Evidence map›Paper›PMID 30744564›Full record

ArticleBMC geriatrics2019

Pharmacist-led medication reviews for geriatric residents in German long-term care facilities.

Kerstin Bitter, Christina Pehe, Manfred Krüger, Gabriela Heuer, Regine Quinke, Ulrich Jaehde

Abstract read
In one paragraph

Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

  1. Pooled it
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  7. [Polypharmacy in nursing homes: options to improve drug therapy safety].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023
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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.

Kerstin BitterDepartment of Clinical Pharmacy, University of Bonn, An der Immenburg 4, 53121, Bonn, Germany.
Christina PeheAOK Rheinland/Hamburg Health Insurance, Kasernenstr. 61, 40213, Düsseldorf, Germany.
Manfred KrügerLinner Apotheke, Rheinbabenstraße 170, 47809, Krefeld, Germany.
Gabriela HeuerPharmacists' Association North Rhine, Tersteegenstr. 12, 40474, Düsseldorf, Germany.
Regine QuinkePharmacists' Association North Rhine, Tersteegenstr. 12, 40474, Düsseldorf, Germany.
Ulrich JaehdeDepartment of Clinical Pharmacy, University of Bonn, An der Immenburg 4, 53121, Bonn, Germany. u.jaehde@uni-bonn.de.ORCID 0000-0002-2493-7370

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe benefit of medication reviews for long-term care (LTC) residents has been generally recognized throughout health care systems. Whereas many studies showed the impact of comprehensive medication reviews performed by specialized clinical pharmacists, little is known about the impact of medication reviews performed by community pharmacists. Involving them in the provision of medication reviews may help satisfy the increasing demand for ensuring medication safety.

methodsCommunity pharmacists supplying drugs to the LTC facilities performed a medication review for German LTC residents aged at least 65 years and taking five or more drugs per day based on the patients' medication only. Documented potential drug-related problems (DRPs) and the implementation rate of pharmaceutical interventions were evaluated descriptively. To assess the quality of the medication reviews, we developed a corresponding reference system based on the analysis of two experienced clinical pharmacists.

resultsTwelve pharmacies performed medication reviews for 94 LTC residents. Overall, the pharmacists documented 154 potential DRPs (mean 1.6 per patient, SD 1.5) of which the most common were drug-drug interactions (40%) followed by potentially inappropriate medication (PIM) (16%) and inappropriate dosages (14%). 33% of the pharmacists' interventions to solve DRPs were successfully implemented, mostly dosage adjustments. The identification of potentially severe drug-drug interactions and PIM showed the highest agreement (88 and 73%) with the reference system.

conclusionsThe medication review program of community pharmacists for LTC residents led to the identification of relevant DRPs. The reference system assessing the quality of the service can contribute to its transparency and reveals the potential for its improvement. The community pharmacists' knowledge of the LTC residents and their relation to the prescribers is crucial for providing successful medication reviews.

Indexed as

PharmacistsProfessional RoleAgedAged, 80 and overCross-Sectional StudiesDrug InteractionsDrug-Related Side Effects and Adverse ReactionsFemaleGermanyHumansLong-Term CareMaleMedication ReconciliationSkilled Nursing FacilitiesDrug-related problemsLong-term care facilitiesMedication reviewMedication safetyNursing homesPharmacists

Identifiers

PMID30744564
PMCPMC6371600

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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.