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. 2022 Mar 23;13:811289. doi: 10.3389/fphar.2022.811289

TABLE 2.

Factors for acceptance of PIs, univariate and multivariate analysis.

Pharmacist interventions, all Percentage of acceptance Univariate percentage difference adjusted for pharmacist (%) p univariate Multivariate percentage difference (%) p multivariate
Pharmacist
 Postgraduate pharmacist 1158/1426 (81.2%) 0 (Reference) 0 (Reference)
 Pharmacy resident 1257/1504 (83.6%) −3 (−21.2; 15.1) 0.73 −3 (−15.7; 9.8) 0.64
Prescriber
 Postgraduate physician 586/802 (73.1%) 0 (Reference) 0 (Reference)
Medical resident 1829/2,128 (85.9%) 5.4 (2.2; 8.6) 0.0008 4.4 (1.2; 7.6) 0.007
Patient gender
 Male 1190/1421 (83.7%) 0 (Reference) 0 (Reference)
 Female 1225/1509 (81.2%) 1.9 (−0.5; 4.3) 0.13 2.5 (0.1; 4.9) 0.0412
Patient age
 ≤59 716/773 (92.6%) 0 (Reference) 0 (Reference)
 60–69 545/595 (91.6%) −0.7 (−4.3; 2.8) 0.68 −0.4 (−3.8; 3.1) 0.82
 70–79 465/569 (81.7%) −3.7 (−7.4; 0) 0.0529 −2.6 (−6.2; 1) 0.16
 80–89 485/682 (71.1%) 0.3 (−3.8; 4.4) 0.88 1.2 (−2.8; 5.2) 0.56
 ≥90 years 204/311 (65.6%) −1.9 (−7; 3.3) 0.48 0.8 (−4.3; 5.9) 0.75
Problem encountered a
 Non-compliance with guidelines and contraindications 540/687 (78.6%) −6.3 (−11.6; −0.9) 0.021 −4.4 (−9.9; 1) 0.11
 Untreated indication 274/329 (83.3%) 0.4 (−5.4; 6.1) 0.90 4 (−3.3; 11.3) 0.29
 Underdosing 323/392 (82.4%) −4 (−9.6; 1.6) 0.16 −3.1 (−9.3; 3.2) 0.34
 Overdosing 475/559 (85%) 0.8 (−4.6; 6.2) 0.77 1.1 (−4.6; 6.9) 0.70
 Drug not indicated 145/203 (71.4%) −4.1 (−10.4; 2.1) 0.20 −5.2 (−11.9; 1.5) 0.13
 Drug interaction 120/135 (88.9%) −2.6 (−9.6; 4.4) 0.47 −3 (−10.1; 4) 0.40
 Adverse effect 49/57 (86%) 1.2 (−7.8; 10.3) 0.79 −5.4 (−14.3; 3.5) 0.23
 Inappropriate route and/or administration 205/267 (76.8%) −2.8 (−8.7; 3.2) 0.36 −2.5 (−9.5; 4.6) 0.49
 Treatment not received 2/2 (100%) 15.8 (−25.1; 56.8) 0.45 17.7 (−22.1; 57.6) 0.38
 Monitoring to be followed 282/299 (94.3%) 1.6 (−4.3; 7.6) 0.59 0.7 (−6.3; 7.8) 0.84
Type of Intervention
 Addition 346/413 (83.8%) −1.6 (−5.4; 2.3) 0.43 −6.5 (−12.1; −0.9) 0.024
 Discontinuation 412/497 (82.9%) 0.7 (−3; 4.4) 0.71 1 (−3.4; 5.5) 0.65
 Substitution/Exchange 276/358 (77.1%) −4.7 (−8.7; −0.7) 0.02 −1 (−5.3; 3.4) 0.66
 Choice of route of administration 12/14 (85.7%) 8.8 (−6.1; 23.6) 0.25 5.1 (−10; 20.3) 0.51
 Therapeutic follow-up 352/385 (91.4%) 1.2 (−2.8; 5.2) 0.55 2.4 (−2.9; 7.8) 0.37
 Optimization of administration modalities 202/255 (79.2%) −2.6 (−7; 1.8) 0.25 −0.1 (−5.7; 5.4) 0.96
 Dosage adjustment 815/1008 (80.9%) −1.8 (−5; 1.4) 0.26 −1 (−5.4; 3.3) 0.64
Method of contact
 Verbal 1545/1623 (95.2%) 0 (Reference) 0 (Reference)
 Phone call 424/455 (93.2%) −1.3 (−5.6; 3.1) 0.57 1.2 (−4.1; 6.4) 0.66
Prescription assistance software 441/846 (52.1%) −30 (−34.2; −25.8) <0.0001 −27.7 (−32.1; −23.2) <0.0001
 Paper 5/6 (83.3%) −16.9 (−42.5; 8.8) 0.20 −15.1 (−41.4; 11.2) 0.26
Clinical impact on patient health
 None 38/41 (92.7%) 1.6 (−8.9; 12.1) 0.77 6.3 (−4.4; 16.9) 0.25
Minor 395/570 (69.3%) −6.7 (−10; −3.4) <0.0001 −5.8 (−9.1; −2.5) 0.0006
 Moderate 1038/1317 (78.8%) 0 (Reference) 0 (Reference)
Major 918/976 (94.1%) 5.1 (2; 8.3) 0.001 4.3 (1.1; 7.6) 0.009
 Vital 26/26 (100%) 9.1 (−3.7; 21.9) 0.16 7.6 (−4.9; 20.1) 0.23
Organizational impact
 Unfavorable 80/89 (89.9%) 1.7 (−5.3; 8.8) 0.63 −0.4 (−7.3; 6.6) 0.92
 Nil 1682/2,130 (79%) 0 (Reference) 0 (Reference)
 Favorable 653/711 (91.8%) 3.6 (0.5; 6.8) 0.025 2.4 (−0.9; 5.6) 0.15
Economic impact
 Unfavorable 684/788 (86.8%) 0 (Reference) 0 (Reference)
 Nil 928/1172 (79.2%) −0.7 (−3.9; 2.5) 0.66 0.3 (−3.1; 3.8) 0.86
 Favorable 803/970 (82.8%) 1.8 (−1.3; 5) 0.26 2.8 (−1.2; 6.9) 0.17
ATC class
 A Digestive tract and metabolism 300/409 (73.3%) −1.9 (−6.9; 3.1) 0.46 −0.9 (−5.8; 4) 0.71
 B Blood and blood-forming organs 407/508 (80.1%) −2.7 (−7.5; 2.2) 0.28 −1.8 (−6.6; 3) 0.45
 C Cardiovascular system 213/272 (78.3%) −1.3 (−6.8; 4.1) 0.63 −4 (−9.3; 1.4) 0.15
 D Dermatological drugs 6/8 (75%) 5.2 (−16.4; 26.8) 0.64 10.4 (−10.6; 31.4) 0.33
 G Genitourinary system and sex hormones 23/33 (69.7%) 1.9 (−9.4; 13.2) 0.74 5.4 (−5.5; 16.4) 0.33
 H Systemic hormones, excluding sex hormones 59/74 (79.7%) 1.9 (−6.1; 10) 0.63 3.2 (−4.6; 11.1) 0.42
 J General anti-infectives for systemic use 820/887 (92.4%) 0.4 (−4.3; 5.2) 0.86 −2.1 (−6.9; 2.7) 0.39
 L Antineoplastics and immunomodulators 64/68 (94.1%) 8.6 (−0.3; 17.5) 0.0589 1.6 (−7.2; 10.4) 0.72
 M Muscle and skeleton 28/37 (75.7%) −4.8 (−15.5; 5.9) 0.38 −6.1 (−16.5; 4.3) 0.25
 N Nervous system 422/547 (77.1%) −1 (−5.8; 3.9) 0.70 0.7 (−4.1; 5.4) 0.79
 P Antiparasitic insecticides 5/7 (71.4%) −11.8 (−34.9; 11.2) 0.31 −7.5 (−29.8; 14.8) 0.51
 R Respiratory system 36/44 (81.8%) 7.6 (−2.3; 17.6) 0.13 4 (−5.7; 13.7) 0.42
 S Sensory organs 12/14 (85.7%) 2.8 (−13.7; 19.4) 0.74 2.7 (−13.5; 18.8) 0.75
 V Miscellaneous 18/19 (94.7%) 9.2 (−5.5; 23.9) 0.22 9.1 (−5.1; 23.2) 0.21
 Z Drug with no code assigned 2/3 (66.7%) −14.3 (−49.3; 20.7) 0.42 −14.6 (−48.7; 19.4) 0.40
PI at reconciliation
 No 2,133/2,586 (82.5%) 0 (Reference) 0 (Reference)
Yes 282/344 (82%) 5.7 (1.5; 9.8) 0.008 0.5 (−4.1; 5.1) 0.83
PI using Pharmaclass®
 No 2,284/2,786 (82%) 0 (Reference) 0 (Reference)
 Yes 131/144 (91%) −3.5 (−9.4; 2.5) 0.25 −6.2 (−13.6; 1.1) 0.095
a

Use of contrasts −1/+1.

Parameters associated with p < 0.05 are shown in bold. The gray background highlights significant univariate associations alone or significance in both univariate and multivariate analyses.