A cluster randomized trial
Setting: Community
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- To compare the effectiveness of a consumer targeted, pharmacist-led educational intervention (to send patients an educational deprescribing brochure in parallel to sending their physicians an evidence-based pharmaceutical opinion) vs usual care on discontinuation of inappropriate medication among community-dwelling older adults.
- 69 community pharmacies were recruited - Patients included were adults aged >/= 65yo who were prescribed 1 of 4 Beers criteria medications |
- Pharmacist led intervention led to greater discontinuation of inappropriate prescriptions after 6 months.
- 106 of 248 patients (43%) in the intervention group no longer filled prescriptions for inappropriate medication compared with 29 of 241 (12%) in the control group. |
A pharmacist-led educational intervention compared with usual care resulted in greater discontinuation of prescriptions
for inappropriate medication after 6 months |
Martin P et al. (2018)
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Martin P, Tamblyn R, Benedetti A, Ahmed S, Tannenbaum C. Effect of a Pharmacist-Led Educational Intervention on Inappropriate Medication Prescriptions in Older Adults. Jama. 2018;320(18):1889. doi:10.1001/jama.2018.16131 |