Evidence map›Paper›PMID 35919801›Full record

ArticlePharmacy practice

A pilot study of Pharmacist-Dietician Collaborative support and Advice (PDCA) for patients with type 2 diabetes in community pharmacy: A single-arm, pre-post study.

Masaki Shoji, Naoki Sakane, Naoki Ito, Keiji Sunayama, Mitsuko Onda

Open access · diamondAbstract read
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Article in Pharmacy practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

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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

5 authors at 4 institutions in 2 countries.

Masaki ShojiPhD. Assistant Professor, Osaka Medical and Pharmaceutical University, Japan. masaki.shoji@ompu.ac.jp.ORCID https://orcid.org/0000-0002-0688-1748
Naoki SakanePhD, MD. Division Director, National Hospital Organization, Kyoto Medical Center, Japan. nsakane@gf6.so-net.ne.jp.ORCID https://orcid.org/0000-0002-5855-2727
Naoki ItoBHE. Officer, e-Pharmacy Group, Ito-Yaku Ltd, Japan. n.ito@itoyaku.co.jp.ORCID https://orcid.org/0000-0002-6699-8497
Keiji SunayamaBEC. Researcher, e-Pharmacy Group, Ito-Yaku Ltd., Japan. sunayama@itoyaku.co.jp.ORCID https://orcid.org/0000-0002-2212-6013
Mitsuko OndaPhD. Professor, Osaka Medical and Pharmaceutical University, Japan. mitsuko.onda@ompu.ac.jp.ORCID https://orcid.org/0000-0002-5855-2727
Osaka University of Pharmaceutical Sciences · JPKyoto Medical Center · JPNippon Shinyaku (Japan) · JPYakut Scientific Research Institute of Agriculture · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In Japan, there is a pressing need to improve community health care to cope with the rapid aging of the population. In this context, there have been private-sector-led approaches to enhance community dietary support by employing dietitians in pharmacies. Objectives: To evaluate the effects of collaboration between dietitians and pharmacists working in pharmacies to support patients with type 2 diabetes. Methods: A single group pre- and post-comparative study was conducted on patients with type 2 diabetes mellitus. The intervention period was 6 months. During the intervention period, the dietitians provided dietary support to the patients after first providing them with medication guidance. The contents of these instructions were shared with the pharmacists. The contents of the instructions were recorded, and confirmed in monthly meetings with the principal investigator. The primary endpoint was the Hemoglobin A1c(HbA1c) level, and the secondary endpoints were high-density lipoprotein-cholesterol (HDL-c), low-density lipoprotein-cholesterol (LDL-c), Triglyceride (TG), degree of dietary self-management, degree of unbalanced diet and satisfaction with pharmacy services. Results: Eight patients completed the intervention period. The first patient's intervention started in March 2021, and all patients' interventions were completed by December 2021. The primary endpoint, the mean (SD) HbA1c, was 7.26 (0.96) at baseline and decreased to 6.63 (0.79) after 6 months (p=0.028, r=0.72). Also, the HDL-c increased from 55.00 (14.81) to 63.14 (10.11) (p=0.110, r=0.51) and the Diabetes Mellitus Dietary Self Efficacy Scale score increased from 51.67 (8.31) to 60.17 (8.45) (p=0.025, r=0.79) and the patient satisfaction score increased 24.0 (4.0) to 26.1 (3.3) (p=0.161, r=0.51). Moderate decreases were also observed in LDL-c (p=0.235, r=0.47) and TG (p=0.368, r=0.37). Conclusions: Collaboration between dietitians and pharmacists working in pharmacies may improve the dietary habits and glycemic control of patients with type 2 diabetes. To verify this hypothesis more reliably, randomized controlled trials need to be conducted.

Indexed as

CollaborationCommunity pharmacyDietitiansType 2 diabetes

Identifiers

PMID35919801
PMCPMC9296081
OpenAlexW4285022091

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LicenceCC BY-NC-ND
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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.