinesMulti-morbiditiesOlder peopleOptimizationPharmacyUnited Kingdom

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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.