Evidence map›Paper›PMID 34033661›Full record

ReviewPloS one2021

Pharmacist medication review: An integrated team approach to serve home-based primary care patients.

Michele Monzón-Kenneke, Paul Chiang, Nengliang Aaron Yao, Mark Greg

Open access · goldAbstract readReview
In one paragraph

Review in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. The role of pharmacists in deprescribing benzodiazepines: A scoping review.Exploratory research in clinical and social pharmacy · 2023
    Article
  6. Polypharmacy in the Homebound Population.Clinics in geriatric medicine · 2022
    Review
  7. Pharmacist Intervention in Portuguese Older Adult Care.Healthcare (Basel, Switzerland) · 2022
    Review
  8. Home-based primary care visits by nurse practitioners.Journal of the American Association of Nurse Practitioners · 2022
    Article
  9. Article
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 at 2 institutions in 2 countries.

Michele Monzón-KennekeNorthwestern Medicine, Evanston, IL, United States of America.ORCID 0000-0002-2128-495X
Paul ChiangNorthwestern Medicine, Evanston, IL, United States of America.
Nengliang Aaron YaoHome Centered Care Institute, Schaumburg, IL, United States of America.ORCID 0000-0001-9000-0378
Mark GregNorthwestern Medicine, Evanston, IL, United States of America.
Northwestern Medicine · USShandong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComprehensive medication review is a patient-centered approach to optimize medication use and improve patient outcomes. This study outlines a pilot model of care in which a remote corporate-based clinical pharmacist implemented comprehensive medication reviews for a cohort of medically complex home-based primary care (HBPC) patients.

methodNinety-six medically complex patients were assessed for medication-related problems. Data collected on these patients were: number of chronic conditions, number of medications, appropriate indication for each medication, dose appropriateness, drug interactions, recommendations for medication optimization and deprescribing. The number of accepted recommendations by the HBPC practice was analyzed.

resultsOn average, the patients were 82 years old and had 13 chronic conditions. They were taking a median of 17 medications. Over a four-month pilot period, 175 medication recommendations were made, and 53 (30.3%) of them were accepted, with most common being medication discontinuation, deprescribing, and dose adjustments. Sixty-four (66.7%) patients were on a medication listed as potentially inappropriate for use in older adults. The most common potentially inappropriate medication was a proton-pump inhibitor (38.5%), followed by aspirin (24%), tramadol (15.6%), a benzodiazepine (13.5%) or an opioid (8.3%). Eighty-one medications were recommended for deprescribing and 27 medications were discontinued (33.3%). There were 24 recommended dose adjustments and 11 medications were dose adjusted (45.8%). Thirty-four medications were suggested as an addition to the current patient regimen, 2 medications were added (5.9%).

conclusionPharmacist comprehensive medication review is a necessary component of the HBPC healthcare continuum. Additional research is needed to examine whether aligning pharmacists to deliver support to HBPC improves clinical outcomes, reduces healthcare expenditures and improves the patient's experience.

Indexed as

Primary Health CareAgedAged, 80 and overDeprescriptionsFemaleHumansInappropriate PrescribingMalePharmacistsPotentially Inappropriate Medication List

Identifiers

PMID34033661
PMCPMC8148331
OpenAlexW3164944720

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.