Impact of Diabetes Care by Pharmacists as Part of Health Care Team in Ambulatory Settings: A Systematic Review and Meta-analysis
Abstract
OBJECTIVE: To conduct a comprehensive systematic review and meta-analyses examining the impact of pharmacist interventions as part of health care teams on diabetes therapeutic outcomes in ambulatory care settings. DATA SOURCES: PubMed/MEDLINE, EMBASE, Cochrane Library, International Pharmaceutical Abstracts, Web of Science, Scopus, WHO's Global Health Library, ClinicalTrials.gov , and Google Scholar were searched (1995 to February 2017). Search terms included pharmacist, team, and diabetes. STUDY SELECTION: (A1C), were assessed. DATA EXTRACTION AND SYNTHESIS: Two reviewers independently screened for study inclusion and extracted data. Quality of the studies was assessed using tools developed based on the framework of the Cochrane Collaboration's recommendations. DATA SYNTHESIS: A total of 1908 studies were identified from the literature and reference searches; 42 studies were included in the systematic review (n = 10 860) and 35 in the meta-analyses (n = 7417). Mean age ranged from 42 to 73 years, and 8% to 100% were male. The overall standardized mean difference (SMD) for A1C for pharmacist care versus comparison was 0.57 ( P < 0.01), a moderate effect representing a mean difference of 1.1% (95% CI = 0.88-1.27). The effects for systolic blood pressure and low-density lipoprotein cholesterol were between small and moderate (SMD = 0.31 and 0.32; P < 0.01). The heterogeneity was high for all outcomes (>83%), indicating functional differences among the studies. No publication bias was detected. CONCLUSION: Pharmacists' interventions as part of the patient's health care team improved diabetes therapeutic outcomes, substantiating the important role of pharmacists in team-based diabetes management.
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Collaborative action with physicians can improve outcomes.
“such collaborative action with physicians can improve outcomes.7”
From Mobile Health Intervention in Patients With Type 2 Diabetes: A Randomized Clinical Trial (2023) · cites this paper as [7]
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- Authors
- Fazel, M. T., Bagalagel, A., Lee, J. K., Martin, J. R., & Slack, M. K.
- Affiliations
- University of Arizona (US)
- Corresponding author
- Fazel, Maryam T.
- Venue
- Annals of Pharmacotherapy
- Publisher
- SAGE Publications
- Published
- 2017-06-02
- Volume
- 51
- Issue
- 10
- Pages
- 890-907
- ISSN
- 0012-6578 (ISSN-L)
- 1060-0280
- 1542-6270
- OpenAlex
- W2621247255
- Cited by
- 99
- References
- 66
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 6 · 2023: 12 · 2022: 16 · 2021: 15 · 2020: 17 · 2019: 10 · 2018: 5 · 2017: 1
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Pharmacotherapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- pharmacist intervention, diabetes management, team-based care, outpatient care, HbA1c, systolic blood pressure, LDL cholesterol, treatment outcomes
- MeSH terms
- Adult, Aged, Ambulatory Care, Blood Pressure, Diabetes Mellitus, Glycated Hemoglobin, Humans, Cholesterol, LDL, Middle Aged, Patient Care Team, Pharmacists, Treatment Outcome, Professional Role
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