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. 2018 Sep 4;2018(9):CD013102. doi: 10.1002/14651858.CD013102

Milos 2013.

Methods Randomised trial
Participants 374 elderly patients (intervention 185; control 189) ≥ 75 years, and living in nursing homes or the community
4 pharmacists with at least 4 years' experience of performing medication reviews
Skåne County, Sweden
Year of study: September 2011 to February 2012.
Interventions Pharmacists conducted a medication review for patients based on electronic medical records without interaction. Recommendations were sent to the patient's physician by team rounds, written contact, personal contact or phone.
Outcomes Drug‐related problems
Number of patients with potentially inappropriate medications
Number of patients with unplanned admissions
All‐cause mortality
Notes Funding source: The study was conducted with government funding for projects involving improvement of drug therapy in the elderly.
Conflict of interest: None stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk The randomisation was performed using a random‐number generator and stratified only for geographic area.
Allocation concealment (selection bias) Low risk After inclusion, the pharmacist used closed, non‐transparent envelopes to randomise the patient to 1 of 2 groups: control or intervention.
Blinding of participants and personnel (performance bias) 
 All Outcomes/Outcome 1 Unclear risk Unclear from information provided
Blinding of outcome assessment (detection bias) 
 All Outcomes/Outcome 1 Low risk Drug‐related outcomes (number of drugs, drug‐related problems, etc.) unlikely to be biased.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Between group attrition < 10%. Overall completion rate > 80%.
Selective reporting (reporting bias) Low risk All outcomes reported.
Other bias Low risk None identified