Cochrane · systematic review · CD011227
Non‐medical prescribing versus medical prescribing for acute and chronic disease management in primary and secondary care
Weeks, G, George, J, Maclure, K, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
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
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 5 · 71.4%High 1 · 14.3%
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
Non‐medical prescribing compared to medical prescribing for acute and chronic disease management in primary and secondary care
Population: patients with acute and chronic disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Systolic blood pressure (mmHg) at 12 months Non‐medical prescribing vs medical prescribing | no estimate extracted | 12 studies · 4229 participants | Moderate Downgraded: inconsistency |
Glycated haemoglobin (HbA1c, %) at 12 months Non‐medical prescribing vs medical prescribing | no estimate extracted | 6 studies · 775 participants | High |
Low‐density lipoprotein (mmol/L) at 12 months Non‐medical prescribing vs medical prescribing | no estimate extracted | 7 studies · 1469 participants | Moderate Downgraded: inconsistency |
Adherence (continuous) Non‐medical prescribing vs medical prescribing | no estimate extracted | 4 studies · 700 participants | Moderate Downgraded: risk of bias |
Patient satisfaction Non‐medical prescribing vs medical prescribing | no estimate extracted | 14 studies · 7514 participants | Moderate Downgraded: indirectness |
Adverse events Non‐medical prescribing vs medical prescribing | no estimate extracted | 18 studies · 18400 participants | Low Downgraded: risk of bias, indirectness |
Health‐related quality of life Non‐medical prescribing vs medical prescribing | no estimate extracted | 8 studies · 4631 participants | Moderate Downgraded: indirectness |