Cochrane · systematic review · CD012042
Providing physicians with feedback on medication adherence for people with chronic diseases taking long‐term medication
Zaugg, V, Korb‐Savoldelli, V, Durieux, P, et al. · Cochrane Database of Systematic Reviews · 2018 · 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
5
current version
GRADE rated
4
No studies
1
Included studies
NR
No studies 1 · 20%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 80%Moderate 0 · 0%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
Summary of findings: feedback on medication adherence to physicians versus usual care
Population: any physician, and any patient treated for chronic diseases with long‐term medication use
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Medication adherence Percentage of 'days covered' by medication (medication possession ratio), percentage of 'time covered', percentage of non‐adherent patients, 'time‐to‐refill' (i.e. the number of days between the date where the patient was decl... Summary of findings: feedback on medication adherence to physicians vs usual care | no estimate extracted | NR | Low Downgraded: risk of bias, indirectness |
Patient outcomes Lipid levels, HbA1C level, HIV viral load, number of major atherosclerosis disease events Summary of findings: feedback on medication adherence to physicians vs usual care | no estimate extracted | NR | Low Downgraded: risk of bias, indirectness |
Health resource use Rate of hospitalisations, rate of emergency department encounters, rate of outpatient encounters, rate of oral steroid use Summary of findings: feedback on medication adherence to physicians vs usual care | no estimate extracted | NR | Low Downgraded: risk of bias, indirectness |
Processes of care Rate of medication change (medication discontinued, added, replaced), proportion of visits with appropriate management of uncontrolled hypertension, patient rating (quality of care, duration of the visit, communication with physi... Summary of findings: feedback on medication adherence to physicians vs usual care | no estimate extracted | NR | Low Downgraded: inconsistency, indirectness |
Adverse events Summary of findings: feedback on medication adherence to physicians vs usual care | no estimate extracted | NR | No studies |