Polypharmacy
Conditions
Keywords
Polypharmacy
Brief summary
Aiming to reduce polypharmacy in patients with type 2 diabetes by using physician-initiated medication reviews.
Detailed description
Patients will be randomised to either standard care(annual visit at outpatient clinic) or standard care plus an intervention. The intervention is a medication consultation of 30-60 minutes that consist of a medication review and increased cross-sectoral communication. Follow-up is 6 months. Primary outcome are number of medications used, secondary outcomes are health related quality of life and persistance of medication changes.
Interventions
30-60 minutes extra consultation regarding the patients drugs
Standard care i.e. visit at the Dept. of Endocrinology.
Sponsors
Study design
Eligibility
Inclusion criteria
1. DM2 2. 12 medications in the central prescription list
Exclusion criteria
1. inability to give written consent (e.g., inability to understand the intervention or language barriers); 2. active cancer or palliative treatment; 3. admitted to the hospital.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of medications used at baseline compared to number of medications used at follow-up. Resulting in a rate of medications used at baseline compared to follow-up i.e. no. medication at follow-up/no. at baseline. | 6 months | The no. of medications used at baseline will be compared to the no. of medications used at follow-up. This will result in a rate i.e. no. at follow-up/no. at baseline which can be compared between groups resulting in a rate ratio. Medication usage is determined by number of medications listed in the central prescription list. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| EQ5D index score. (a Euro Quality of Life 5-dimension 5-level (EQ-5D-5L) scale). The score is retrieved by using the validated EQ5D questionnaire which translates to a corresponding EQ5D index score using country specific value sets. | 6 months | Health related quality of life measured by EQ5D index score using Danish value sets (ranging from -0.7 (worst quality of life) to 1 (best quality of life)). |
Countries
Denmark