Evidence map›Paper›PMID 33596906›Full record

SynthesisBMC health services research2021

Systematic review of pragmatic randomised control trials assessing the effectiveness of professional pharmacy services in community pharmacies.

R Varas-Doval, L Saéz-Benito, M A Gastelurrutia, S I Benrimoj, V Garcia-Cardenas, F Martinez-Martínez

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Observational
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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

6 authors at 3 institutions in 2 countries.

R Varas-DovalSpanish General Pharmaceutical Council, Villanueva 11, 28001, Madrid, Spain. raquelvaras@redfarma.org.ORCID http://orcid.org/0000-0002-0666-9739
L Saéz-BenitoFaculty of Health Sciences, San Jorge University, Villanueva de Gállego, Zaragoza, Spain.
M A GastelurrutiaPharmaceutical Research Group of the University of Granada, Faculty of Pharmacy, Granada University, Granada, Spain.
S I BenrimojPharmaceutical Research Group of the University of Granada, Faculty of Pharmacy, Granada University, Granada, Spain.
V Garcia-CardenasPharmaceutical Research Group of the University of Granada, Faculty of Pharmacy, Granada University, Granada, Spain.
F Martinez-MartínezPharmaceutical Research Group of the University of Granada, Faculty of Pharmacy, Granada University, Granada, Spain.
Universidad de Granada · ESSpanish Clinical Research Network · ESUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImplementation of Professional Pharmacy Services (PPSs) requires a demonstration of the service's impact (efficacy) and its effectiveness. Several systematic reviews and randomised controlled trials (RCT) have shown the efficacy of PPSs in patient's outcomes in community pharmacy. There is, however, a need to determine the level of evidence on the effectiveness of PPSs in daily practice by means of pragmatic trials. To identify and analyse pragmatic RCTs that measure the effectiveness of PPSs in clinical, economic and humanistic outcomes in the community pharmacy setting.

methodsA systematic search was undertaken in MEDLINE, EMBASE, the Cochrane Library and SCIELO. The search was performed on January 31, 2020. Papers were assessed against the following inclusion criteria (1) The intervention could be defined as a PPS; (2) Undertaken in a community pharmacy setting; (3) Was an original paper; (4) Reported quantitative measures of at least one health outcome indicator (ECHO model); (5) The design was considered as a pragmatic RCT, that is, it fulfilled 3 predefined attributes. External validity was analyzed with PRECIS- 2 tool.

resultsThe search strategy retrieved 1,587 papers. A total of 12 pragmatic RCTs assessing 5 different types of PPSs were included. Nine out of the 12 papers showed positive statistically significant differences in one or more of the primary outcomes (clinical, economic or humanistic) that could be associated with the following PPS: Smoking cessation, Dispensing/Adherence service, Independent prescribing and MTM. No paper reported on cost-effectiveness outcomes.

conclusionsThere is limited available evidence on the effectiveness of community-based PPS. Pragmatic RCTs to evaluate clinical, humanistic and economic outcomes of PPS are needed.

Indexed as

Community Pharmacy ServicesPharmaceutical ServicesPharmaciesCost-Benefit AnalysisDelivery of Health CareHumansClinical pharmacy servicesCommunity pharmacyCommunity pharmacy servicesComparative effectiveness researchNaturalisticPharmaceutical carePragmatic clinical trialsProfessional pharmacy services

Identifiers

PMID33596906
PMCPMC7890900
OpenAlexW3132906723

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.