Geriatric patient care by U.S. pharmacists in healthcare teams

Systematic review and meta-analyses

Jeannie K. Lee, Marion K. Slack, Jennifer Martin, Clara Ehrman, Marie Chisholm-Burns

Research output: Contribution to journalReview article

40 Citations (Scopus)

Abstract

Objectives To conduct a systematic review and meta-analyses to examine the effects of pharmacists' care on geriatric patient-oriented health outcomes in the United States (U.S.). Design Studies examining U.S. pharmacists' patient care services from inception of the databases through July 2012 were searched. The databases searched include PubMed/MEDLINE, Ovid/MEDLINE, ABI/INFORM, Health Business Fulltext Elite, Academic Search Complete, International Pharmaceutical Abstracts, PsycINFO, Cochrane Database, and Clinical Trials.gov. Studies reporting pharmacists' intervention for geriatric patients, comparison groups, and patient-oriented outcomes were assessed. Dual review for inclusion and data extraction were performed. Setting University of Arizona College of Pharmacy. Measurements Study and participant characteristics, pharmacist intervention, and outcomes with data for meta-analyses were collected. A forest plot was constructed to obtain a pooled standardized mean difference using a random effects model. Results One hundred fifty-two articles were reviewed, with 20 resulting studies included in the final meta-analyses. Study sample size ranged from 36 to 4,218, with mean age of subjects being 65 and older. The studies were most frequently conducted in ambulatory care clinics, followed by inpatient settings; the majority focused on multiple diseases and conditions. Pharmacist activities varied widely, with technical interventions used most often. Favorable results were found in all outcome categories, and meta-analyses conducted for therapeutic, safety, hospitalization, and adherence were significant (P <.001), favoring pharmacist care over comparison. Some identifiable variability existed between included studies. Conclusion Pharmacist intervention has favorable effects on therapeutic, safety, hospitalization, and adherence outcomes in older adults. Pharmacists should be involved in team-based care of older adults.

Original languageEnglish (US)
Pages (from-to)1119-1127
Number of pages9
JournalJournal of the American Geriatrics Society
Volume61
Issue number7
DOIs
StatePublished - Jul 1 2013

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Patient Care Team
Pharmacists
Geriatrics
Meta-Analysis
Patient Care
Databases
MEDLINE
Hospitalization
Safety
Health
Therapeutic Uses
Ambulatory Care
PubMed
Sample Size
Inpatients
Clinical Trials

All Science Journal Classification (ASJC) codes

  • Geriatrics and Gerontology

Cite this

Geriatric patient care by U.S. pharmacists in healthcare teams : Systematic review and meta-analyses. / Lee, Jeannie K.; Slack, Marion K.; Martin, Jennifer; Ehrman, Clara; Chisholm-Burns, Marie.

In: Journal of the American Geriatrics Society, Vol. 61, No. 7, 01.07.2013, p. 1119-1127.

Research output: Contribution to journalReview article

Lee, Jeannie K. ; Slack, Marion K. ; Martin, Jennifer ; Ehrman, Clara ; Chisholm-Burns, Marie. / Geriatric patient care by U.S. pharmacists in healthcare teams : Systematic review and meta-analyses. In: Journal of the American Geriatrics Society. 2013 ; Vol. 61, No. 7. pp. 1119-1127.
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