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Epidemiol Health > Accepted Articles
Epidemiology and Health 2019;e2019020.
DOI: https://doi.org/10.4178/epih.e2019020    [Accepted] Published online May 17, 2019.
Impact of Pharmacist-led Home Medicines Review Services on Drug-Related Problems Among Elderly Population: A Systematic Review
Sai Krishna Gudi1  , Ananth Kashyap2  , Manik Chhabra3  , Rashid Muhammed4  , Komal Krishna Tiwari5 
1Department of Pharmacy, University of Manitoba, Winnipeg, Canada
2Department of Pharmacy Practice, Sarada Vilas College of Pharmacy, Mysuru, Karnataka, India
3Department of Pharmacy Practice, Indo-Soviet Friendship College of Pharmacy, Moga, Punjab India
4Department of Pharmacy Practice, Sri Adichunchanagiri College of Pharmacy, Adichunchanagiri University, B G Nagara, Karnataka, India
5Department of Physiotherapy and Rehabilitation Sciences, JSS College of Physiotherapy, RGUHS, Karnataka, India
Correspondence  Sai Krishna Gudi ,Tel: +1 431-336-8099, Email: sknanu06@gmail.com
Received: March 7, 2019  Accepted after revision: May 17, 2019
Abstract
Objectives:
To address and elucidate the impact of pharmacist-led Home Medicines Review (HMR) in identifying various drug-related problems (DRPs) among the elderly population in homecare settings.
Method:
A comprehensive systematic search was performed using the scientific electronic databases like PubMed, Scopus, Embase, and Web of Science for the studies published between 1 January 2008 to 31 December 2018 pertaining to HMR services by the pharmacist in identifying drug-related problems.
Results:
In total, 4292 studies were retrieved from the searches; and of these, 24 were excluded as they were duplicates. Titles and abstracts were screened for the remaining 4268 studies; and of them, 4239 articles were excluded due to the extraneous nature of the titles and/or abstracts. Subsequently, 29 full-text articles were assessed, and 19 were removed for lacking the outcome of interest and/or not satisfying the study's inclusion criteria. At last, ten studies were included in the review. The pharmacist identified a highly significant count of DRPs through HMR services across all the studies. Of them, the most common type of DRPs were, potential drug-drug interactions, serious adverse drug reactions, need for an additional drug, inappropriate medication use, non-adherence, untreated indication, overdose, and usage of expired medications.
Conclusion:
HMR is a novel and extended role of the pharmacist, which is efficient in identifying and resolving the DRPs which could eventually minimize the patient’s health-related cost & burden, and thus enhance the quality of life and well-being among the elderly.
Keywords: Pharmacists; Drug-Related Side Effects and Adverse Reactions; Drug Interactions; Aged; Frail Elderly
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