Evidence map›Paper›PMID 34334137›Full record

ArticleJournal of pharmaceutical health care and sciences2021

Pharmacist involvement in the inhaler choice improves lung function in patients with COPD: a prospective single-arm study.

Eiji Shiwaku, Satoshi Dote, Shinobu Kaneko, Chisato Hei, Masaki Aikawa, Yuki Sakai, Takahiro Kawai, Shigeaki Iwatsubo, Michinobu Hashimoto, Teppei Tsuneishi and 6 more

Abstract read
In one paragraph

Article in Journal of pharmaceutical health care and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

16 authors.

Eiji ShiwakuDepartment of Pharmacy, Kyoto-Katsura Hospital, 17, Yamadahiraocho, Kyoto-shi Nishikyo-ku, Kyoto, 615-8256, Japan.
Satoshi DoteDepartment of Pharmacy, Kyoto-Katsura Hospital, 17, Yamadahiraocho, Kyoto-shi Nishikyo-ku, Kyoto, 615-8256, Japan. everyday.is.a.new.day.1981@gmail.com.ORCID http://orcid.org/0000-0002-7161-7935
Shinobu KanekoDepartment of Pharmacy, Kyoto-Katsura Hospital, 17, Yamadahiraocho, Kyoto-shi Nishikyo-ku, Kyoto, 615-8256, Japan.
Chisato HeiDepartment of Pharmacy, Kyoto-Katsura Hospital, 17, Yamadahiraocho, Kyoto-shi Nishikyo-ku, Kyoto, 615-8256, Japan.
Masaki AikawaDepartment of Respiratory Medicine, Kyoto-Katsura Hospital, Kyoto, Japan.
Yuki SakaiDepartment of Respiratory Medicine, Kyoto-Katsura Hospital, Kyoto, Japan.
Takahiro KawaiDepartment of Respiratory Medicine, Kyoto-Katsura Hospital, Kyoto, Japan.
Shigeaki IwatsuboDepartment of Respiratory Medicine, Kyoto-Katsura Hospital, Kyoto, Japan.
Michinobu HashimotoDepartment of Respiratory Medicine, Kyoto-Katsura Hospital, Kyoto, Japan.
Teppei TsuneishiDepartment of Respiratory Medicine, Kyoto-Katsura Hospital, Kyoto, Japan.
Tomoko NishimuraDepartment of Respiratory Medicine, Kyoto-Katsura Hospital, Kyoto, Japan.
Toshiyuki IwataDepartment of Respiratory Medicine, Kyoto-Katsura Hospital, Kyoto, Japan.
Daiki HiraDepartment of Pharmacy, Shiga University of Medical Science Hospital, Shiga, Japan.
Tomohiro TeradaDepartment of Pharmacy, Shiga University of Medical Science Hospital, Shiga, Japan.
Takashi NishimuraDepartment of Respiratory Medicine, Kyoto-Katsura Hospital, Kyoto, Japan.
Yuka KobayashiDepartment of Pharmacy, Kyoto-Katsura Hospital, 17, Yamadahiraocho, Kyoto-shi Nishikyo-ku, Kyoto, 615-8256, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, in Japan, shifting tasks from physician to hospital pharmacist is being developed to reduce physician workload and improve the quality of pharmacotherapy. This study aimed to investigate the effects of pharmacist involvement in the choice of inhaler as the task on the clinical outcomes of patients with chronic obstructive pulmonary disease (COPD).

methodsThis prospective, single-center, single-arm study included 36 outpatients with newly diagnosed COPD indicating inhaler therapy. Eligible patients were immediately interviewed by pharmacist. Then, pharmacist assessed patient's inhalation flow rate, physical function to handle an inhaler, comprehension, and value, and finally recommended a personalized inhaler based on originally developed inhaler choice protocol, and pulmonologist prescribed a pharmacist-selected inhaler. The primary endpoint was the improvement in trough forced expiratory volume in 1 s (FEV

resultsThe pneumonologists completely agreed with the pharmacist-recommended inhaler. Mean FEV

conclusionsPharmacist involvement in the choice of inhaler for patients with newly diagnosed COPD was associated with improved lung function, health status, clinical symptoms, and adherence to inhaler therapy. Shifting task of choosing appropriate inhaler from physician to hospital pharmacist may be performed effectively and safely with an inhaler choice protocol. TRIAL REGISTRATION NUMBER: UMIN000039722 , retrospectively registered on March 10, 2020.

Indexed as

Chronic obstructive pulmonary diseaseInhalation devicesMedication therapy managementPharmaceutical careShared decision-making

Identifiers

PMID34334137
PMCPMC8327440

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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.