Evidence map›Paper›PMID 31368087›Full record

ArticlePharmacoEconomics - open2020

Impact of a Clinical Pharmacist Intervention on Medicine Costs in Patients with Chronic Obstructive Pulmonary Disease in India.

Suhaj Abdulsalim, Mazhuvancherry Kesavan Unnikrishnan, Mohan K Manu, Saud Alsahali, Alian A Alrasheedy, Antony P Martin, Brian Godman, Abubakr A Alfadl

Open access · goldAbstract read
In one paragraph

Article in PharmacoEconomics - open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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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 at 4 institutions in 6 countries.

Suhaj AbdulsalimUnaizah College of Pharmacy, Qassim University, Qassim, Saudi Arabia.
Mazhuvancherry Kesavan UnnikrishnanMCOPS, Manipal Academy of Higher Education, Manipal, India.
Mohan K ManuKasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
Saud AlsahaliUnaizah College of Pharmacy, Qassim University, Qassim, Saudi Arabia.
Alian A AlrasheedyUnaizah College of Pharmacy, Qassim University, Qassim, Saudi Arabia.ORCID http://orcid.org/0000-0003-3617-7425
Antony P MartinHealth Economics Centre, University of Liverpool Management School, Liverpool, UK.
Brian GodmanHealth Economics Centre, University of Liverpool Management School, Liverpool, UK. Brian.Godman@liverpool.ac.uk.ORCID http://orcid.org/0000-0001-6539-6972
Abubakr A AlfadlUnaizah College of Pharmacy, Qassim University, Qassim, Saudi Arabia.
Qassim University · SAManipal Academy of Higher Education · INKarolinska University Hospital · SEUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality, especially in low- and middle-income countries (LMICs) such as India. Medicine costs are a key issue in LMICs, with typically high patient co-payments. In addition, pharmacists are underutilised in LMICs, including India. However, pharmacist-led educational interventions may improve the care of patients with COPD, as well as reduce medicine costs. Consequently, the objective of this study was to assess the effectiveness of a pharmacist-led intervention in reducing medicine costs. METHODOLOGY: We assessed the impact of a pharmacist intervention on direct medicine costs in COPD patients (medicine costs and pharmacist time) in a randomised controlled study involving an intervention and control group, conducted at a tertiary care teaching hospital in India.

resultsThe 6-monthly cost of medicines at baseline increased with disease severity, from a maximum of US$29.46 for those with mild COPD to US$63.28 for those with very severe COPD. Substantial savings in medical costs were achieved with the pharmacist-led programme, to a maximum of US$20.49 over 6 months for very severe patients. This equates to a reduction of 30.6% in medicine costs (p < 0.001), reduced to 26.1% when pharmacists' time (US$3.00/patient) was included.

conclusionThere could be a key role for pharmacists as educators for COPD patients in LMICs, to improve care and reduce costs, including patient co-payments.

Identifiers

PMID31368087
PMCPMC7248138
OpenAlexW2956669448

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LicenceCC BY-NC
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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.