SynthesisDrugs & aging2020
Medication Counselling in Older Patients Prior to Hospital Discharge: A Systematic Review.
Synthesis in Drugs & aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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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.
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.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- A systematic review of outcomes reported in studies to optimise the medication use of patients at hospital discharge.BMC health services research · 2025Pooled it
- Recent Machine Learning Progress in Lower Limb Running Biomechanics With Wearable Technology: A Systematic Review.Frontiers in neurorobotics · 2022Pooled it
- Prevalence and trends in polypharmacy and excessive polypharmacy: a retrospective national database analysis (2012-2021).International journal of clinical pharmacy · 2024Article
- Development and evaluation of pharmacist-provided teach-back medication counselling at hospital discharge.International journal of clinical pharmacy · 2023Article
- Uptake of pharmacist recommendations by patients after discharge: Implementation study of a patient-centered medicines review service.BMC geriatrics · 2023Article
- Developing a pharmacist-led intervention to provide transitional pharmaceutical care for hospital discharged patients: A collaboration between hospital and community pharmacists.Exploratory research in clinical and social pharmacy · 2022Article
- Patterns and Predictors of Medication Change after Discharge from Hospital: An Observational Study in Older Adults with Neurological Disorders.Journal of clinical medicine · 2022Article
- Guidance for appropriate use of psychotropic drugs in older people.European geriatric medicine · 2021Review
- Effects of hospital pharmacist interventions on health outcomes in older polymedicated inpatients: a scoping review.European geriatric medicine · 2021Article
- Pharmaceutical Discharge Management: Implementation in Swiss Hospitals Compared to International Guidelines.Pharmacy (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundOlder patients are regularly exposed to multiple medication changes during a hospital stay and are more likely to experience problems understanding these changes. Medication counselling is often proposed as an important component of seamless care to ensure appropriate medication use after hospital discharge.
objectivesThe purpose of this systematic review was to describe the components of medication counselling in older patients (aged ≥ 65 years) prior to hospital discharge and to review the effectiveness of such counselling on reported clinical outcomes.
methodsUsing Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology (PROSPERO CRD42019116036), a systematic search of MEDLINE, EMBASE and CINAHL was conducted. The QualSyst Assessment Tool was used to assess bias. The impact of medication counselling on different outcomes was described and stratified by intervention content.
resultsTwenty-nine studies were included. Fifteen different components of medication counselling were identified. Discussing the dose and dosage of patients' medications (19/29; 65.5%), providing a paper-based medication list (19/29; 65.5%) and explaining the indications of the prescribed medications (17/29; 58.6%) were the most frequently encountered components during the counselling session. Twelve different clinical outcomes were investigated in the 29 studies. A positive effect of medication counselling on medication adherence and medication knowledge was found more frequently, compared to its impact on hard outcomes such as hospital readmissions and mortality. Yet, evidence remains inconclusive regarding clinical benefit, owing to study design heterogeneity and different intervention components. Statistically significant results were more frequently observed when counselling was provided as part of a comprehensive intervention before discharge.
conclusionsSubstantial heterogeneity between the included studies was found for the components of medication counselling and the reported outcomes. Study findings suggest that medication counselling should be part of multifaceted interventions, but the evidence concerning clinical outcomes remains inconclusive.
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