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July 13, 2024European Heart Journal - Quality of Care and Clinical OutcomesOpen Access

The effect of pharmacist-led interventions on the appropriateness and clinical outcomes of anticoagulant therapy: a systematic review and meta-analysis

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Why the study?

Evidence was lacking on the comparative effectiveness of pharmacist-led anticoagulant interventions versus usual care regarding therapy appropriateness and clinical outcomes.

Do pharmacist-led interventions improve the appropriateness and clinical outcomes of anticoagulant therapy compared to usual care in patients receiving anticoagulants?

Population

10 374 intervention and 11 840 control patients across 35 studies

Comparison

Pharmacist-led interventions vs usual care

Design

Systematic review and meta-analysis of randomized controlled trials, quasi-experimental, and cohort studies

Authors

BKBelayneh KefaleGPGregory M. PetersonCMCorinne Mirkazemi

Discussion

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Overview

Supports pharmacist integration into anticoagulation care; extends evidence for multidisciplinary models improving safety.

Structured PICO

Do pharmacist-led interventions improve the appropriateness and clinical outcomes of anticoagulant therapy compared to usual care in patients receiving anticoagulants?

P
Population
22,214 patients receiving anticoagulant therapy pooled from 35 studies (10,374 in intervention groups and 11,840 in control groups)
I
Intervention
Pharmacist-led interventions
C
Comparator
Usual care
O
Outcome
Appropriateness of anticoagulant therapy

Pharmacist-led interventions significantly improve the appropriateness of anticoagulant therapy and reduce bleeding and hospitalizations compared to usual care.

Cite This Study

Kefale et al. (2024) studied this question.

synapsesocial.com/papers/6a0e4dfebc348c84f2fd99e1https://doi.org/10.1093/ehjqcco/qcae045
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