Evidence map›Paper›PMID 29468528›Full record

ArticleInternational journal of clinical pharmacy2018

The influence of pharmacist-led adherence support on glycaemic control in people with type 2 diabetes.

Mangesh Kharjul, Rhiannon Braund, James Green

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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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Article
  7. A physician-pharmacist collaborative care model to prevent opioid misuse.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2020
    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

3 authors.

Mangesh KharjulSchool of Pharmacy, University of Otago, Dunedin, New Zealand. khama123@student.otago.ac.nz.ORCID http://orcid.org/0000-0002-5589-6874
Rhiannon BraundSchool of Pharmacy, University of Otago, Dunedin, New Zealand.ORCID http://orcid.org/0000-0001-6574-1246
James GreenSchool of Pharmacy, University of Otago, Dunedin, New Zealand.ORCID http://orcid.org/0000-0002-7309-0751

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Adherence to treatment is important to achieve target outcomes, particularly for those with type 2 diabetes. Pharmacists are well placed to enhance adherence, however evidence of the impact on clinical outcomes is not well known. Objective To determine the impact of an adherence support service on adherence scores and subsequent clinical biomarkers (HbA1c). Setting Community pharmacies providing a Medicines Use Review (MUR) Service in a New Zealand locality. Methods Records of patients receiving MURs between 2007 and 2012 were obtained from a single locality. Data extraction included: individual characteristics, the adherence score assigned at every consultation, pathology records. Patients receiving oral hypoglycaemic medications (n = 86) were included in the final analysis using generalised estimating equations to explore change in HbA1c over time, and whether this was related to the adherence score. Main Outcome Measures (a) change in adherence scores and (b) association between adherence sores and HbA1c. Results A total of 350 records were obtained, of those, 115 of 350 people had follow up MUR visit/s and could be analysed for changes in adherence. Most people (110/115) showed sustained or improved adherence scores with follow up visits. For those receiving oral hypoglycaemic medications (n = 86); where poor adherence scores were recorded, their HbA1c levels were higher and continued to increase by ~ 0.1% (1 mmol/mol) every 10 weeks, B = 0.11, p = 0.009. Conversely, those with high adherence scores showed an overall decrease in HbA1c levels. Conclusion MURs may positively influence medication adherence. This improved adherence shows a measurable decline in HbA1c levels.

Indexed as

Medication AdherencePharmacistsProfessional RoleAdultAgedAged, 80 and overBlood GlucoseDiabetes Mellitus, Type 2FemaleFollow-Up StudiesHumansHypoglycemic AgentsMaleMedication ReconciliationMiddle AgedNew ZealandBlood GlucoseHypoglycemic AgentsAdherenceDiabetes mellitusHbA1cHypoglycaemic medicationsNew ZealandPharmacist

Identifiers

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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.