Evidence map›Paper›PMID 39101006›Full record

ArticleIntegrated pharmacy research & practice2024

Outcomes of Community Pharmacy Interventions on Patients with Medicines Under Additional Monitoring.

Xabier Aizpurua-Arruti, Shalom Charlie I Benrimoj, Estibaliz Goyenechea, Arantxa Isla, Ainhoa Oñatibia-Astibia, Amaia Malet-Larrea, Miguel Ángel Gastelurrutia, Olatz Cuevas, Julen Rodríguez-Castejón, Saioa Domingo-Echaburu and 3 more

Abstract read
In one paragraph

Article in Integrated pharmacy research & practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

13 authors.

Xabier Aizpurua-ArrutiOfficial Pharmacist Association of Gipuzkoa, Donostia / San Sebastián, Spain.ORCID 0000-0001-9028-8236
Shalom Charlie I BenrimojPharmaceutical Care Research Group, Faculty of Pharmacy, University of Granada, Granada, Spain.ORCID 0000-0001-9768-7838
Estibaliz GoyenecheaOfficial Pharmacist Association of Gipuzkoa, Donostia / San Sebastián, Spain.ORCID 0000-0001-7990-5192
Arantxa IslaPharmacy Practice Research Group, PharmaNanoGene Group, Faculty of Pharmacy, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain.ORCID 0000-0001-7575-2715
Ainhoa Oñatibia-AstibiaOfficial Pharmacist Association of Gipuzkoa, Donostia / San Sebastián, Spain.ORCID 0000-0002-1726-6943
Amaia Malet-LarreaOfficial Pharmacist Association of Gipuzkoa, Donostia / San Sebastián, Spain.ORCID 0000-0002-2809-6249
Miguel Ángel GastelurrutiaOfficial Pharmacist Association of Gipuzkoa, Donostia / San Sebastián, Spain.ORCID 0000-0003-1019-0234
Olatz CuevasOfficial Pharmacist Association of Gipuzkoa, Donostia / San Sebastián, Spain.
Julen Rodríguez-CastejónPharmacy Practice Research Group, PharmaNanoGene Group, Faculty of Pharmacy, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain.ORCID 0000-0002-8999-1589
Saioa Domingo-EchaburuOsakidetza Basque Health Service, Debagoiena Integrated Health Organisation, Pharmacy Service, Arrasate, Spain.ORCID 0000-0002-0642-9081
María Ángeles SolinísPharmacy Practice Research Group, PharmaNanoGene Group, Faculty of Pharmacy, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain.ORCID 0000-0001-9127-0775
Montserrat GarcíaBasque Country Pharmacovigilance Unit, Osakidetza Basque Health Service, Galdakao-Usansolo Hospital, Galdakao, Spain.ORCID 0000-0001-7026-1079
Ana Del Pozo-RodríguezPharmacy Practice Research Group, PharmaNanoGene Group, Faculty of Pharmacy, University of the Basque Country UPV/EHU, Vitoria-Gasteiz, Spain.ORCID 0000-0003-2478-0884

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Additional monitoring (AM) medicines include (i) medicines containing a new active substance; (ii) biological medicines; (iii) medicines with conditional approval or authorized in special situations; (iv) medicines which require further studies; (v) medicines that have specific requirements regarding the reporting of suspected adverse drug reactions (ADRs). When AM medicines are marketed, their most common ADRs are known, but safety information is limited because relatively rare ADRs are often not detected in clinical trials. Their AM status warrants real-world studies to identify other safety issues; however, such studies are lacking. Correct use and adherence to dosage regimen by patients are key factors for the evaluation of the safety and efficacy of medicines. The objective of this work was assessing the impact on safety, adherence, use and knowledge (U&K) about medicines and patient's quality of life (QOL), of community pharmacist (CP)-led interventions in a new service focused on AM medicines targeted at three prevalent chronic diseases: diabetes mellitus type 2, chronic obstructive pulmonary disease and cardiovascular disease. Patients and Methods: A prospective interventional cohort study was conducted with a 6-month follow-up in 27 community pharmacies (145 patients). Safety, adherence to treatment, patient U&K and QOL were assessed at follow-up visits (months 0, 3 and 6). Results: The number of detected ADRs was 163 with 41 patients referred to the doctor. At baseline, 24.1% of the patients were non-adherent, mainly due to unintentional causes. After six months and 130 interventions by CPs on adherence, a significant reduction to lower than 5.8% was achieved. The inadequate U&K of medicines also decreased, from 47.6% to 7.9% after 182 interventions. Also, the patient's QOL improved. Conclusion: A new patient-centered pharmacy service provides some evidence on the important role of CP in assisting the proper and safe use of AM medicines, improving patient health outcomes.

Indexed as

adherencecommunity pharmacymedicines under additional monitoringpharmaceutical caresafetyuse and knowledge

Identifiers

PMID39101006
PMCPMC11296513

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Registered trials

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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.