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Table 1: Detailed Description of Medication Use Assessment Tools Studies



# Article Objectives Study Design Main Findings Discussion

Beers MH et al. To develop explicit criteria Literature review of 85 published sources The experts concurred on 30 criteria A total of 30 factors defining

12 for identifying for survey development and two-round statements. Nineteen involved inappropriate use of

“Explicit criteria for inappropriate medication survey, based on Delphi methods. medications that should generally be medications in nursing home

determining use in nursing home avoided and 11 described doses, elderly was agreed upon by

inappropriate populations. Sample: 13 nationally and internationally frequencies or durations of medications experts.

medication use in recognized experts in that should generally not be exceeded.

nursing home residents” psychopharmacology, The criteria are intended for

pharmacoepidemiology, clinical geriatric Consensus could not be reached on use in typical clinical

Archives of Internal pharmacology, general clinical geriatrics, some aspects of use of eight situations in nursing home

Medicine and long-term care. medications or categories of settings. The authors noted

medications, including antipsychotics, that the guidelines might not

1991;151(9):1825-32. Instrument: Participants responded to a diphenhydramine, peptic ulcer disease apply under unusual clinical

48-statement survey, based on published treatments, diuretics, combination drugs, circumstances.

statements on inappropriate medication disopyramide, egoloid mesylates, and

use in frail, elderly persons. Criteria digoxin. The criteria are also limited

statements addressed 30 of the most by the fact that they exclude

commonly prescribed medications in clinical data in addition to

nursing homes. medication use. Thus, the

guidelines do not take into

Two types of statements: 1) individual account the entire medication

medications or classes of medications that regimen and should be

should be avoided except for special applied with caution.

circumstances; and 2) doses, frequencies,

and durations of medications that Studies of the validity of the

generally should not be exceeded. guidelines in measuring drug

Experts indicated their agreement or therapy appropriateness in

disagreement to the first type of nursing home residents are

statements and set dose, frequency and needed.

duration of therapy limits on the second

type. All responses were based on Also, studies on the impact of

medication use in elderly persons (>65 these guidelines on patient

years) who reside in nursing homes. health outcomes are

warranted.

Targeted drugs or drug categories:

sedative/hypnotics, antidepressants,

antipsychotics, antihypertensives,

nonsteroidal anti-inflammatory drugs, oral

hypoglycemics, analgesics, dementia

treatments, platelet inhibitors, histamine2

blockers, antibiotics, decongestants, iron

supplements, muscle relaxants,

gastrointestinal antispasmotics, and

antiemetics.

Table 1: Detailed Description of Medication Use Assessment Tools Studies



# Article Objectives Study Design Main Findings Discussion

Gupta S et al. To examine the Retrospective, observational, cross- A total of 51.8% was not prescribed any Inappropriate medication use,

14 relationship between sectional review of Medicaid Claim History of the inappropriate medications. as measured by a modified

“Inappropriate drug inappropriate medications, and Drug files. Beers’ criteria, was related to

prescribing and related health care provider The cost of pharmaceutical services higher cost of pharmaceutical

outcomes for elderly factors, and patient Setting: Louisiana’s Intermediate Care ranged from $0 to $26,827. services but not related to

Medicaid beneficiaries demographics to cost of Facilities I. mortality.

residing in nursing pharmaceuticals and Only 4.7% of beneficiaries died in 1994.

homes” mortality. Sample: N=19,932 Medicaid beneficiaries, Findings from this study are

73.6% female, and 60.1% was 81 years or The number of inappropriate medications limited by: 1) the selective

Clinical Therapeutics older. was positively correlated with the cost of characteristics of the sample;

pharmaceuticals. 2) use of a secondary

1996;18(1):183-96. Instrument: Modified Beers’ criteria were database; and 3) lack of

applied to medications prescribed to The number of inappropriate medications consideration of clinical or

beneficiaries. was not significantly associated with other medication (e.g., dose,

mortality. duration) data.

Primary outcomes: Cost of

pharmaceutical services and mortality in Studies of the validity of the

1994. Beers’ criteria in optimizing

medication use in nursing

home residents are needed.



Also, studies on the impact of

Beers’ criteria on patient

health outcomes are

warranted.

Table 1: Detailed Description of Medication Use Assessment Tools Studies



# Article Objectives Study Design Main Findings Discussion

Beers MH et al. To quantify the A prospective, cohort study. Residents were prescribed an average of Findings showed that the

15 appropriateness of 7.2 medications. quality of prescribing in NHs

“Inappropriate medication prescriptions Setting: 12 nursing homes (NHs) in Los may be poor.

medication prescribing in nursing home residents. Angeles. Based on Beers’ criteria, 40.3% (N=446)

in skilled-nursing of residents were prescribed at least one The findings from this study

facilities” Sample: N=1106 nursing home residents, inappropriate medication; 10.4% (N=115) are limited by a lack of

80% female, Mean age=84 years. Note: had > 2 inappropriate medications; and consideration for clinical data

Annals of Internal No standard deviations reported. 1.2% (N=14) had > 3 inappropriate by the Beers’ criteria.

Medicine medications.

Instrument: 30 explicit criteria defining Although the content validity

1992;117(8):684-89. inappropriate medication use in NHs, also A total of 50.8% of all inappropriate of Beers’ criteria has been

known as Beers’ Criteria. prescriptions involved drugs that addressed, studies of its

generally should not be prescribed to NH specificity, sensitivity, and

Primary outcomes: Number of residents at all, according to Beers’ reliability are needed.

inappropriate medication prescriptions. criteria.

Studies of interventions

About one-third (34.4%) involved based on Beers’ criteria and

prescriptions of drugs for durations that their impact on patient health

exceeded recommended limits and outcomes in NHs are

14.8% involved doses that exceed warranted.

recommended limits.



The two most common types of

inappropriate prescriptions included high

doses of iron supplements and orders for

long-acting benzodiazepines, persantine,

and propoxyphene.

Table 1: Detailed Description of Medication Use Assessment Tools Studies



# Article Objectives Study Design Main Findings Discussion

Kelly MW et al. To determine the Retrospective chart review. Residents were prescribed an average of Potentially inappropriate

16 appropriateness of 17.9 ± 5.1 medications per resident. medication use was found in

“Appropriateness of medication use in Setting: 16 long-term care facilities in Iowa many elderly residing in long-

medication use in Iowa institutionalized Medicaid (N=13 nursing facilities and N=3 A total of 729 medications was given on term care facilities and on 15

Medicaid recipients recipients receiving 15 or psychiatric facilities). a scheduled basis. or more medications.

residing in long-term more medications.

care facilities and Sample: N=60 Medicaid recipients Based on Beers’ criteria: Findings from this study are

receiving 15 or more receiving 15 or more medications, 82% 13.4% (98 of 729) of medications were limited by the selective

medications” female, average age=73 ± 15 years. deemed potentially inappropriate and 42 characteristics of the sample.

of 60 received at least one potentially

Consultant Pharmacist Instruments: Beers’ criteria, medication inappropriate medication. The MAI was not developed

appropriateness index (MAI), and U.S. for the nursing home setting.

2000;16(12):1184-91. Health Care Financing Administration’s Propoxyphene, diphenhydramine and

(HCFA) Indicators for surveyor amitriptyline accounted for 66.1% of Studies of the validity of the

assessment of the performance of drug inappropriate prescriptions involving assessment tools in

regimen reviews were applied to drugs that generally should not be optimizing medication use in

medications taken by participants. prescribed. nursing home residents are

needed.

Primary outcomes: Number of potentially Based on MAI:

inappropriate medications based on 26.5% (193 of 729) of medications were Also, studies of the impact of

above criteria. deemed potentially inappropriate and 56 interventions, based on these

of 60 received at least one inappropriate tools, on patient health

medication. outcomes are warranted.



Drug cost, duration and indication

represented 67.5% of the

inappropriateness ratings.



The most common type of inappropriate

use was use of H2 blockers with no

indication or for conditions they have not

been proven effective.



Based on HCFA indicators:

12.8% (93 of 729) instances of

irregularities were identified.



42 of 60 recipients had at least one

potentially inappropriate medication.



Most common problems: continuous use

of hypnotics and concurrent use of ≥ 2

antipsychotics.

Table 1: Detailed Description of Medication Use Assessment Tools Studies



# Article Objectives Study Design Main Findings Discussion

Williams B, Betley C To determine the Retrospective, cross-sectional. Residents were prescribed an average of Findings showed that

17 prevalence and patient 5.2 ± 3.1 standing (non-prn) medications. presumptively inappropriate

“Inappropriate use of characteristics of Setting: 252 nursing homes (NHs) of two medication use is high in

nonpsychotropic presumptively states in the U.S. A total of 11.9% of residents were NHs.

medications in nursing inappropriate prescribed at least one inappropriate

homes” nonpsychotropic Sample: N=21,884 nursing home standing medication. Targeting residents with high

medications of nursing residents, 73% female, Mean age=82.4 ± numbers of medications may

Journal of the American home residents of two 11.1 years. The most common types of inappropriate be an efficient way to identify

Geriatrics Society states. medications were dipyridamole, residents at high risk.

Instrument: Modified Beers’ criteria, using amitriptyline, and methyldopa.

1995;43(5):513-19. only 10 criteria that excluded psychotropic The findings from this study

medications (except for amitriptyline) and The most powerful predictors of are limited by a lack of

medications likely to be used as needed inappropriate medication use were consideration for clinical data

(prn) (e.g., spasmodics). number of standing medications and by the Beers’ criteria.

state.

Primary outcomes: Number of Although the content validity

presumptively inappropriate medications of Beers’ criteria has been

used to treat medical conditions. addressed, studies of its

specificity, sensitivity, and

reliability are needed.



Studies of interventions

based on Beers’ criteria and

their impact on patient health

outcomes in NHs are

warranted.

Table 1: Detailed Description of Medication Use Assessment Tools Studies



# Article Objectives Study Design Main Findings Discussion

Sgadari A et al. To summarize the Descriptive research that examined inter- A large percentage (range: 70 to 96%) of Findings support the overall

18 evidence for the inter-rater rater reliability, using dual assessments the RAI/MDS items achieved adequate reliability of a majority of the

“Efforts to establish the reliability of RAI/MDS completed by licensed nursing personnel. (ĸ =0.4-0.75) to excellent (ĸ =0.75 or RAI/MDS items. Items

reliability of the resident items in the USA and in higher) reliability across all countries exhibiting poor reliabilities

assessment instrument” non-English speaking Setting: Denmark, Iceland, Italy, Japan, examined. need to be improved and

countries. Sweden, Switzerland and the USA. tested.

Age & Ageing The patterns of reliabilities moderately

Sample: Randomly selected residents differed among countries, whereby Studies of the validity of the

1997;26(S2):27-30. ranging from N=24 (Iceland) to N=129 Sweden and Japan had lower reliabilities RAI/MDS in measuring drug

(Japan). Number of facilities ranged from and Switzerland exhibited the highest appropriateness are needed.

2 (Italy) to 19 (Switzerland). level of inter-rater reliabilities.



Instrument: The RAI consists of: 1) a core

set of assessment items [the minimum

data set (MDS)], that provides a

comprehensive assessment of each

resident’s functional status; 2) 18

condition-focused resident assessment

protocols (RAPs) which provide additional

and more specialized assessments; and

3) a user’s manual that details how to use

the MDS and RAPS. The MDS covers 15

major domains: background and

customary routines,

communication/hearing, physical

functioning and structural problems, mood

and behavior patterns, disease diagnoses,

oral/nutritional status, skin condition,

special treatments and procedures,

cognitive patterns, vision patterns,

continence, activity pursuit patterns,

health conditions, oral/dental status, and

medication use. The RAPS consist of 18

areas: delirium, visual function, ADL

functional/rehabilitative potential,

psychosocial well-being, behavior

problem, falls, feeding tubes, dental care,

psychotropic drug use, cognitive

loss/dementia, communication, urinary

incontinence and indwelling catheter,

mood state, activities, nutritional status,

dehydration/fluid maintenance, pressure

ulcers, and physical restraints.



Primary outcomes: Inter-rater reliability

estimates (ĸ values).

Table 1: Detailed Description of Medication Use Assessment Tools Studies



# Article Objectives Study Design Main Findings Discussion

Morris JN et al. To assess the reliability of Descriptive research that examined inter- Almost all of the new items (e.g., Findings support the overall

19 new assessment items rater reliability, employing dual measures of pain, foot care, discharge reliability of the new and

“A commitment to and their perceived clinical assessments of residents by staff nurses status) achieved adequate (ĸ =0.4-0.75) revised items and the clinical

change: Revision of utility (as judged by using Version 2.0 of the minimum data set interrater reliability levels. usefulness of the new items

HCFA’s RAI” nurses) of Version 2 of the (MDS). of the MDS Version 2.0.

Resident Assessment Reliabilities for revised items (e.g., items However, more studies are

Journal of the American Instrument (RAI). Setting: 21 nursing homes in seven for mood, delirium, and change in status needed to improve the

Geriatrics Society states. indicators over the previous 90 days) reliability of poorly performing

were significantly (no p-value reported) items.

1997;45(8):1011-16. Sample: N=187 randomly selected higher than the original version. For

residents. Mean age=80.6 years (no example, the interrater reliability of the Studies of the validity of the

standard deviations reported). indicators of depression, anxiety, or sad RAI/MDS Version 2.0 in

mood items increased from 0.44 in the measuring drug

Instrument: MDS assessment items original MDS to 0.68 in the MDS Version appropriateness are needed.

covering the following areas: background 2.0.

information, cognitive patterns,

communication/hearing, vision, mood and Most (60.6%) nurse assessors made

behavior, psychosocial well-being, positive statements regarding the overall

physical functioning and structural changes to the MDS.

problems, continence, disease diagnoses,

health condition, oral/nutritional status,

dental status, skin condition, activity

pursuit patterns, medications, special

treatments and procedures, discharge

potential and overall status.



Primary outcomes: Interrater reliability

estimates (using kappa ĸ values) and staff

appraisal of the MDS 2.0.

Table 1: Detailed Description of Medication Use Assessment Tools Studies



# Article Objectives Study Design Main Findings Discussion

Ackermann RJ, von To develop Descriptive literature review. 12 general guidelines for effective drug Many drugs and drug

24 Bremen GBM recommendations for prescribing for nursing home patients regimens can be discontinued

reducing polypharmacy in Sample: number of reviewed articles not or simplified in nursing home

“Reducing nursing home patients. reported. 1. Start slow, go slowly. residents.

polypharmacy in the 2. Do not prescribe drugs for every

nursing home: An Inclusion criteria: Not reported. minor symptom or disease. All drugs should have clear

activist approach” 3. Try not to prescribe a drug to treat indications.

Targeted drugs or drug classes: 1) side effects.

Journal of the American antibiotics, 2) antiarrhythmic drugs, 4. Set priorities in therapy. Drugs used solely for

Board of Family diuretics and potassium, 3) digoxin, 4) 5. Select a drug that can treat more preventive purposes (e.g.,

Practice antihypertensives, 5) angina treatments, than one problem. lipid-lowering drugs or

6) histamine2-blockers, 7) theophylline, 8) 6. Review drug side effects, anticoagulants) may not have

1995;8(3):195-205. lipid-lowering drugs, 9) pentoxifylline, 10) interactions, and contraindications. a positive effect on patients

anticonvulsants, 11) anticoagulants, 12) 7. Monitor for compliance. with limited life expectancy.

nonsteroidal anti-inflammatory drugs, and 8. Periodically review medication list.

13) allopurinol. 9. Remember that drugs can cause Studies of the validity of the

illness. guidelines in reducing

10. Be wary of using new drugs on sick polypharmacy in nursing

and frail elders. home residents are needed.

11. Collaborate with facility pharmacist.

12. Write time-limited prescriptions. Also, studies on the impact of

these guidelines on patient

Individualized approaches to reducing health outcomes are

targeted drugs or drug classes were also warranted.

reported.

Table 2: Detailed Description of Medication Use Intervention Studies



# Article Objectives Study Design Main Findings Discussion

Midlöv P et al. To describe drug use and A cluster randomized, controlled trial. A total of 32 epilepsy (43%) and 31 The multi-specialty team

26 evaluate the effect of a Parkinson’s (37%) patients used at least intervention had no significant

“Descriptive study and multi-specialty team Setting: 48 nursing homes (NHs) in one drug deemed inappropriate using effect on HRQOL, ADL, and

pharmacotherapeutic intervention on health- Sweden (32 intervention and 16 control Beer’s criteria for geriatric NH patients. confusion states, except for

intervention in patients related quality of life homes). one small decrease in ADL

with epilepsy or (HRQOL), activities of For the epilepsy patients in the among Parkinson’s patients.

Parkinson’s disease at daily living (ADL), and Sample: N=157 residents (73 had intervention group, a total of 99 drug The clinical significance of

nursing homes in confusion state in epilepsy epilepsy, 83 had Parkinson’s disease and therapy changes were recommended this decrease is uncertain.

Sweden” and Parkinson’s patients one had both) (Control group: N=92, and 44 were carried out. The most

in nursing homes. mean age=79.8 in epilepsy and 82.2 for common recommendation was The authors offered several

European Journal of Parkinson’s; Intervention group: N=66, withdrawal/decreased dose of anti- possible reasons why the

Clinical Pharmacology mean age=78.6 in epilepsy and 80.7 for epileptic drug or of drugs that lower intervention yielded no

Parkinson’s). Note: No standard seizure threshold. improvements, including poor

2002;57(12):903-10. deviations were reported. methodology, poor

For the Parkinson’s patients, 109 measurement, or simply a

Intervention: A data form (consisting of changes were recommended and 33 lack of effect of the

patient-specific background information, were carried out. The most common intervention (note that only

medication, drug-related problems and recommendations included increased 35% of therapy

suggestions for changes in drug therapy) dose of anti-parkinsonian drugs, recommendations were

sent to responsible physicians. withdrawal of anti-parkinsonian drugs carried out).

Inappropriate medication use was and withdrawal/decreased dose of

evaluated using Beer’s criteria. Therapy psychotropics.

recommendations were made by a multi-

specialty team consisting of pharmacists For epilepsy patients, there were no

and physicians, some with expertise in significant differences between the

neurology. intervention and control groups in

changes in HRQOL, ADL, and confusion

Primary outcomes: HRQOL, ADL, and states.

confusion states at baseline and five to six

months post-intervention. For Parkinson’s patients, there were no

significant differences between the

intervention and control groups in

changes in HRQOL and confusion

states, but a significant (p=0.02)

decrease in ADL in the intervention

group. The mean decrease in ADL was

4.40 (CI= 1.32, 7.49) in the intervention

group and 0.63 (CI= -2.88, 4.14) in the

control group.

Table 2: Detailed Description of Medication Use Intervention Studies



# Article Objectives Study Design Main Findings Discussion

Gill SS et al. To determine the A descriptive study. A total of 69 potentially inappropriate Follow-up pharmacist letters

27 prevalence and predictors prescriptions were identified in 65 of the were fairly effective in

“Improving prescribing of potentially inappropriate Setting: A rehabilitation hospital/long-term 355 patients. reducing potentially

in the elderly: A study in prescribing and to care facility in London, Ontario. inappropriate prescriptions.

the long term care examine the effectiveness Twenty-five (37.9%) of the 66 remaining

setting” of follow-up pharmacist Sample: N=355 patients who were 65 potentially inappropriate prescriptions The findings are limited by

letters to physicians in years or older. (three patients died) had either been the lack of

Canadian Journal of improving prescribing. discontinued or changed according to comprehensiveness of the

Clinical Pharmacology Intervention: Follow-up letters were sent recommendations. IPET instrument.

to prescribers who had patients with

2001;8(2):78-83. potentially inappropriate medication use Compared to those without potentially The impact of the modified

as identified by the Improving Prescribing inappropriate prescriptions, patients with prescriptions on patient

in the Elderly Tool (IPET). The follow-up potentially inappropriate prescriptions: a) health outcomes could not be

letter contained concerns about potentially were taking significantly more (p<0.001) determined.

inappropriate medication use and medications (6.59 vs. 8.49, respectively);

suggestions for safer alternatives. b) had a history of mental illness

Potentially inappropriate use was verified (p=0.002); had higher MDS scores for

by a panel that consisted of a family depression (p=0.002); and c) were less

physician, a geriatric medicine specialist likely to have seen a geriatric medicine

and a geriatric pharmacist. specialist (p<0.001).



Primary outcomes: Number of potentially The five most common types of

inappropriate prescriptions two months potentially inappropriate prescribing

post-intervention. included: 1) anticholinergic drugs to

manage antipsychotic medication side

effects; 2) tricyclics with active

metabolites; 3) long-acting

benzodiazepines; 4) long-term NSAID

use for osteoarthritis; and 5) NSAID use

in patients with a history of peptic ulcer

disease, hypertension or renal

insufficiency.

Table 2: Detailed Description of Medication Use Intervention Studies



# Article Objectives Study Design Main Findings Discussion

Schmidt IK, Fastbom J To assess drug use in A randomized, controlled trial. Comparison of 1995 and 1998 Drug use is still extensive and

28 Swedish nursing homes Intervention NHs problematic in Swedish NHs.

“Quality of drug use in and changes in the quality Setting: 36 nursing homes (NHs) in Number of prescribed medications

Swedish nursing of drug use over a 3-year Sweden (18 intervention and 18 control significantly (p<0.05) increased from 8.0 The team training

homes: A follow-up period after a team homes). to 8.8 per resident. intervention, employing

study” training intervention. regular drug use review, had

Sample: N=1549 residents; Mean age=84 15 major drug classes: significant lasting effects on the quality

Clinical years. Note: no standard deviations (p<0.05) increases in anticoagulants, of drug use in NHs, as

Pharmacoepidemiology reported. minor analgesics, oxazepam (short- evidenced by the positive

acting), and antidepressants and findings three years post-

2000;20(6):433-46. Intervention: A multidisciplinary team of decreases in antipsychotics, diazepam intervention.

prescribing physicians, a pharmacist and (long-acting), and benzodiazepines.

nurses met regularly over a 1-year period The impact of the change in

to discuss individual patient drug use. Significantly (p<0.05) fewer residents drug use on patient health

Measurements of quality was based on were prescribed antipsychotics without a outcomes could not be

three areas: 1) drugs that cause confusion diagnosis (28.4% vs. 21.9%), less determined.

and memory impairments as classified by appropriate hypnotics (19.0% vs. 14.0%),

the Swedish Medical Products Agency less appropriate anxiolytics (21.4% vs.

(MPA) guidelines; 2) polypharmacy 18.0%), and ≥ 2 drugs from the same

regarding psychotropic drugs; and 3) therapeutic group (23.0% vs. 15.9%).

clinically-significant interactions based on

the pharmaceutical specialties in Sweden Drug interactions significantly (p<0.05)

(FASS) classification system. increased from 22.5% to 30.0%.



Primary outcomes: Number of prescribed Comparison of 1998 Intervention and

medication per resident, proportion of Control NHs

users of the 15 most commonly Significantly (p<0.05) fewer residents

prescribed drug classes, and quality used laxatives (65% vs. 76%), narcotics

indicators (use of drugs that cause (29% vs. 37%), minor analgesics (49%

confusion or memory impairments, use of vs. 62%), hypnotics (36% vs. 42%), and

psychotropics, and clinically-significant loop diuretics (38% vs. 47%).

drug interactions) at baseline and three

years post-intervention. Significantly (p<0.05) fewer residents

were prescribed tricyclics (3.1% vs.

6.7%), less appropriate hypnotics (10.1%

vs. 17.5%), and

≥ 3 medications that may cause

confusion (27% vs. 36%).



Drug interactions were not significantly

different.

Table 2: Detailed Description of Medication Use Intervention Studies



# Article Objectives Study Design Main Findings Discussion

Schmidt IK et al. To evaluate the impact of A randomized, controlled trial. At baseline, 77% (N=1480) had one or Overall, the use of

29 regular multidisciplinary more psychotropic prescriptions. psychotropic drugs was high

“The impact of regular team interventions on the Setting: 33 nursing homes (NHs) in in Swedish NHs.

multidisciplinary team quality and quantity of Sweden (15 intervention and 18 control The most frequently prescribed were

interventions on psychotropic drug homes). hypnotics (40%), anxiolytics (40%), and The multidisciplinary team

psychotropic prescribing prescribing in Swedish antipsychotics (38%). interventions effectively

in Swedish nursing nursing homes. Sample: N=1854 residents (N=626 reduced prescribing of

homes” Intervention, mean age=83, 70% female; The proportion of residents receiving antipsychotics and

N=1228 Control, mean age=84, 67% antipsychotics decreased by 19% nonrecommended hypnotics.

Journal of the American female). Note: No standard deviations (p=0.07), with a nonsignificant 7%

Geriatrics Society reported. decrease in control NHs (p=0.18). The impact of the intervention

on patient health outcomes

1998;46(1):77-82. Intervention: Monthly review of drug use Use of nonrecommended hypnotics could not be determined.

by a multidisciplinary team consisting of a declined by 37% (p<0.001), and

physician, a pharmacist and nurses over a acceptable hypnotics increased from 9 to

1-year period. Drugs were classified as 15% (p<0.001).

inappropriate based on the Swedish

Medical Products Agency (MPA) Use of acceptable antidepressants (from

guidelines. tricyclics to SSRIs) significantly (p<0.01)

increased in both groups.

Primary outcomes: Proportion of residents

with any psychotropic drug, with The intervention had no impact on

polymedicine (≥2 drug classes), with average number of psychotropics

therapeutic duplication (≥ 2 same class), prescribed, rates of polymedicine, and

and with nonrecommended and rates of therapeutic duplication.

acceptable drugs in each psychotropic

drug class measured at baseline and one However, there were significant

year post-intervention. increases in number of psychotropics

(p=0.02) and residents with therapeutic

duplication (p=0.04) in the control NHs.

Table 2: Detailed Description of Medication Use Intervention Studies



# Article Objectives Study Design Main Findings Discussion

Claesson CB, Schmidt To describe drug use in A randomized, controlled trial. During the intervention, the average Overall, the use of drugs

30 IK Swedish nursing homes number of prescribed drugs increased in deemed inappropriate was

and to assess the impact Setting: 33 nursing homes (NHs) (15 both the intervention (from 7.5 to 7.8) high in Swedish NHs.

“Drug use in Swedish of regular multidisciplinary intervention and 18 control homes). and control (from 7.8 to 8.2) homes.

nursing homes” team interventions on the

quantity of inappropriate Sample: N=1854 residents with an The most frequently prescribed drugs

The multidisciplinary team

Clinical Drug medications. average age of 83 years. Seventy were laxatives (approximately 70%), intervention resulted in a

Investigation percent were female and 42% had followed by minor analgesics and loop decrease in use of

dementia. diuretics. These remained unchanged inappropriate drugs, but an

1998;16(6):441-52. post-intervention. increase in total drug use.

Intervention: Monthly review of drug use The authors primarily

by a multidisciplinary team consisting of a The proportion of residents using attributed this finding to

physician, a pharmacist and nurses over a anxiolytics increased significantly replacing less appropriate

1-year period. Drugs were classified as (p<0.05) in the intervention group but not drugs with more

inappropriate based on the Swedish in the control group. This increase was

Medical Products Agency (MPA) primarily due to increased use of

appropriate ones.

guidelines that mainly focus on limiting oxaxepam, a drug deemed more

drugs that cause confusion and memory appropriate in the elderly according to The impact of the change

impairments. Pharmacists were also the MPA guidelines. in drug use on patient

educated in geriatrics, drug use in the health outcomes could not

elderly, and collaborative methods prior to The proportion of residents using be determined.

the intervention by experts in gerontology. antidepressants significantly (p<0.05)

increased in both intervention and control

Primary outcomes: Number of homes.

prescriptions and number of inappropriate

drugs at baseline and one month post- The proportion of users of neuroleptics

intervention. and hypnotics decreased in intervention

homes, but was not significant.



The proportion of users of inappropriate

medications decreased significantly

(p<0.05) in both intervention and control

homes; the decrease in control homes

was primarily due to switching from

tricyclic antidepressants to selective

serotonin uptake inhibitors (SSRIs).

Table 2: Detailed Description of Medication Use Intervention Studies



# Article Objectives Study Design Main Findings Discussion

Karki SD et al. To examine the A post-test design. At baseline, the number of drugs, doses The multidisciplinary team

31 effectiveness of a team and drug costs were already lower for approach was effective in

“Impact of a team approach to reduce the Setting: A chronic disease hospital/ the intervention unit (A) compared to the reducing the average number

approach on reducing total number of drugs and nursing home in New York. control unit (B). of drugs and doses per day

polypharmacy” simplify patients’ taken by older residents,

regimens. Sample: N=113 residents (N=55 On the intervention unit (A), the average resulting in a reduction in

Consultant Pharmacist Intervention on Unit A and N=58 Control number of drugs per patient decreased drug costs as well.

on Unit B) with a mean age of 74.4 ± 11 from 4.1 to 3.3 (t=1.46, p<0.05); the

1991;6(2):133-37. years. average number of doses significantly The findings are limited by

decreased from 6.2 to 4.9 (t=3.92, the failure to account for initial

Intervention: Team approach based on p<0.05); and the cost of all drugs per differences in the intervention

five guidelines: 1) minimize does patient per day significantly decreased and control units.

frequency; 2) change dosage form from from $2.33 to $1.95 (t=2.69, p<0.05).

liquids to solids; 3) use monotherapy; 4) The impact of the reduction in

use a minimum number of as-needed No significant changes occurred on the medication use on patient

medications; and 5) review drug therapy control unit (B). health outcomes could not be

periodically. The team consisted of a determined.

clinical pharmacist, a geriatrician, and a

nurse practitioner. Joint weekly reviews of

medication profiles were conducted for six

months and appropriate changes were

made based on the above guidelines.



Primary outcomes: Number of drugs per

patient, doses per patient per day at

baseline and six months post-intervention.

Table 2: Detailed Description of Medication Use Intervention Studies



# Article Objectives Study Design Main Findings Discussion

Eide E, Schjøt J To evaluate the effects of A pretest, post-test design. Comparison of 1995 and 2000 The pharmacist-lead drug

32 a pharmacist on Intervention NHs information intervention

“Assessing the effects prescribing and Setting: Seven nursing homes (NHs) in improved the use and

of an intervention by a administration of Norway (five intervention and two control The NH population in 2000 was administration of hypnotics in

pharmacist on hypnotics. homes). significantly (p<0.01) older than the 1995 NHs.

prescribing and population (85.7 vs. 83.9 years,

administration of Sample: N=467 residents respectively). Given that the pharmacist

hypnotics in nursing [N=388 Intervention groups (for 1995 - regularly visited all study NHs

homes” baseline, N=201, Mean age=83.9; for The proportion of patients who used (including controls) and

2000, N=187, Mean age=85.7); and N=79 hypnotics was not significantly different. possibly contaminated the

Pharmacy World & Control group for 2000, Mean age=87.2]. However, the use of high doses was findings, the actual impact of

Science Note: No standard deviations were significantly (p<0.01) higher in 2000 the intervention could have

reported. compared those in 1995 (60.0% vs. been underestimated.

2001;23(6):227-31. 38.3%, respectively).

Intervention: Written and verbal drug The impact of the modified

information by a pharmacist regarding the The administration of hypnotics before 9 prescribing and

use of hypnotics based on six rules: 1) p.m. significantly (p<0.01) decreased administration on patient

avoid use if possible; 2) prefer short- from 40.4% in 1995 to 13.3% in 2000. health outcomes could not be

acting compounds; 3) avoid use of determined.

combination; 4) use lowest possible dose; Comparison of 2000 Intervention and

5) use intermittently; and 6) avoid Control NHs

administration early in the evening. This

information was provided to the entire A significantly higher proportion of

staff of each intervention NH in 1995. In control patients used hypnotics (24.1%

addition, the pharmacist visited all vs. 44.3%, p<0.01), used more than one

facilities on a regular basis, but only hypnotic (3.7% vs. 10.1%, p<0.05), and

performed usual pharmaceutical care to was administered hypnotics earlier in the

control institutions. evening (13.3% vs. 62.9%, p<0.01).



Primary outcomes: Use and No significant differences were found in

administration of hypnotics at baseline (in the use of individual hypnotics.

1995) and five years post-intervention (in

2000).

Table 2: Detailed Description of Medication Use Intervention Studies



# Article Objectives Study Design Main Findings Discussion

Roberts MS et al. To evaluate the effects of A cluster randomized, controlled trial. When adjusting for NH clustering, no The clinical pharmacy

33 a year long clinical significant differences in drug use were program significantly reduced

“Outcomes of a pharmacy program on Setting: 52 nursing homes (NHs) in found between intervention and control drug use without adversely

randomized controlled drug use, mortality and Australia (13 intervention and 39 control NHs. affecting mortality and

trial of a clinical morbidity in nursing home homes). morbidity indices.

pharmacy intervention residents. When the clustering effect was not

in 52 nursing homes” Sample: N=3230 residents (Control group: accounted for, the intervention and The authors noted the

N=2325; Intervention group: N=905). In control residents were significantly importance of nursing homes

British Journal of both groups, approximately 90% of the (p<0.0005) different regarding drug use, as a determinant of drug use

Clinical Pharmacology residents were between the ages of 70 with intervention residents using one less outcomes, as evidenced by

and 99 years. drug per person. the reduction of significant

2001;51(3):257-65. findings when accounting for

Intervention: Clinical pharmacy service No significant differences in mortality the NH clustering effect.

program that included three phases: 1) rates, frequency of hospitalizations,

relationship building; 2) nurse education; number of residents experiencing

and 3) medication review by pharmacists. adverse events, and changes in disability

were found between intervention and

Primary outcomes: Drug use, deaths, and control NHs.

morbidity indices (hospitalization, adverse

events and disability) at baseline and

post-intervention.

Table 2: Detailed Description of Medication Use Intervention Studies



# Article Objectives Study Design Main Findings Discussion

Furniss L et al. To examine the effect of a A cluster randomized, controlled trial. Overall, the mean number of drugs per A pharmacist’s medication

34 medication review by a resident was 4.91 (range=0-17) at review may reduce drug use

“Effects of a pharmacist. Setting: 14 matched nursing homes (NHs) baseline. The reduction in drug use in without adversely affecting

pharmacist’s medication in the UK (7 intervention and 7 control intervention homes was higher (from 5.1 mental and physical health of

review in nursing homes). to 4.2) than in control homes (from 4.9 to nursing home residents.

homes” 4.4) (p=0.07). However, increases in

Sample: N=330 residents (Control group: behavioral disturbances may

British Journal of N=172, Mean age=78.9 ± 13.7, 67% The most common medications occur.

Psychiatry female; Intervention group: N=158, Mean prescribed included: laxatives (49%),

age=83.5 ± 9.2, 79% female). diuretics (44%), antipsychotics (30%), The authors noted that the

2000;176:563-67. hypnotics/anxiolytics (28%), anti-platelet cost data and comparisons

Intervention: Medication review by a drugs (28%), analgesics (27%), and were limited by sample size.

pharmacist. Use of neuroleptics was antidepressants (25%).

evaluated based on the U.S. Ombudsman

Reconciliation Act (OBRA) guidelines. A Use of neuroleptics was inappropriate in

4-month observation phase was followed 54% of cases, according to OBRA

by a 4-month intervention. guidelines.



Primary outcomes: Number and type of A total of 261 recommendations were

drugs, cognitive function, behavioral made and 239 (91.6%) were accepted by

disturbance, depression and mortality at the general practitioner, with 144 actual

baseline, four months (after observation changes being made.

period), and eight months post-

intervention. The two most common reasons for

recommended changes were: indication

for medication no longer present (85)

and safer or more efficacious use of drug

used (77).



Compared to the control group, the

intervention group experienced

significantly greater deterioration in

behavioral disturbance at Time 2 (mean

difference=-2.2, 95%CI=-4.1, -0.3).



No significant differences in cognitive

function, depression or mortality were

found between the intervention and

control groups.

Table 2: Detailed Description of Medication Use Intervention Studies



# Article Objectives Study Design Main Findings Discussion

Bellingan M, Wiseman To examine the effect of a A pretest, post-test design. Diagnosis was absent in 94.1% of The pharmacist-initiated DRR

35 IC pharmacist-initiated drug profiles. was effective in reducing the

regimen review (DRR) on Setting: An elderly care facility in South incidence of DRPs in

“Pharmacist intervention the incidence of drug- Africa. The following DRPs were identified in residents of an elderly care

in an elderly care related problems (DRPs) elderly residents: polypharmacy (≥ 6 facility.

facility” in elderly residents. Sample: N=85 residents (N=73 females drugs) in 68%; potential additive side

and N=12 males). effects in 98%; potential drug interactions The findings are limited by

International Journal of in 64%; excessive dose in 77%; and the fact that a vast majority of

Pharmacy Practice Intervention: A pharmacist-initiated drug duplicate therapy in 34%. profiles had no documented

regimen review (DRR) based on diagnosis.

1996;4:25-29. pharmacological evaluations and clinical A total of 85 recommendations were

assessments. If negative clinical effects presented for 44 patients and 66 (77.7%) The effects of the intervention

were presumably being caused by a DRP, of the recommendations were accepted may have been

recommendations were documented and by providers, but 20 were not underestimated, given patient

presented to prescribers on an implemented because of patient resistance to approximately

intervention form that provided patient resistance. 25% of recommendations.

details, outcome of the clinical

assessment, and DRPs identified in the A total of 76.5% of recommendations

pharmacological assessment. involved high risk drugs (e.g.,

Recommendations were made over psychotropics, NSAIDs, oral

period of 16 weeks. hypoglycemics, and cardiovascular

drugs).

Primary outcomes: Incidence of DRPs

(i.e., absence of diagnosis, additive side The incidence of all DRPs declined over

effect profiles of drugs, drug interactions, pre- and post-intervention periods. The

duplicate therapy, excessive dose, incidence of polypharmacy and drug

polypharmacy) at baseline and one and interactions declined significantly

two months post-intervention. (p<0.01) after the intervention, with

polypharmacy decreasing by 41% and

drug interactions by 39%.

Table 2: Detailed Description of Medication Use Intervention Studies



# Article Objectives Study Design Main Findings Discussion

Avorn J et al. To examine the A randomized, controlled trial. Psychoactive drug use scores for all The education program was

36 effectiveness of an residents with potentially inappropriate effective in reducing the use

“A randomized trial of a educational program for Setting: Six matched pairs (N=12) of drug use (baseline index score ≥ 1) were of psychoactive drugs in NH

program to reduce the health care providers in nursing homes (NHs) in Massachusetts significantly reduced (mean difference in residents, without increasing

use of psychoactive reducing the excessive (six intervention and six control homes). risk reduction= -0.37, 95% CI= -0.08, - disruptive behavior among

drugs in nursing homes” use of sedating drugs in 0.67, p=0.02) in intervention NHs (from residents.

nursing homes. Sample: N=823 residents (Control group, 1.87 to 1.36, a 27% reduction) compared

New England Journal of N=431 and Intervention group, N=392). to control NHs (from 1.74 to 1.60, an 8% The reduction in drug use

Medicine reduction). was not always accompanied

Intervention: A 5-month educational- by positive clinical outcomes.

1992;327(3):168-73. outreach program focused on geriatric Discontinuations or modifications based

psychopharmacology, oriented around on program recommendations were The authors indicated that,

problems in long-term care (e.g., significantly higher for intervention NHs because of the small sample

insomnia, confusion). Two primary compared to controls for: antipsychotics size, findings regarding

program strategies: 1) educational (32% vs. 14%, respectively; mean clinical outcomes were not

material disseminated in three mailings to difference= -18%, 95% CI= -3, -33); robust across different

physicians in intervention NHs and also diphenhydramine (45% vs. 21%, analyses. Thus, larger

used in face-to-face sessions with clinical difference= -24%, 95% CI= -54, 5); and clinical studies examining

pharmacists; and 2) training sessions with benzodiazepines (20% vs. 9%, these outcomes are

nurses and nursing assistants. difference= -11%, 95%CI= -38, 15). warranted.



Target drugs: antipsychotics, In residents who received antipsychotics

diphenhydramine, benzodiazepines, and prior to the intervention and who had a

antidepressants. baseline index score ≥ 1, more

intervention NH residents had

Primary outcomes: psychoactive maintained or improved memory scores

medication use (scores on an index of compared to controls (69% vs. 46%, rate

psychoactive drug use measuring both the ratio (rr)= 0.6, 95%CI= 0.3, 1), but

magnitude and the probable reported more depression (56% vs. 27%,

inappropriateness of medication use); and rr= 2, 95%CI= 1.1, 3.9). In those who

clinical outcomes (mental status, memory, received benzodiazepines or

anxiety, depression, behavior and sleep), diphenhydramine prior to the program,

measured at baseline and 30 days post- more intervention NH residents

intervention. maintained or improved anxiety levels

compared to controls (77% vs. 48%, rr=

0.4, 95%CI= 0.2, 1), but had greater loss

of memory (62% vs. 29%, rr= 2.1,

95%CI= 1.1, 4.2).

Table 2: Detailed Description of Medication Use Intervention Studies



# Article Objectives Study Design Main Findings Discussion

Khunti K, Kinsella B To evaluate the impact of A pretest, post-test design. A total of 71 (65%) of residents had The comprehensive visit to

37 a general practitioner visit repeat prescriptions changed: 53 (51%) the NHs resulted in a

“Effect of systematic and a comprehensive Setting: Four randomly selected nursing at least one drug discontinued; 28 (26%) significant reduction in

review of medication by repeat prescribing review homes (NHs) in Leicester, UK. had at least one drug changed to a inappropriate repeat

general practitioner on on consumption of cheaper alternative; eight (7%) had a prescribing to NH residents.

drug consumption inappropriate medications Sample: N=109 residents, mean age=82.1 new drug prescribed; and one a dose

among nursing-home in nursing homes. ± 8.6 years, 71.0% women. increased. The findings are limited by

residents” the subjective evaluation of

Intervention: One comprehensive visit by The drugs that were most commonly inappropriate and by the lack

Age & Ageing a general practitioner to discuss in detail discontinued, changed, or reduced in of a control group.

all residents of each NH. Prescribing dosage were: histamine2 blockers,

2000;29(5):451-53. records of all residents were reviewed and laxatives, diuretics, antipsychotics, The impact of the intervention

discontinued if deemed inappropriate or antidepressants, non-opioid analgesics, on patient health outcomes

unnecessary. Inappropriateness was and nonsteroidal anti-inflammatory could not be determined.

based on four dimensions: indication, cost drugs.

minimization, contraindications, and

dosage. The mean number of repeat

prescriptions per resident decreased

Primary outcomes: Proportion of residents from 4.3 ± 2.6 before the intervention to

with inappropriate repeat prescriptions 3.5 ± 2.2 after the intervention (mean

after intervention. difference=0.8, 95%CI=0.5, 0.9,

p<0.0001).



Residents who had alterations were on

significantly more drugs compared to

those who did not have alterations (4.9

vs. 3.0, Mann-Whitney U=720,

p<0.0001).


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