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  • Treatment review by case conferences led to more medication changes than written feedback in older people on polypharmacy

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Therapeutics
Treatment review by case conferences led to more medication changes than written feedback in older people on polypharmacy

https://doi.org/10.1136/ebm.13.2.51

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    W Denneboom

    Dr W Denneboom, Centre for Quality of Care Research, Nijmegen, the Netherlands; w.denneboom@kweazo.umch.nl

    STUDY DESIGN

    Design:

    cluster randomised controlled trial.

    Allocation:

    unclear.*

    Blinding:

    unclear if blinded.*

    STUDY QUESTION

    Setting:

    28 pharmacies and several general practices in the Netherlands.

    Patients:

    738 patients ⩾75 years of age (mean age 81 y, 62% women) receiving polypharmacy (>5 drugs). Exclusion criteria included terminal illness and residence in a home for older people.

    Intervention:

    15 pharmacies were allocated to treatment review by case conferences (CCs) between pharmacists and general practitioners (GPs) on recommendations and concerns about the pharmacotherapy and derivation of a care plan for patients, which was followed up by the pharmacist at 3 months (40 GPs, n = 387). 13 pharmacies were allocated to treatment review by written feedback (WF) from pharmacists to GPs and no …

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    Footnotes

    • Source of funding: Royal Association for the Advancement of Pharmacy (KNMP).