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dc.creatorAcosta García, Héctores
dc.creatorAlfaro Lara, Eva Rocíoes
dc.creatorSánchez Fidalgo, Susanaes
dc.creatorSevilla Sánchez, Danieles
dc.creatorDelgado Silveira, Evaes
dc.creatorJuanes Borrego, Anaes
dc.creatorSantos Ramos, Bernardoes
dc.date.accessioned2024-02-26T18:17:37Z
dc.date.available2024-02-26T18:17:37Z
dc.date.issued2020-10
dc.identifier.citationAcosta García, H., Alfaro Lara, E.R., Sánchez Fidalgo, S., Sevilla Sánchez, D., Delgado Silveira, E., Juanes Borrego, A. y Santos Ramos, B. (2020). Intervention effectiveness by pharmacists integrated within an interdisciplinary health team on chronic complex patients. European Journal of Public Health, 30 (5), 886-899. https://doi.org/10.1093/eurpub/ckz224.
dc.identifier.issn1101-1262es
dc.identifier.issn1464-360Xes
dc.identifier.urihttps://hdl.handle.net/11441/155622
dc.description.abstractBackground Nowadays, it is difficult to establish a specific method of intervention by the pharmacist and its clinical repercussions. Our aim was to identify interventions by pharmacists integrated within an interdisciplinary team for chronic complex patients (CCPs) and determine which of them produce the best results. Methods A systematic review (SR) was performed based on PICO(d) question (2008–18): (Population): CCPs; (Intervention): carried out by health system pharmacists in collaboration with an interdisciplinary team; (Comparator): any; (Outcome): clinical and health resources usage outcomes; (Design): meta-analysis, SR and randomized clinical trials. Results Nine articles were included: one SR and eight randomized clinical trials. The interventions consisted mainly in putting in order the pharmacotherapy and the review of the medication adequacy, medication reconciliation in transition of care and educational intervention for health professionals. Only one showed significant improvements in mortality (27.9% vs. 38.5%; HR = 1.49; P = 0.026), two in health-related quality of life [according to EQ-5D (European Quality of Life—5 Dimensions) and EQ-VAS (European Quality of Life—Visual Analog Scale) tests] and four in other health-related results (subjective self-assessment scales, falls or episodes of delirium and negative health outcomes associated with medication). Significant differences between groups were found in hospital stay and frequency of visits to the emergency department. No better results were observed in hospitalization rate. Otherwise, one study measured cost utility and found a cost of €45 987 per quality-adjusted life year gained due to the intervention. Conclusions It was not possible to determine with certainty which interventions produce the best results in CCPs. The clinical heterogeneity of the studies and the short follow-up of most studies probably contributed to this uncertainty.es
dc.formatapplication/pdfes
dc.format.extent14 p.es
dc.language.isoenges
dc.publisherOxford Academices
dc.relation.ispartofEuropean Journal of Public Health, 30 (5), 886-899.
dc.subjectMultiple Chronic Conditionses
dc.subjectMultimorbidityes
dc.subjectClinical pharmacistes
dc.subjectInterdisciplinary health teames
dc.subjectSystematic reviewes
dc.titleIntervention effectiveness by pharmacists integrated within an interdisciplinary health team on chronic complex patientses
dc.typeinfo:eu-repo/semantics/articlees
dc.type.versioninfo:eu-repo/semantics/acceptedVersiones
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
dc.contributor.affiliationUniversidad de Sevilla. Departamento de Medicina Preventiva y Salud Públicaes
dc.relation.publisherversionhttps://academic.oup.com/eurpub/article/30/5/886/5692257es
dc.identifier.doi10.1093/eurpub/ckz224es
dc.contributor.groupUniversidad de Sevilla. CTS1077: Chronicpharma: Grupo de estudio para la optimización de la farmacoterapia en pacientes crónicos.es
dc.journaltitleEuropean Journal of Public Healthes
dc.publication.volumen30es
dc.publication.issue5es
dc.publication.initialPage886es
dc.publication.endPage899es

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