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. Author manuscript; available in PMC: 2019 Nov 1.
Published in final edited form as: Liver Int. 2018 Jun 19;38(11):1882–1890. doi: 10.1111/liv.13892

Table 3.

Interventions in Medication Management

Article Domain Intervention Population; n Process Measure Process measures/Improved clinical outcomes?
Volk 201341 Patient self-management Educational booklet Cirrhosis;
150;70% Child A cirrhosis
Cirrhosis knowledge survey at baseline and at 3 months Median knowledge increased/
not evaluated
Larrey 201140 Nursing led education Scheduled nurse clinic visits CHC; 244; 29.4% F3–4 fibrosis Adherence, SVR 48-week adherence improved/
Higher SVR in treatment group
Asavakarn 201657 Pharmacy led, multidisciplinary team educational approach Education during hospitalization for LT and initial follow-up visit LT recipients; 50; 64% ≤3 months post LT Immunosuppressant knowledge questionnaire Improved knowledge/
not evaluated
Promraj 201658 Pharmacy led, multidisciplinary team educational approach Education during hospitalization for LT and initial follow-up visit LT recipients; 50;64% ≤ 3 months post LT Immunosuppressive Therapy Adherence Scale Higher medication knowledge scores correlated with higher ITAS/not evaluated
Russo 201659 Multidisciplinary protocol to reduce readmissions Outpatient service expansion,
Pharmacist teaching
LT recipients; 167; mean MELD at LT 21 30-day readmission
Length of stay for index admission for liver transplant
30-day readmission rate/30-day readmission rate decreased
Wigg 201342 Chronic disease management program Delivery system redesign
Self-management support
Protocol driven decision support
Clinical information systems
Cirrhosis with ascites; 40; mean MELD 11 Days hospitalized for liver related reasons
Attendance to outpatient clinic visits
Quality of care measures
Improved clinic attendance, Hepatocellular carcinoma screening rates, referral for LT, and Hepatitis A/B vaccination
Did not reduce days hospitalized for liver related reasons or all cause admission rate
Ganapathy
2017 45
Smart phone App to reduce readmissions Smart phone app to track medications, sodium intake, daily weight, signs of HE
Patient and caregiver education
Enhanced communication with health care team
Decompensated cirrhosis; 40; mean MELD 19.5 30-day readmission
Medication adherence
Contact with study team
No 30-day readmissions for HE
App was tolerable for patients and caregivers

CHC: Chronic Hepatitis C

HE: Hepatic Encephalopathy

ITAS: Immunosuppressive Therapy Adherence Scale

LT: Liver Transplant

MELD: Model for End-Stage Liver Disease

SVR: Sustained Virologic Response