EVALUATION OF PHARMACY-BASED RECOMMENDATIONS WITHIN A COMPREHENSIVE GERIATRIC ASSESSMENT TEAM
2024

Evaluating Pharmacy Recommendations for Older Veterans

Sample size: 273 publication Evidence: moderate

Author Information

Author(s): Cervantes Maria, Patel Nikil, Tillmann Jacob, Cigolle Christine, Bieber Heather, Dunlap Janette, Phillips Kristin

Primary Institution: Veterans Health Administration

Hypothesis

Can a virtual Comprehensive Geriatric Assessment clinic optimize medication regimens for rural older Veterans?

Conclusion

The virtual GCP intervention successfully reduced the use of potentially inappropriate medications and polypharmacy among rural older Veterans.

Supporting Evidence

  • 86 Veterans received no recommendations.
  • The GCP provided 323 recommendations for 187 Veterans.
  • 156 (48.3%) of the recommendations were implemented.
  • Recommendation uptake was highest for requesting provider review of a medication issue (58%).
  • Implemented recommendations included 36.3% for non-anticholinergic BEERs Criteria medications.

Takeaway

This study looked at how a special clinic helped older Veterans take their medications safely, and it worked well!

Methodology

The study reviewed electronic health records of CGA patients, focusing on the implementation of geriatric clinical pharmacist recommendations.

Limitations

The study did not evaluate long-term outcomes of the intervention.

Participant Demographics

Rural older Veterans with multiple chronic conditions.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2839

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