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Healthcare professionals' agreement on clinical relevance of drug-related problems among elderly patients

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Bech, Christine Flagstad ; Frederiksen, Tine ; Villesen, Christine Tilsted ; Højsted, Jette ; Nielsen, Per Rotbøll ; Kjeldsen, Lene Juel ; Nørgaard, Lotte Stig ; Christrup, Lona Louring. / Healthcare professionals' agreement on clinical relevance of drug-related problems among elderly patients. In: International Journal of Clinical Pharmacy. 2018 ; Vol. 40, No. 1. pp. 119-125.

Bibtex

@article{13528a73f95547278224163108b6f493,
title = "Healthcare professionals' agreement on clinical relevance of drug-related problems among elderly patients",
abstract = "Background Disagreement among healthcare professionals on the clinical relevance of drug-related problems can lead to suboptimal treatment and increased healthcare costs. Elderly patients with chronic non-cancer pain and comorbidity are at increased risk of drug related problems compared to other patient groups due to complex medication regimes and transition of care. Objective To investigate the agreement among healthcare professionals on their classification of clinical relevance of drug-related problems in elderly patients with chronic non-cancer pain and comorbidity. Setting Multidisciplinary Pain Centre, Rigshospitalet, Copenhagen, Denmark. Method A pharmacist performed medication review on elderly patients with chronic non-cancer pain and comorbidity, identified their drug-related problems and classified these problems in accordance with an existing categorization system. A five-member clinical panel rated the drug-related problems' clinical relevance in accordance with a five-level rating scale, and their agreement was compared using Fleiss' κ. Main outcome measure Healthcare professionals' agreement on clinical relevance of drug related problems, using Fleiss' κ. Results Thirty patients were included in the study. A total of 162 drug related problems were identified, out of which 54% were of lower clinical relevance (level 0-2) and 46% of higher clinical relevance (level 3-4). Only slight agreement (κ = 0.12) was found between the panellists' classifications of clinical relevance using a five-level rating scale. Conclusion The clinical pharmacist identified drug related problems of lower and higher clinical relevance. Poor overall agreement on the severity of the drug related problems was found among the panelists.",
keywords = "Aged, Aged, 80 and over, Drug-Related Side Effects and Adverse Reactions/diagnosis, Female, Health Personnel/standards, Humans, Male, Medication Reconciliation/methods, Patient Care Team/standards, Patient Transfer/standards, Pharmacists/standards, Polypharmacy, Prospective Studies",
author = "Bech, {Christine Flagstad} and Tine Frederiksen and Villesen, {Christine Tilsted} and Jette H{\o}jsted and Nielsen, {Per Rotb{\o}ll} and Kjeldsen, {Lene Juel} and N{\o}rgaard, {Lotte Stig} and Christrup, {Lona Louring}",
year = "2018",
month = feb,
doi = "10.1007/s11096-017-0572-x",
language = "English",
volume = "40",
pages = "119--125",
journal = "International Journal of Clinical Pharmacy",
issn = "2210-7703",
publisher = "Springer Netherlands",
number = "1",

}

RIS

TY - JOUR

T1 - Healthcare professionals' agreement on clinical relevance of drug-related problems among elderly patients

AU - Bech, Christine Flagstad

AU - Frederiksen, Tine

AU - Villesen, Christine Tilsted

AU - Højsted, Jette

AU - Nielsen, Per Rotbøll

AU - Kjeldsen, Lene Juel

AU - Nørgaard, Lotte Stig

AU - Christrup, Lona Louring

PY - 2018/2

Y1 - 2018/2

N2 - Background Disagreement among healthcare professionals on the clinical relevance of drug-related problems can lead to suboptimal treatment and increased healthcare costs. Elderly patients with chronic non-cancer pain and comorbidity are at increased risk of drug related problems compared to other patient groups due to complex medication regimes and transition of care. Objective To investigate the agreement among healthcare professionals on their classification of clinical relevance of drug-related problems in elderly patients with chronic non-cancer pain and comorbidity. Setting Multidisciplinary Pain Centre, Rigshospitalet, Copenhagen, Denmark. Method A pharmacist performed medication review on elderly patients with chronic non-cancer pain and comorbidity, identified their drug-related problems and classified these problems in accordance with an existing categorization system. A five-member clinical panel rated the drug-related problems' clinical relevance in accordance with a five-level rating scale, and their agreement was compared using Fleiss' κ. Main outcome measure Healthcare professionals' agreement on clinical relevance of drug related problems, using Fleiss' κ. Results Thirty patients were included in the study. A total of 162 drug related problems were identified, out of which 54% were of lower clinical relevance (level 0-2) and 46% of higher clinical relevance (level 3-4). Only slight agreement (κ = 0.12) was found between the panellists' classifications of clinical relevance using a five-level rating scale. Conclusion The clinical pharmacist identified drug related problems of lower and higher clinical relevance. Poor overall agreement on the severity of the drug related problems was found among the panelists.

AB - Background Disagreement among healthcare professionals on the clinical relevance of drug-related problems can lead to suboptimal treatment and increased healthcare costs. Elderly patients with chronic non-cancer pain and comorbidity are at increased risk of drug related problems compared to other patient groups due to complex medication regimes and transition of care. Objective To investigate the agreement among healthcare professionals on their classification of clinical relevance of drug-related problems in elderly patients with chronic non-cancer pain and comorbidity. Setting Multidisciplinary Pain Centre, Rigshospitalet, Copenhagen, Denmark. Method A pharmacist performed medication review on elderly patients with chronic non-cancer pain and comorbidity, identified their drug-related problems and classified these problems in accordance with an existing categorization system. A five-member clinical panel rated the drug-related problems' clinical relevance in accordance with a five-level rating scale, and their agreement was compared using Fleiss' κ. Main outcome measure Healthcare professionals' agreement on clinical relevance of drug related problems, using Fleiss' κ. Results Thirty patients were included in the study. A total of 162 drug related problems were identified, out of which 54% were of lower clinical relevance (level 0-2) and 46% of higher clinical relevance (level 3-4). Only slight agreement (κ = 0.12) was found between the panellists' classifications of clinical relevance using a five-level rating scale. Conclusion The clinical pharmacist identified drug related problems of lower and higher clinical relevance. Poor overall agreement on the severity of the drug related problems was found among the panelists.

KW - Aged

KW - Aged, 80 and over

KW - Drug-Related Side Effects and Adverse Reactions/diagnosis

KW - Female

KW - Health Personnel/standards

KW - Humans

KW - Male

KW - Medication Reconciliation/methods

KW - Patient Care Team/standards

KW - Patient Transfer/standards

KW - Pharmacists/standards

KW - Polypharmacy

KW - Prospective Studies

U2 - 10.1007/s11096-017-0572-x

DO - 10.1007/s11096-017-0572-x

M3 - Journal article

C2 - 29248987

VL - 40

SP - 119

EP - 125

JO - International Journal of Clinical Pharmacy

JF - International Journal of Clinical Pharmacy

SN - 2210-7703

IS - 1

ER -

ID: 56573339