The effect of inpatient pharmaceutical care on nephrotic syndrome patients after discharge: a randomized controlled trial

Yin, Donghong; Guo, Qian; Geng, Xin; Song, Yan; Song, Junli; Wang, Shuyun; Li, Xiaoxia

doi:10.1007/s11096-020-00975-9

Cited by 8 publications

(20 citation statements)

References 29 publications

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“…We removed 5879 duplicates, discarded 7801 studies after examining titles, and discarded an additional 1843 studies after screening abstracts. Of the remaining 258 full-text articles, 60 studies 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , ...…”

Section: Resultsmentioning

confidence: 99%

“…A total of 24 studies (35%) recruited medical inpatients, 19 , 21 , 22 , 27 , 30 , 40 , 46 , 47 , 48 , 49 , 52 , 53 , 55 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 77 of which 5 studies (24%) focused on patients aged 65 years or older 21 , 47 , 59 , 60 , 61 and 5 studies (24%) focused on polymedicated patients, 22 , 46 , 53 , 55 , 58 whereas 13 studies (22%) recruited ED patients. 18 , 25 , 28 , 31 , 32 , 34 , 35 , 41 , 42 , 44 , 56 , 57 , 68 Thirteen studies (22%) 23 , 33 , 36 , 37 , 38 , 39 , 45 , 69 , 70 , 71 , 72 , …”

Section: Resultsmentioning

confidence: 99%

“…In 28 studies (47%), 19 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 45 , 46 , 47 , 48 , 53 , 55 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 67 , 69 , 75 , 77 the intervention focused on medication counseling, which was often conducted with the involvement of a pharmacist and consisted of education regarding dosage, the importance of medication adherence, and possible side effects. In 27 studies (45%), 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 44 , 49 , 50 , 51 , 52 , 54 , 56 , 57 , 65 , 66 , 68 , 70 , 71 , 72 , 73 , 74 , 76 patients in the intervention groups were educated regarding their disease and its management.…”

Section: Resultsmentioning

confidence: 99%

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Interventions to Improve Communication at Hospital Discharge and Rates of Readmission

et al. 2021

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IMPORTANCE Shortcomings in the education of patients at hospital discharge are associated with higher risks for treatment failure and hospital readmission. Whether improving communication at discharge through specific interventions has an association with patient-relevant outcomes remains unclear. OBJECTIVE To conduct a systematic review and meta-analysis on the association of communication interventions at hospital discharge with readmission rates and other patient-relevant outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Interventions to Improve Communication at Hospital Discharge and Rates of Readmission

et al. 2021

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“…‐The effect of medication reconciliation on medication discrepancies and adverse drug events was not significant 130 …”

Section: Discussionmentioning

confidence: 98%

A narrative review of evidence to guide deprescribing among older adults

Aoshima

Yabuki

et al. 2021

J of Gen and Family Med

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Potentially inappropriate prescription and polypharmacy are well‐known risk factors for morbidity and mortality among older adults. However, recent systematic reviews have failed to demonstrate the overall survival benefits of deprescribing. Thus, it is necessary to synthesize the current evidence to provide a practical direction for future research and clinical practice. This review summarizes the existing body of evidence regarding deprescribing to identify useful intervention elements. There is evidence that even simple interventions, such as direct deprescribing targeted at risky medications and explicit criteria‐based approaches, effectively reduce inappropriate prescribing. On the other hand, if the goal is to improve clinical outcomes such as hospitalization and emergency department visits, patient‐centered multimodal interventions such as a combination of medication review, multidisciplinary collaboration, and patient education are likely to be more effective. We also consider the opportunities and challenges for deprescribing within the Japanese healthcare system.

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“…[ 21 ] Guo et al [ 22 ] found that medication reconciliation performed by pharmacist trainees upon admission can reduce unintentional medication discrepancies. Yin et al [ 23 ] found that pharmaceutical inpatient care improved adherence in patients with nephrotic syndrome after hospital discharge. Thus, the effectiveness and safety of pharmacotherapy are improved.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the effect of pharmaceutical care during inpatient treatment in a department of neurology: A retrospective study

Xiao

et al. 2022

Medicine

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Common drug-related problems during neurology inpatient treatment can affect expected health results. Some interventions need to be implemented to reduce DRPs. To explore the effect of care from clinical pharmacists during inpatient treatment. Inpatients treated in the department of neurology in the Second Hospital of Shanxi Medical University between January 1 to December 31, 2019, were retrospectively included. Those who received care from the clinical pharmacist service were assigned to the pharma-care group while the other patients were assigned to the control group. From the perspective of drugs, the two groups were compared in terms of types, antimicrobial use, and key monitoring of drug use. From the perspective of patients, the two groups were compared in terms of length of stay, hospital cost, drug cost and proportion. Propensity score matching was used to balance the baseline characteristics. A total of 2684 patients were included 554 in the pharma-care group and 2130 in the control group with a median of 9 days (range, 3–30 days) hospital stay. The groups showed no significant difference in age or gender. Length of stay, the proportion of drug cost, number of adverse events, cost of antibacterial agents, use of a single antibacterial agent, and use of three or more different antibacterial agents were similar between the groups. Medicine expenses cost more in the pharma-care group. The cost and types of intensive monitoring drugs were similar, but Defined Daily Doses were lower in the control group. While clinical pharmacists may play a positive role in the pharmaceutical care of inpatients, in this study the benefits were not obvious. This may be because of the small number of clinical pharmacists in the department of neurology with narrow coverage.

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The effect of inpatient pharmaceutical care on nephrotic syndrome patients after discharge: a randomized controlled trial

Cited by 8 publications

References 29 publications

Interventions to Improve Communication at Hospital Discharge and Rates of Readmission

Interventions to Improve Communication at Hospital Discharge and Rates of Readmission

A narrative review of evidence to guide deprescribing among older adults

Evaluation of the effect of pharmaceutical care during inpatient treatment in a department of neurology: A retrospective study

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