Evidence map›Paper›PMID 31384262›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2017

Indicadores do uso de medicamentos na atenção primária de saúde: uma revisão sistemática.

André Santos da Silva, Gabriella de Alcantara Maciel, Luciane Soares de Lima Wanderley, Almir Gonçalves Wanderley

Abstract read
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

4 authors.

André Santos da SilvaUniversidade Federal do Vale do São Francisco Colegiado de Farmácia Petrolina (PE) Brasil Universidade Federal do Vale do São Francisco, Colegiado de Farmácia, Petrolina (PE), Brasil.
Gabriella de Alcantara MacielCentro Universitário Tabosa de Almeida Curso de Farmácia Caruaru (PE) Brasil Centro Universitário Tabosa de Almeida, Curso de Farmácia. Caruaru (PE), Brasil.
Luciane Soares de Lima WanderleyUniversidade Federal de Pernambuco Departamento de Enfermagem Recife (PE) Brasil Universidade Federal de Pernambuco, Departamento de Enfermagem, Recife (PE), Brasil.
Almir Gonçalves WanderleyUniversidade Federal de Pernambuco Departamento de Fisiologia e Farmacologia Recife (PE) Brasil Universidade Federal de Pernambuco, Departamento de Fisiologia e Farmacologia, Recife (PE), Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the rational use of medicines in the context of primary health care (PHC) according to the indicators recommended by the World Health Organization (WHO).

methodA systematic review of the literature was performed following PRISMA guidelines to synthesize the evidence produced by the application of drug use indicators in PHC in the period from 2011 to 2016. The following databases were searched: PudMed, SciELO and Google Scholar, Virtual Health Library/BIREME, and

resultsOf the 16 studies included, 56.2% were prospective, 37.5% were developed at a local level, 62.5% employed convenience sampling, 56.2% lasted up to 6 months, and 43.8% were performed in Brazil. Prescription indicators were used most (87.5%), followed by service-related indicators (37.5%) and health care indicators (31.3%). None of the scenarios described in the articles fully met the WHO recommendations. The most frequent interventions suggested to resolve the problems related to the rational use of medications included continuing education for rational prescription (56.3%), use of updated lists of essential medicines, including generic drug names and reflecting the needs of the population (31.3%), and implementation of clinical protocols to standardize therapeutic management (31.3%).

conclusionsApplication of the WHO indicators revealed irrational practices of drug use in PHC in several countries.

Indexed as

Drug utilizationindicatorsprimary health carereviewsystematic

Identifiers

PMID31384262
PMCPMC6650627

What OpenQuestion holds

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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.