Evidence map›Paper›PMID 31997877›Full record

ArticlePatient preference and adherence2019

A Randomized Controlled Trial to Assess the  Impact of Clinical Pharmacy Interventions on Treatment Outcomes, Health Related Quality of Life and Medication Adherence Among Hepatitis C Patients.

Salamat Ali, Mashhood Ali, Vibhu Paudyal, Faisal Rasheed, Shahan Ullah, Sayeed Haque, Tofeeq Ur-Rehman

Open access · goldAbstract read
In one paragraph

Article in Patient preference and adherence, 2019. 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
1.7field-weighted citation impact, top 16% 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, 17 citations in OpenAlex.

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  6. The remarkably frequent use of EQ-5D in non-economic research.The European journal of health economics : HEPAC : health economics in prevention and care · 2022
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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 4 institutions in 2 countries.

Salamat AliDepartment of Pharmacy, Quaid-i-Azam University, Islamabad, Pakistan.ORCID 0000-0003-0280-3299
Mashhood AliDepartment of Gastroenterology, Pakistan Institute of Medical Sciences, Islamabad, Pakistan.ORCID 0000-0001-6064-7592
Vibhu PaudyalSchool of Pharmacy, University of Birmingham, Birmingham, UK.ORCID 0000-0002-4173-6490
Faisal RasheedPakistan Institute of Nuclear Sciences and Technology, Islamabad, Pakistan.
Shahan UllahDepartment of Pharmacy, Quaid-i-Azam University, Islamabad, Pakistan.ORCID 0000-0003-4597-8902
Sayeed HaqueInstitute of Applied Health Research Medical Statistics, University of Birmingham, Birmingham, UK.
Tofeeq Ur-RehmanDepartment of Pharmacy, Quaid-i-Azam University, Islamabad, Pakistan.ORCID 0000-0003-4904-1367
Quaid-i-Azam University · PKUniversity of Birmingham · GBPakistan Institute of Medical Sciences · PKPakistan Institute of Nuclear Science and Technology · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe role of specialized pharmacy services remains unexplored in clinical practice for hepatitis C patients in Pakistan. This study aimed to evaluate the impact of clinical pharmacy interventions on treatment outcomes, health-related quality of life (HRQoL), and medication adherence among hepatitis C patients.

methodsA randomized control trial was conducted at two tertiary-care teaching hospitals in Pakistan. Hepatitis C patients who attended the outpatient clinics between October 2015 and September 2018 were randomized to two groups [usual care (UC) and pharmaceutical care (PC)] in a 1:1 ratio, applying simple envelope method. The PC group received pharmaceutical care led by a clinical pharmacist. The care that patients received included education and counseling on medication compliance, labeling of medication packs, and monitoring of adverse drug events, led by a qualified clinical pharmacist during the 15- to 20-minute monthly sessions, while the UC group received standard care at hospital, which did not involve clinical pharmacist input. Outcome measures, such as sustained virological response, HRQoL, and adherence rate (pharmacy data) were assessed at enrolment and distinct time intervals: 4 weeks, 8 weeks, and end of treatment.

resultsA total of 931 patients were included in the study (UC 466 and PC 465), with mean age 42.35±1.9 years. Sustained virological response at 12 weeks was achieved in 86.0% patients in the PC group, significantly (

conclusionPharmacist-led clinical pharmacy interventions as part of multidisciplinary care had a significant impact on improving cure rates, HRQoL, and medication adherence for hepatitis C patients. This study suggests that clinical pharmacists should be incorporated into the multidisciplinary health-care team for care of hepatitis C patients.

Indexed as

clinical outcomesclinical pharmacyhepatitis Cmedication adherencequality of life

Identifiers

PMID31997877
PMCPMC6917610
OpenAlexW2994802787

What OpenQuestion holds

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LicenceCC BY-NC
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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.