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. |
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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 |
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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 |
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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 |