Evidence map›Paper›PMID 31859225›Full record

ArticleResearch in social & administrative pharmacy : RSAP2020

Patterns and predictors of older adult Medicare Part D beneficiaries' receipt of medication therapy management.

Antoinette B Coe, Omolola A Adeoye-Olatunde, Deborah L Pestka, Margie E Snyder, Alan J Zillich, Karen B Farris, Joel F Farley

Open access · greenAbstract read
In one paragraph

Article in Research in social & administrative pharmacy : RSAP, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Observational
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  8. Racial and ethnic disparities in the enrolment of medicare medication therapy management programs.Journal of pharmaceutical health services research : an official journal of the Royal Pharmaceutical Society of Great Britain · 2023
    Article
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  10. Predictors of Receipt of Comprehensive Medication Reviews in Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 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

7 authors at 3 institutions in 1 country.

Antoinette B CoeUniversity of Michigan College of Pharmacy, 428 Church Street, Ann Arbor, MI, 48109, USA. Electronic address: tonicoe@med.umich.edu.
Omolola A Adeoye-OlatundePurdue University College of Pharmacy, 575 Stadium Mall Drive, West Lafayette, IN, 47907, USA.
Deborah L PestkaUniversity of Minnesota College of Pharmacy, 308 SE Harvard Street, Minneapolis, MN, 55455, USA.
Margie E SnyderPurdue University College of Pharmacy, 575 Stadium Mall Drive, West Lafayette, IN, 47907, USA.
Alan J ZillichPurdue University College of Pharmacy, 575 Stadium Mall Drive, West Lafayette, IN, 47907, USA.
Karen B FarrisUniversity of Michigan College of Pharmacy, 428 Church Street, Ann Arbor, MI, 48109, USA.
Joel F FarleyUniversity of Minnesota College of Pharmacy, 308 SE Harvard Street, Minneapolis, MN, 55455, USA.
Purdue University West Lafayette · USUniversity of Michigan–Ann Arbor · USUniversity of Minnesota · US

Funding

Institutional Career Development CoreKL2TR002241 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ELLINGROD, VICKI L · 2017 to 2021
$6.9M
Indiana Clinical and Translational Sciences InstituteTL1TR001107 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$2.0M
NCATS NIH HHS KL2 TR002241NCATS NIH HHS TL1 TR001107
6 · The paper itself

Abstract

backgroundMedicare Part D medication therapy management (MTM) includes an annual comprehensive medication review (CMR) as a strategy to mitigate suboptimal medication use in older adults.

objectivesTo describe the characteristics of Medicare beneficiaries who were eligible, offered, and received a CMR in 2013 and 2014 and identify potential disparities.

methodsThis nationally representative cross-sectional study used a 20% random sample of Medicare Part A, B, and D data linked with Part D MTM files. A total of 5,487,343 and 5,822,188 continuously enrolled beneficiaries were included in 2013 and 2014, respectively. CMR use was examined among a subset of 620,164 and 669,254 of these beneficiaries enrolled in the MTM program in 2013 and 2014. Main measures were MTM eligibility, CMR offer, and CMR receipt. The Andersen Behavioral Model of Health Services Use informed covariates selected.

resultsIn 2013 and 2014, 505,658 (82%) and 649,201 (97%) MTM eligible beneficiaries were offered a CMR, respectively. Among those, CMR receipt increased from 81,089 (16%) in 2013 to 119,181 (18%) in 2014. The mean age of CMR recipients was 75 years (±7) and the majority were women, White, and without low-income status. In 2014, lower odds of CMR receipt were associated with increasing age (adjusted odds ratio (OR) = 0.99 (95% confidence interval (CI) = 0.994-0.995), male sex (OR = 0.93, 95% CI = 0.926-0.951), being any non-White race/ethnicity except Black, dual-Medicaid status (OR = 0.64, 95% CI = 0.626-0.650), having a hospitalization (OR = 0.87, 95% CI = 0.839-0.893) or emergency department visit (OR = 0.67, 95% CI = 0.658-0.686), and number of comorbidities (OR = 0.90, 95% CI = 0.896-0.905).

conclusionsCMR offers and completion rates have increased, but disparities in CMR receipt by age, sex, race, and dual-Medicaid status were evident. Changes to MTM targeting criteria and CMR offer strategies may be warranted to address disparities.

Indexed as

Medicare Part DAgedCross-Sectional StudiesEthnicityFemaleHumansMaleMedication Therapy ManagementUnited StatesWhite PeopleComprehensive medication reviewMedicare Part DMedication therapy managementOlder adults

Identifiers

PMID31859225
PMCPMC9827433
OpenAlexW2996148071

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.