Cochrane · systematic review · CD010398

The effect of pharmacist‐provided non‐dispensing services on patient outcomes, health service utilisation and costs in low‐ and middle‐income countries

Pande, S, Hiller, JE, Nkansah, N, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 57.1%Moderate 1 · 14.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Comparison

Population: Pharmacies or pharmacists delivering services in outpatient settings and patients with various diseases*
4 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical outcomes (fasting blood glucose,random blood glucose, glycosylated haemoglobin, systolic blood pressure, blood cholesterol, peak expiratory flow rate;
no estimate extracted10 studies · 1791 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Quality of life (
no estimate extracted7 studies · 777 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Health service utilisation (rate of hospitalisation, emergency room visits, general practitioner visits;
no estimate extracted4 studies · 590 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Cost (
no estimate extracted1 study · 350 participantsLow
Downgraded: risk of bias, imprecision, inconsistency

Comparison

Population: Pharmacies or pharmacists delivering services in outpatient settings and asthmatic patients
3 questions
OutcomeEffectEvidenceStatus / GRADE
Patient Outcome Asthma symptom score (0‐9 score, where 9 indicates maximum impairment and 0 indicates no impairment) (
no estimate extracted1 study · 43 participantsLow
Downgraded: imprecision
Health Service Utilisation
no estimate extractedNRNo studies
Cost
no estimate extractedNRNo studies