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The impact of residential medication management reviews (RMMRs) on medication regimen complexity

Pouranayatihosseinabad, M, Zaidi, TS ORCID: 0000-0002-2031-1055, Peterson, G ORCID: 0000-0002-6764-3882, Nishtala, PS, Hannan, P and Castelino, R 2018 , 'The impact of residential medication management reviews (RMMRs) on medication regimen complexity' , Postgraduate Medicine, vol. 130, no. 6 , pp. 575-579 , doi: 10.1080/00325481.2018.1502016.

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Objectives: The primary objective of this study was to investigate the impact of RMMRs on medicationregimen complexity, as assessed by a validated measure.Methods: Retrospective analysis of RMMRs pertaining to 285 aged care residents aged ≥ 65 years inSydney, Australia. Medication regimen complexity was measured using the Medication RegimenComplexity Index (MRCI) at baseline, after pharmacists’ recommendations (assuming that all of thepharmacists’ recommendations were accepted by the General Practitioner (GP)), and after the actualuptake of pharmacists’ recommendations by the GP. Differences in the regimen complexity wasmeasured using the Wilcoxon sign rank test.Results: Pharmacists made 764 recommendations (average 2.7 recommendations per RMMR), of which569 (74.5%) were accepted by GPs. The median MRCI at baseline in the sample was 25.5 (IQR = 19.0–32.5). No statistically significant differences were demonstrated in the MRCI scores after pharmacists’recommendations (p = 0.53) or after GPs’ acceptance of these recommendations (p = 0.07) compared tothe baseline.Conclusion: Our study revealed high acceptance of pharmacists’ recommendations by GPs. Thissuggests that RMMRs are useful for identifying and resolving drug-related issues among residents ofACFs. However, our study failed to show a significant effect of RMMRs in reducing the medicationregimen complexity, as measured by the MRCI. Further studies are needed to establish the associationof medication regimen complexity and clinical outcomes in residents of ACFs.

Item Type: Article
Authors/Creators:Pouranayatihosseinabad, M and Zaidi, TS and Peterson, G and Nishtala, PS and Hannan, P and Castelino, R
Keywords: Medication regimen complexity; aged care; prescribing; medication reviews; pharmacy services
Journal or Publication Title: Postgraduate Medicine
Publisher: Mcgraw Hill Healthcare Publications
ISSN: 0032-5481
DOI / ID Number: 10.1080/00325481.2018.1502016
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© 2018 Informa UK Limited, trading as Taylor & Francis Group

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