A systematic review and meta-analysis of the impact of collaborative practice between community pharmacist and general practitioner on asthma management

Objective: This systematic review aims to investigate the impact of collaborative practice between community pharmacist (CP) and general practitioner (GP) in asthma management. Methods: A systematic search was performed across 10 databases (PubMed, Medline/Ovid, CINAHL, Scopus, Web of Science, Co...

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Main Authors:	Mubarak, Naeem, Md Hatah, Ernieda, Mehmood Khan, Tahir, Zin, Che Suraya
Format:	Article
Language:	English English English English English
Published:	Dove Press 2019
Subjects:	RM147 Administration of Drugs and Other Therapeutic Agents
Online Access:	http://irep.iium.edu.my/71513/ http://irep.iium.edu.my/71513/ http://irep.iium.edu.my/71513/1/190408_Revised%20Manuscript.pdf http://irep.iium.edu.my/71513/2/190408_Acceptance_J%20Asthma%20and%20Allergy_.JPG http://irep.iium.edu.my/71513/12/71513_A%20systematic%20review%20and%20meta-analysis%20of%20the%20impact%20of%20collaborative%20practice%20between%20community%20pharmacist%20and%20general%20practitioner%20on%20asthma%20management_WOS.pdf http://irep.iium.edu.my/71513/18/71513_A%20systematic%20review%20and%20meta-analysis%20of%20the%20impact%20of%20collaborative%20practice_scopus.pdf http://irep.iium.edu.my/71513/24/71513_A%20systematic%20review%20and%20meta-analysis_scopus.pdf

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recordtype	eprints
spelling	iium-715132019-09-29T14:53:43Z http://irep.iium.edu.my/71513/ A systematic review and meta-analysis of the impact of collaborative practice between community pharmacist and general practitioner on asthma management Mubarak, Naeem Md Hatah, Ernieda Mehmood Khan, Tahir Zin, Che Suraya RM147 Administration of Drugs and Other Therapeutic Agents Objective: This systematic review aims to investigate the impact of collaborative practice between community pharmacist (CP) and general practitioner (GP) in asthma management. Methods: A systematic search was performed across 10 databases (PubMed, Medline/Ovid, CINAHL, Scopus, Web of Science, Cochrane central register of controlled trials, PsycARTICLES®, Science Direct, Education Resource Information Centre, PRO-Quest), and grey literature using selected MeSH and key words, such as '' community pharmacist'', ''general practitioner'' ''medicine use review''. The risk of bias of the included studies was assessed by Cochrane risk of bias tool. All studies reporting any of the clinical, humanistic, and economical outcomes using collaborative practice between CPs and GPs in management of asthma, such as CPs conducting medications reviews, patient referrals or providing education and counselling, were included. Results: A total of 23 studies (6 RCTs, 4 C-RCT, 3 controlled interventions, 7 pre-post and 3 case control) were included. In total, 11/14 outcomes were concluded in favor of CP-GP collaborative interventions with different magnitude of effect size. Outcomes, such as asthma severity, asthma control, asthma symptoms, PEFR, SABA usage, hospital visit, adherence and QoL (AQLQ, LWAQ) demonstrated a small effect size (d≥ 0.2) while, inhalation technique, ED visit and asthma knowledge witnessed medium ES (d≥ 0.5). In addition to that, inhalation technique yielded large ES (d≥ 0.8) in RCTs subgroup analysis. However, 3 outcomes, FEV, corticosteroids usage and preventer to reliever ratio did not hold significant ES (d< 0.2) and thus, remain inconclusive. The collaboration was shown to be value for money in the economic studies in narrative synthesis, however, limited number of studies hinder pooling of data in meta-analysis. Conclusion: The findings from this review established a comprehensive evidence base in support of the positive impact of collaborative practice between CP and GP in the management of asthma. Dove Press 2019-05-24 Article PeerReviewed application/pdf en http://irep.iium.edu.my/71513/1/190408_Revised%20Manuscript.pdf application/pdf en http://irep.iium.edu.my/71513/2/190408_Acceptance_J%20Asthma%20and%20Allergy_.JPG application/pdf en http://irep.iium.edu.my/71513/12/71513_A%20systematic%20review%20and%20meta-analysis%20of%20the%20impact%20of%20collaborative%20practice%20between%20community%20pharmacist%20and%20general%20practitioner%20on%20asthma%20management_WOS.pdf application/pdf en http://irep.iium.edu.my/71513/18/71513_A%20systematic%20review%20and%20meta-analysis%20of%20the%20impact%20of%20collaborative%20practice_scopus.pdf application/pdf en http://irep.iium.edu.my/71513/24/71513_A%20systematic%20review%20and%20meta-analysis_scopus.pdf Mubarak, Naeem and Md Hatah, Ernieda and Mehmood Khan, Tahir and Zin, Che Suraya (2019) A systematic review and meta-analysis of the impact of collaborative practice between community pharmacist and general practitioner on asthma management. Journal of Asthma and Allergy, 12. pp. 109-153. ISSN 1178-6965 https://www.dovepress.com/journal-of-asthma-and-allergy-journal
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English English English
topic	RM147 Administration of Drugs and Other Therapeutic Agents
spellingShingle	RM147 Administration of Drugs and Other Therapeutic Agents Mubarak, Naeem Md Hatah, Ernieda Mehmood Khan, Tahir Zin, Che Suraya A systematic review and meta-analysis of the impact of collaborative practice between community pharmacist and general practitioner on asthma management
description	Objective: This systematic review aims to investigate the impact of collaborative practice between community pharmacist (CP) and general practitioner (GP) in asthma management. Methods: A systematic search was performed across 10 databases (PubMed, Medline/Ovid, CINAHL, Scopus, Web of Science, Cochrane central register of controlled trials, PsycARTICLES®, Science Direct, Education Resource Information Centre, PRO-Quest), and grey literature using selected MeSH and key words, such as '' community pharmacist'', ''general practitioner'' ''medicine use review''. The risk of bias of the included studies was assessed by Cochrane risk of bias tool. All studies reporting any of the clinical, humanistic, and economical outcomes using collaborative practice between CPs and GPs in management of asthma, such as CPs conducting medications reviews, patient referrals or providing education and counselling, were included. Results: A total of 23 studies (6 RCTs, 4 C-RCT, 3 controlled interventions, 7 pre-post and 3 case control) were included. In total, 11/14 outcomes were concluded in favor of CP-GP collaborative interventions with different magnitude of effect size. Outcomes, such as asthma severity, asthma control, asthma symptoms, PEFR, SABA usage, hospital visit, adherence and QoL (AQLQ, LWAQ) demonstrated a small effect size (d≥ 0.2) while, inhalation technique, ED visit and asthma knowledge witnessed medium ES (d≥ 0.5). In addition to that, inhalation technique yielded large ES (d≥ 0.8) in RCTs subgroup analysis. However, 3 outcomes, FEV, corticosteroids usage and preventer to reliever ratio did not hold significant ES (d< 0.2) and thus, remain inconclusive. The collaboration was shown to be value for money in the economic studies in narrative synthesis, however, limited number of studies hinder pooling of data in meta-analysis. Conclusion: The findings from this review established a comprehensive evidence base in support of the positive impact of collaborative practice between CP and GP in the management of asthma.
format	Article
author	Mubarak, Naeem Md Hatah, Ernieda Mehmood Khan, Tahir Zin, Che Suraya
author_facet	Mubarak, Naeem Md Hatah, Ernieda Mehmood Khan, Tahir Zin, Che Suraya
author_sort	Mubarak, Naeem
title	A systematic review and meta-analysis of the impact of collaborative practice between community pharmacist and general practitioner on asthma management
title_short	A systematic review and meta-analysis of the impact of collaborative practice between community pharmacist and general practitioner on asthma management
title_full	A systematic review and meta-analysis of the impact of collaborative practice between community pharmacist and general practitioner on asthma management
title_fullStr	A systematic review and meta-analysis of the impact of collaborative practice between community pharmacist and general practitioner on asthma management
title_full_unstemmed	A systematic review and meta-analysis of the impact of collaborative practice between community pharmacist and general practitioner on asthma management
title_sort	systematic review and meta-analysis of the impact of collaborative practice between community pharmacist and general practitioner on asthma management
publisher	Dove Press
publishDate	2019
url	http://irep.iium.edu.my/71513/ http://irep.iium.edu.my/71513/ http://irep.iium.edu.my/71513/1/190408_Revised%20Manuscript.pdf http://irep.iium.edu.my/71513/2/190408_Acceptance_J%20Asthma%20and%20Allergy_.JPG http://irep.iium.edu.my/71513/12/71513_A%20systematic%20review%20and%20meta-analysis%20of%20the%20impact%20of%20collaborative%20practice%20between%20community%20pharmacist%20and%20general%20practitioner%20on%20asthma%20management_WOS.pdf http://irep.iium.edu.my/71513/18/71513_A%20systematic%20review%20and%20meta-analysis%20of%20the%20impact%20of%20collaborative%20practice_scopus.pdf http://irep.iium.edu.my/71513/24/71513_A%20systematic%20review%20and%20meta-analysis_scopus.pdf
first_indexed	2023-09-18T21:41:24Z
last_indexed	2023-09-18T21:41:24Z
_version_	1777413164286083072

A systematic review and meta-analysis of the impact of collaborative practice between community pharmacist and general practitioner on asthma management

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