Evidence map›Paper›PMID 31463583›Full record

ArticleSchmerz (Berlin, Germany)2019

[Clinical pharmacists in palliative care: effects on drug therapy and drug expenses].

Carolin Wolf, Frank Dörje, Carsten Klein, Christoph Ostgathe

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Article in Schmerz (Berlin, Germany), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

4 authors.

Carolin WolfApotheke des Universitätsklinikums Erlangen, Palmsanlage 3, 91054, Erlangen, Deutschland. carolin.wolf@uk-erlangen.de.
Frank DörjeApotheke des Universitätsklinikums Erlangen, Palmsanlage 3, 91054, Erlangen, Deutschland.
Carsten KleinPalliativmedizinische Abteilung, Universitätsklinikum Erlangen, Krankenhausstraße 12, Erlangen, Deutschland.
Christoph OstgathePalliativmedizinische Abteilung, Universitätsklinikum Erlangen, Krankenhausstraße 12, Erlangen, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effect of integrating clinical pharmacists in German palliative care units with regard to the quality of drug therapy and drug costs has yet not been evaluated.

objectivesThis work aims to assess the number of pharmaceutical interventions (PI) and the cost-benefit ratio of a clinical pharmacist taking part in the interprofessional patient care team on an inpatient palliative care unit in Germany.

methodsThe number of and underlying reasons for the pharmacist-led recommendations were recorded and analyzed over a 1-year period. In addition, the respective drugs and the acceptance rate of recommendations were assessed. To evaluate the cost-benefit ratio, the financial savings in the provision of drugs were recorded and compared with the expenses for the clinical pharmacy service.

resultsA total of 245 PI were performed. Most frequently, the pharmacist advised physicians on drug choices and drug dosages. The acceptance rate was 93%. The cost savings in the provision of drugs covered 83% of the expenses for the clinical pharmacy service.

conclusionThe results indicate that the integration of a clinical pharmacist is well suited to optimizing the interprofessional treatment of distressing symptoms with a beneficial economic outcome in palliative care. Consequently, the permanent integration of a clinical pharmacist on an inpatient palliative care unit seems to be beneficial and advisable.

Indexed as

Palliative CarePatient Care TeamPharmacistsCost-Benefit AnalysisCost SavingsDrug CostsGermanyHumansCost-benefit analysisPalliative medicinePharmaceutical servicesSymptom controlTerminal care

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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.