Pharmacist-led medication reviews: A scoping review of systematic reviews.
<h4>Background</h4>Medication reviews aim to support patients who take medicines, and they are often led by pharmacists. There are different types of medication reviews undertaken in various settings. Previous research undertaken in 2015 found mixed evidence that medication reviews in co...
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0309729 |
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| author | Miriam Craske Wendy Hardeman Nicholas Steel Michael James Twigg |
| author_facet | Miriam Craske Wendy Hardeman Nicholas Steel Michael James Twigg |
| author_sort | Miriam Craske |
| collection | DOAJ |
| description | <h4>Background</h4>Medication reviews aim to support patients who take medicines, and they are often led by pharmacists. There are different types of medication reviews undertaken in various settings. Previous research undertaken in 2015 found mixed evidence that medication reviews in community settings improve clinical outcomes, but further work needs to be undertaken to establish their impact on patient-orientated and economic outcomes.<h4>Aim</h4>This scoping review aims to explore the extent and range of systematic reviews of medication reviews conducted by pharmacists, the nature of the intervention, the evidence for effectiveness, and reported research gaps.<h4>Method</h4>Systematic reviews were included irrespective of participants, settings or outcomes and were excluded if pharmacists did not lead the delivery of the included interventions. Data extracted included the design of included studies, population, setting, main results, description of interventions, and future research recommendations.<h4>Results</h4>We identified twenty-four systematic reviews that reported that medication review interventions were diverse, and their nature was often poorly described. Two high-quality reviews reported that there was evidence of no effect on mortality; of these one reported an improvement in medicines-related problems (all studies reported an increase of identified problems), and another a reduction in hospital readmissions (Risk ratio 0.93 [95% CI 0.89, 0.98]). Other lower-quality reviews reported evidence supporting intervention effectiveness for some clinical outcomes (odds ratio: achieving diabetes control = 3.11 95% prediction intervals (PI), 1.48-6.52, achieving blood pressure target = 2.73, 95% PI, 1.05-7.083.50).<h4>Conclusion</h4>There is mixed evidence of effectiveness for medication reviews across settings and patient populations. There is limited data about the implementation of medication reviews, therefore is difficult to ascertain which components of the intervention lead to improved outcomes. As medication reviews are widely implemented in practice, further research should explore the nature of the interventions, linking the components of these to outcomes. |
| format | Article |
| id | doaj-art-c0f868a78285432c86a30b901b6390d4 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-c0f868a78285432c86a30b901b6390d42025-02-05T05:32:22ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01199e030972910.1371/journal.pone.0309729Pharmacist-led medication reviews: A scoping review of systematic reviews.Miriam CraskeWendy HardemanNicholas SteelMichael James Twigg<h4>Background</h4>Medication reviews aim to support patients who take medicines, and they are often led by pharmacists. There are different types of medication reviews undertaken in various settings. Previous research undertaken in 2015 found mixed evidence that medication reviews in community settings improve clinical outcomes, but further work needs to be undertaken to establish their impact on patient-orientated and economic outcomes.<h4>Aim</h4>This scoping review aims to explore the extent and range of systematic reviews of medication reviews conducted by pharmacists, the nature of the intervention, the evidence for effectiveness, and reported research gaps.<h4>Method</h4>Systematic reviews were included irrespective of participants, settings or outcomes and were excluded if pharmacists did not lead the delivery of the included interventions. Data extracted included the design of included studies, population, setting, main results, description of interventions, and future research recommendations.<h4>Results</h4>We identified twenty-four systematic reviews that reported that medication review interventions were diverse, and their nature was often poorly described. Two high-quality reviews reported that there was evidence of no effect on mortality; of these one reported an improvement in medicines-related problems (all studies reported an increase of identified problems), and another a reduction in hospital readmissions (Risk ratio 0.93 [95% CI 0.89, 0.98]). Other lower-quality reviews reported evidence supporting intervention effectiveness for some clinical outcomes (odds ratio: achieving diabetes control = 3.11 95% prediction intervals (PI), 1.48-6.52, achieving blood pressure target = 2.73, 95% PI, 1.05-7.083.50).<h4>Conclusion</h4>There is mixed evidence of effectiveness for medication reviews across settings and patient populations. There is limited data about the implementation of medication reviews, therefore is difficult to ascertain which components of the intervention lead to improved outcomes. As medication reviews are widely implemented in practice, further research should explore the nature of the interventions, linking the components of these to outcomes.https://doi.org/10.1371/journal.pone.0309729 |
| spellingShingle | Miriam Craske Wendy Hardeman Nicholas Steel Michael James Twigg Pharmacist-led medication reviews: A scoping review of systematic reviews. PLoS ONE |
| title | Pharmacist-led medication reviews: A scoping review of systematic reviews. |
| title_full | Pharmacist-led medication reviews: A scoping review of systematic reviews. |
| title_fullStr | Pharmacist-led medication reviews: A scoping review of systematic reviews. |
| title_full_unstemmed | Pharmacist-led medication reviews: A scoping review of systematic reviews. |
| title_short | Pharmacist-led medication reviews: A scoping review of systematic reviews. |
| title_sort | pharmacist led medication reviews a scoping review of systematic reviews |
| url | https://doi.org/10.1371/journal.pone.0309729 |
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