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AuthorThapa, P.
AuthorLee, S. W. H.
AuthorBhuvan, K. C.
AuthorDujaili, J. A.
AuthorIbrahim, Mohamed Izham Mohamed
AuthorGyawali, S.
Available date2022-04-10T10:25:30Z
Publication Date2021
Publication NameBritish Journal of Clinical Pharmacology
ResourceScopus
Identifierhttp://dx.doi.org/10.1111/bcp.14745
URIhttp://hdl.handle.net/10576/29389
AbstractAims Pharmacists have been contributing to the management of chronic pain, ensuring the quality use of medicine. However, there is diversity in the interventions provided by pharmacists and their impact. Methods Six electronic databases were searched from inception until June 2020 for articles published in English examining the intervention provided by the pharmacist in chronic pain management. Studies investigating the impact of pharmacist intervention individually or multidisciplinary teams including pharmacists for chronic pain management were included. Results Fourteen studies (2365 participants) were included in the current review. Six studies were randomized controlled trials while the remainder were observational studies in which pharmacists provided intervention individually or in collaboration with other healthcare professionals. Medication review was the most common intervention provided by the pharmacist. The pooled analysis found that pharmacist-led interventions reduced the pain intensity (−0.22; 95% confidence interval [CI]: −0.35 to −0.09; moderate certainty) among participants with chronic pain. Opiate stewardship provided by pharmacists was effective; however, mixed results were noted on the impact of the intervention on physical functioning, anxiety, depression and quality of life. Pharmacist intervention was more expensive than treatment as usual. Conclusions Pharmacists contribute substantially to chronic pain management, ensuring the quality use of medicine, resulting in reduced pain intensity. Further studies with rigorous design are needed to measure the impact of pharmacist-provided intervention individually or in a multidisciplinary team on the economic benefit and other health outcomes.
Languageen
PublisherJohn Wiley and Sons Inc
Subjectchronic pain
medication review
pain intensity
pain management
pharmacist
systematic review
TitlePharmacist-led intervention on chronic pain management: A systematic review and meta-analysis
TypeArticle Review
Pagination3028-3042
Issue Number8
Volume Number87
dc.accessType Abstract Only


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