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Pharmacist-led medication reviews in aged care residents with dementia: A systematic review

McDerby, N, Kosari, S, Bail, K, Shield, A, Peterson, G ORCID: 0000-0002-6764-3882 and Naunton, M 2020 , 'Pharmacist-led medication reviews in aged care residents with dementia: A systematic review' , Australasian Journal on Ageing , pp. 1-12 , doi: 10.1111/ajag.12827.

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Abstract

Objectives: To evaluate outcomes associated with pharmacist-led medication reviews in residential aged care facility (RACF) residents with dementia.Methods: Six scientific databases were searched. All study designs investigatingpharmacist-led medication reviews in RACF residents with dementia were considered. The protocol was registered with PROSPERO (CRD42019121681).Results: One randomised controlled trial (RCT) and five observational studies wereidentified. Two studies reported reductions in medication usage per resident, and onestudy reported improved appropriateness of psychotropic use following reviews aspart of multi-faceted, collaborative interventions. In three studies, reviews undertakenas an isolated intervention or by a visiting pharmacist with minimal collaborationwith physicians were associated with low implementation rates of recommendationsto alter therapy.Conclusion: Pharmacist-led medication reviews, when conducted collaboratively,may improve the use of medicines in RACF residents with dementia. However, robust conclusions cannot be drawn, largely due to the low quality of evidence available, including only one RCT.

Item Type: Article
Authors/Creators:McDerby, N and Kosari, S and Bail, K and Shield, A and Peterson, G and Naunton, M
Keywords: pharmacist, aged care, dementia, nursing home, pharmacy, medication
Journal or Publication Title: Australasian Journal on Ageing
Publisher: Wiley-Blackwell Publishing Asia
ISSN: 1440-6381
DOI / ID Number: 10.1111/ajag.12827
Copyright Information:

Copyright 2020 AJA Inc.

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