Community Pharmacists' Contribution to Medication Reviews for Older Adults : A Systematic Review

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Kallio , S E , Kiiski , A , Airaksinen , M S A , Mäntylä , A T , Kumpusalo-Vauhkonen , A E J , Järvensivu , T P & Pohjanoksa-Mantyla , M K 2018 , ' Community Pharmacists' Contribution to Medication Reviews for Older Adults : A Systematic Review ' , Journal of the American Geriatrics Society , vol. 66 , no. 8 , pp. 1613-1620 . https://doi.org/10.1111/jgs.15416

Title: Community Pharmacists' Contribution to Medication Reviews for Older Adults : A Systematic Review
Author: Kallio, Sonja E.; Kiiski, Annika; Airaksinen, Marja S. A.; Mäntylä, Antti T.; Kumpusalo-Vauhkonen, Anne E. J.; Järvensivu, Timo P.; Pohjanoksa-Mantyla, Marika K.
Contributor: University of Helsinki, Faculty of Pharmacy
University of Helsinki, Clin­ical Phar­macy Group
University of Helsinki, Faculty of Pharmacy
University of Helsinki, Faculty of Pharmacy
Date: 2018-08
Language: eng
Number of pages: 8
Belongs to series: Journal of the American Geriatrics Society
ISSN: 0002-8614
URI: http://hdl.handle.net/10138/327572
Abstract: ObjectivesTo identify medication review interventions for older adults that involve community pharmacists and evidence of outcomes of these interventions. DesignSystematic review. MeasurementsCinahl, MEDLINE (Ovid), Scopus, International Pharmaceutical Abstracts, and Cochrane Library were searched for articles published between January 2000 and February 2016. Articles involving community pharmacists in medication reviews for outpatients aged 65 and older were included. Evidence of economic, clinical, and humanistic outcomes of interventions was summarized. ResultsSixteen articles were found that described 12 medication review interventions, of which 6 were compliance and concordance reviews, 4 were clinical medication reviews, and 2 were prescription reviews according to a previously developed typology. Community pharmacists' contributions to reviewing medications varied from sending the dispensing history to other healthcare providers to comprehensive involvement in medication management. The most commonly assessed outcomes of the interventions were medication changes leading to reduction in actual or potential drug-related problems (n=12) and improved adherence (n=5). ConclusionRegardless of community pharmacists' contributions to interventions, medication review interventions seem to reduce drug-related problems and increase medication adherence. More well-designed, rigorous studies with more sensitive and specific outcomes measures need to be conducted to assess the effect of community pharmacists' contributions to reviewing medications and improving the health of older adults.
Subject: collaborative medication review
medication therapy management
community pharmacist
aged
geriatric pharmacotherapy
PHARMACEUTICAL CARE
CONTROLLED-TRIAL
ELDERLY-PATIENTS
PEOPLE
APPROPRIATENESS
INTERVENTIONS
POLYPHARMACY
PERCEPTIONS
MANAGEMENT
PROVISION
317 Pharmacy
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