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Metodología de conciliación del tratamiento farmacológico en pacientes pluripatológicos

OBJECTIVE: To carry out a bibliographic review in order to identify the different methodologies used along the reconciliation process of drug therapy applicable to polypathological patients. DESIGN: We performed a literature review. Data sources The bibliographic review (February 2012) included the...

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Detalles Bibliográficos
Autores principales: Alfaro-Lara, Eva Rocío, Vega-Coca, María Dolores, Galván-Banqueri, Mercedes, Nieto-Martín, María Dolores, Pérez-Guerrero, Concepción, Santos-Ramos, Bernardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6985596/
https://www.ncbi.nlm.nih.gov/pubmed/24035767
http://dx.doi.org/10.1016/j.aprim.2013.07.002
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author Alfaro-Lara, Eva Rocío
Vega-Coca, María Dolores
Galván-Banqueri, Mercedes
Nieto-Martín, María Dolores
Pérez-Guerrero, Concepción
Santos-Ramos, Bernardo
author_facet Alfaro-Lara, Eva Rocío
Vega-Coca, María Dolores
Galván-Banqueri, Mercedes
Nieto-Martín, María Dolores
Pérez-Guerrero, Concepción
Santos-Ramos, Bernardo
author_sort Alfaro-Lara, Eva Rocío
collection PubMed
description OBJECTIVE: To carry out a bibliographic review in order to identify the different methodologies used along the reconciliation process of drug therapy applicable to polypathological patients. DESIGN: We performed a literature review. Data sources The bibliographic review (February 2012) included the following databases: Pubmed, EMBASE, CINAHL, PsycINFO and Spanish Medical Index (IME). The different methodologies, identified on those databases, to measure the conciliation process in polypathological patients, or otherwise elderly patients or polypharmacy, were studied. Study selection Two hundred and seventy three articles were retrieved, of which 25 were selected. Data extraction Specifically: the level of care, the sources of information, the use of registration forms, the established time, the medical professional in charge and the registered variables such as errors of reconciliation. RESULTS: Most of studies selected when the patient was admitted into the hospital and after the hospital discharge of the patient. The main sources of information to be highlighted are: the interview and the medical history of the patient. An established time is not explicitly stated on most of them, nor the registration form is used. The main professional in charge is the clinical pharmacologist. Apart from the home medication, the habits of self-medication and phytotherapy are also identified. The common errors of reconciliation vary from the omission of drugs to different forms of interaction with other medicinal products (drugs interactions). CONCLUSIONS: There is a large heterogeneity of methodologies used for reconciliation. There is not any work done on the specific figure of the polypathological patient, which precisely requires a standardized methodology due to its complexity and its susceptibility to errors of reconciliation.
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spelling pubmed-69855962020-01-30 Metodología de conciliación del tratamiento farmacológico en pacientes pluripatológicos Alfaro-Lara, Eva Rocío Vega-Coca, María Dolores Galván-Banqueri, Mercedes Nieto-Martín, María Dolores Pérez-Guerrero, Concepción Santos-Ramos, Bernardo Aten Primaria Originales OBJECTIVE: To carry out a bibliographic review in order to identify the different methodologies used along the reconciliation process of drug therapy applicable to polypathological patients. DESIGN: We performed a literature review. Data sources The bibliographic review (February 2012) included the following databases: Pubmed, EMBASE, CINAHL, PsycINFO and Spanish Medical Index (IME). The different methodologies, identified on those databases, to measure the conciliation process in polypathological patients, or otherwise elderly patients or polypharmacy, were studied. Study selection Two hundred and seventy three articles were retrieved, of which 25 were selected. Data extraction Specifically: the level of care, the sources of information, the use of registration forms, the established time, the medical professional in charge and the registered variables such as errors of reconciliation. RESULTS: Most of studies selected when the patient was admitted into the hospital and after the hospital discharge of the patient. The main sources of information to be highlighted are: the interview and the medical history of the patient. An established time is not explicitly stated on most of them, nor the registration form is used. The main professional in charge is the clinical pharmacologist. Apart from the home medication, the habits of self-medication and phytotherapy are also identified. The common errors of reconciliation vary from the omission of drugs to different forms of interaction with other medicinal products (drugs interactions). CONCLUSIONS: There is a large heterogeneity of methodologies used for reconciliation. There is not any work done on the specific figure of the polypathological patient, which precisely requires a standardized methodology due to its complexity and its susceptibility to errors of reconciliation. Elsevier 2014-02 2013-09-12 /pmc/articles/PMC6985596/ /pubmed/24035767 http://dx.doi.org/10.1016/j.aprim.2013.07.002 Text en © 2012 Elsevier España, S.L. Todos los derechos reservados. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
spellingShingle Originales
Alfaro-Lara, Eva Rocío
Vega-Coca, María Dolores
Galván-Banqueri, Mercedes
Nieto-Martín, María Dolores
Pérez-Guerrero, Concepción
Santos-Ramos, Bernardo
Metodología de conciliación del tratamiento farmacológico en pacientes pluripatológicos
title Metodología de conciliación del tratamiento farmacológico en pacientes pluripatológicos
title_full Metodología de conciliación del tratamiento farmacológico en pacientes pluripatológicos
title_fullStr Metodología de conciliación del tratamiento farmacológico en pacientes pluripatológicos
title_full_unstemmed Metodología de conciliación del tratamiento farmacológico en pacientes pluripatológicos
title_short Metodología de conciliación del tratamiento farmacológico en pacientes pluripatológicos
title_sort metodología de conciliación del tratamiento farmacológico en pacientes pluripatológicos
topic Originales
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6985596/
https://www.ncbi.nlm.nih.gov/pubmed/24035767
http://dx.doi.org/10.1016/j.aprim.2013.07.002
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