The influence of pharmacist-led collaborative care on clinical outcomes in type 2 diabetes mellitus: a multicenter randomized control trial

Iqbal, Muhammad Zahid; Alqahtani, Saad Saeed; Mubarak, Naeem; Shahid, Sara; Mohammed, Rafiuddin; Mustafa, Abid; Khan, Amer Hayat; Iqbal, Muhammad Shahid

doi:10.3389/fpubh.2024.1323102

Cited by 3 publications

(1 citation statement)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…By taking medication on time as prescribed, the infection can be better controlled. These findings align with a study conducted by Iqbal et al, (2024) in Malaysia, which found that patients who were more compliant with their treatment had better outcomes in a randomized control trial evaluating patients with diabetes mellitus.…”

Section: Discussionsupporting

confidence: 88%

Prescription pattern of antibiotics and infection control among outpatients presented at the different community pharmacies in Lahore, Pakistan

Zahid Iqbal,

Shahzad,

Muhammad Usama Latif

et al. 2024

Med Sci

View full text Add to dashboard Cite

Background: Infection is a public health issue all over the world. There are specific demographics that influence infection rates, and prescription patterns vary between countries. Objective: This study aimed to determine the prescription pattern of physicians working in Lahore city and the factors affecting infection cure rate. Methods: This cross-sectional study was conducted in a different community pharmacy in Lahore city, and the prescriptions belonging to different physicians were evaluated. An infection control rate was also checked in a patient by a validated data collection form. Statistical Package for Social Science (SPSS) ver. 25.0 was used to analyze the data. Results: There was a statistically significant association (p<0.001) observed between infection control and patients' gender. Post-hoc pairwise comparison of the chi-square test reveals that culture and sensitivity test is having a positive effect on an infection cure rate in patients visiting different community pharmacies in Lahore city where the P value was 0.008 and effect size was determined to be 0.187, indicating a weak positive association in a culture sensitivity test and infection rate cure. In the current study, it was found that unmarried patients (75.5%) had better infection control compared to married patients (51.1%). Conclusion: In conclusion, the study participants showed that better control of infection could be achieved by conducting timely culture sensitivity tests, avoiding smoking in patients, and making timely and proper diagnoses of diseases.

show abstract

Section: Discussionsupporting

confidence: 88%

Prescription pattern of antibiotics and infection control among outpatients presented at the different community pharmacies in Lahore, Pakistan

Zahid Iqbal,

Shahzad,

Muhammad Usama Latif

et al. 2024

Med Sci

View full text Add to dashboard Cite

show abstract

Randomized controlled trial parallel-group on optimizing community pharmacist’s care for the elderly: The influence of WhatsApp-Email delivered clinical case scenarios

Mohamed Ibrahim,

Al Mazrouei,

Elnour

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background Drug-related problems (DRPs) significantly threaten the safety of the elderly. In order to improve pharmacists’ ability to minimize these events, novel educational interventions that consider the current challenges in clinical practice are crucial. Objectives The primary objective is to assess the impact of two unique educational interventions on pharmacists’ ability to identify DRPs. Method A total of 127 community pharmacies in the United Arab Emirates (UAE) were recruited and randomly allocated to one of three arms using a 1:1:1 allocation ratio. While a series of clinical case scenarios (N = 24) related to elderly care were established and validated and sent to pharmacists in Active Group A over a 3-month period, lengthy research articles focused on medication safety in elderly were emailed to pharmacists in Active Group B. The control group pharmacist received no intervention. Then, pharmacists self-reported the number, categories, and severity of DRPs and pharmacist recommendations. Results The incidence of DRPs identified by pharmacists was 10.8% in Active Group A, 2.0% in the Control Group (p = 0.011), and 3.8% in Active Group B (p = 0.014). A significant difference was observed in the proportion of DRP types between Active Group A and the Control Group. The most common DRPs in Active Group A were avoidable medication (14.7%) and untreated disease (9.2%). Pharmacists in Active Group A (37.2%) and Active Group B (32.3%) most commonly intervened by recommending the cessation of medication, while the most common intervention in the Control Group was recommending a decrease in dose (29.8%). The mean cost reduction per patient was highest in Active Group A (31.3 ±11.8 $), followed by Active Group B (20.8 ±8.6 $) and the Control Group (19.6 ±9.5 $). The mean time needed to resolve a DRP was shortest in Active Group A (7.3 ±3.5 minutes), followed by Active Group B (9.8 ±4.2 minutes) and the Control Group (9.8 ±5.7 minutes). Conclusion Using WhatsApp to deliver clinical scenarios was effective in improving pharmacists’ ability to identify and address DRPs in elderly patients, resulting in faster resolution and higher cost savings.

show abstract

Drug-related problems among type 2 diabetic patients in Sunwal Municipality of Western Nepal

Chapagain,

Pathak,

Subedi

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background Several diseases co-exist with diabetes such as hypertension, and dyslipidemia, leading to cases of non-adherence, several drug interactions, and an increased risk of adverse drug reactions among patients, which are often termed as drug-related problems (DRPs). The role of pharmacists in high-income countries is well-defined in identifying DRPs among type 2 diabetes patients. However, these roles still need to be explored within low- and middle-income countries. The study aimed to identify DRPs in Type 2 diabetic patients. Methods A community-based cross-sectional study was conducted in the Sunwal Municipality, Lumbini Province, Nepal from April to November 2021 where a stratified random sampling technique was employed to collect the data. The study included patients aged ≥ 18 years of either gender with type 2 diabetes who were prescribed at least one anti-diabetic medication. Patients were visited at their homes once identified through the community pharmacies, and a prescription review was conducted to identify the DRPs by using the Pharmaceutical Care Network Europe (PCNE) V8.02 tool and pertinent guidelines. Results Among 182 patients, 97 (53.3%) had DRPs. Most of the patients were 50–60 years (n = 46; 25.3%), with a mean ± SD age of 55.43±14.46, as most were female (n = 94; 51.6%). Biguanides and sulfonylureas were the common classes of drugs prescribed. The major class of drug associated with DRPs were biguanides (n = 85; 49.7%), followed by sulfonylureas (n = 42; 24.6%). Metformin was the major drug associated with DRPs (n = 85; 49.4%). The major type of DRP identified was treatment effectiveness (n = 82; 79.61%), while patients not adhering to drug therapy (n = 97; 71.85%) was the leading cause of DRPs. DRPs were significantly associated with the duration of diabetes (p = .007) and the number of fruit servings (p = .007). Conclusion The majority of the patients were found to have DRPs. The visiting patients at home by the pharmacists helped in identifying the DRPs and associated factors among type 2 diabetes patients, which may aid in the prevention and management of the disease.

show abstract

The influence of pharmacist-led collaborative care on clinical outcomes in type 2 diabetes mellitus: a multicenter randomized control trial

Cited by 3 publications

References 24 publications

Prescription pattern of antibiotics and infection control among outpatients presented at the different community pharmacies in Lahore, Pakistan

Prescription pattern of antibiotics and infection control among outpatients presented at the different community pharmacies in Lahore, Pakistan

Randomized controlled trial parallel-group on optimizing community pharmacist’s care for the elderly: The influence of WhatsApp-Email delivered clinical case scenarios

Drug-related problems among type 2 diabetic patients in Sunwal Municipality of Western Nepal

Contact Info

Product

Resources

About