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The effect of pharmacist-led interventions in optimising prescribing in older adults in primary care: a systematic review

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dc.contributor.author O'Riordan, David
dc.contributor.author Walsh, Kieran A.
dc.contributor.author Galvin, Rose
dc.contributor.author Sinnott, Carol
dc.contributor.author Kearney, Patricia M.
dc.contributor.author Byrne, Stephen
dc.date.accessioned 2017-04-10T10:10:21Z
dc.date.available 2017-04-10T10:10:21Z
dc.date.issued 2016
dc.identifier.uri http://hdl.handle.net/10344/5675
dc.description peer-reviewed en_US
dc.description.abstract Objective: To evaluate studies of pharmacist-led interventions on potentially inappropriate prescribing among communitydwelling older adults receiving primary care to identify the components of a successful intervention. Data sources: An electronic search of the literature was conducted using the following databases from inception to December 2015: PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, MEDLINE (through Ovid), Trip, Centre for Reviews and Dissemination databases, Cochrane Database of Systematic Reviews, ISI Web of Science, ScienceDirect, ClinicalTrials.gov, metaRegister of Controlled Trials, ProQuest Dissertations & Theses Database (Theses in Great Britain, Ireland and North America). Review methods: Studies were included if they were randomised controlled trials or quasi-randomised studies involving a pharmacist-led intervention compared to usual/routine care which aimed to reduce potentially inappropriate prescribing in older adults in primary care. Methodological quality of the included studies was independently assessed. Results: A comprehensive literature search was conducted which identified 2193 studies following removal of duplicates. Five studies met the inclusion criteria. Four studies involved a pharmacist conducting a medication review and providing feedback to patients or their family physician. One randomised controlled trial evaluated the effect of a computerised tool that alerted pharmacists when elderly patients were newly prescribed potentially inappropriate medications. Four studies were associated with an improvement in prescribing appropriateness. Conclusion: Overall, this review demonstrates that pharmacist-led interventions may improve prescribing appropriateness in community-dwelling older adults. However, the quality of evidence is low. The role of a pharmacist working as part of a multidisciplinary primary care team requires further investigation to optimise prescribing in this group of patients. en_US
dc.language.iso eng en_US
dc.publisher SAGE Publications en_US
dc.relation.uri http://dx.doi.org/10.1177/2050312116652568
dc.subject pharmacist interventions en_US
dc.subject prescribing en_US
dc.subject older people en_US
dc.subject primary care en_US
dc.subject systematic review en_US
dc.title The effect of pharmacist-led interventions in optimising prescribing in older adults in primary care: a systematic review en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1177/2050312116652568
dc.contributor.sponsor HRB en_US
dc.relation.projectid SPHeRE/2013/1 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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