Pharmacist‐led intervention on chronic pain management: A systematic review and meta‐analysis

Parbati Thapa; Shaun Wen Huey Lee; Bhuvan KC; Juman Abdulelah Dujaili; Mohamed Izham Mohamed Ibrahim; Sudesh Gyawali

doi:10.1111/bcp.14745

journal article Feb 24, 2021

Pharmacist‐led intervention on chronic pain management: A systematic review and meta‐analysis

Parbati Thapa Shaun Wen Huey Lee

Bhuvan KC

Juman Abdulelah Dujaili

Mohamed Izham Mohamed Ibrahim

Sudesh Gyawali

British Journal of Clinical Pharmacology Vol. 87 No. 8 pp. 3028-3042 · Wiley

View at Publisher Save 10.1111/bcp.14745

Abstract

AimsPharmacists 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.MethodsSix 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.ResultsFourteen 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.ConclusionsPharmacists 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.

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Details

Published: Feb 24, 2021
Vol/Issue: 87(8)
Pages: 3028-3042
License: View

Authors

P

Parbati Thapa

School of Pharmacy Monash University Malaysia Subang Jaya Selangor Malaysia

S

Shaun Wen Huey Lee

School of Pharmacy Monash University Malaysia Subang Jaya Selangor Malaysia

B

Bhuvan KC

School of Pharmacy Monash University Malaysia Subang Jaya Selangor Malaysia; College of Public Health, Medical & Veterinary Sciences James Cook University Townsville QLD Australia

J

Juman Abdulelah Dujaili

School of Pharmacy Monash University Malaysia Subang Jaya Selangor Malaysia

M

Mohamed Izham Mohamed Ibrahim

Social and Administrative Pharmacy, College of Pharmacy Qatar University Doha Qatar

S

Sudesh Gyawali

Department of Pharmacology Manipal College of Medical Sciences Pokhara Nepal

Cite This Article

Parbati Thapa, Shaun Wen Huey Lee, Bhuvan KC, et al. (2021). Pharmacist‐led intervention on chronic pain management: A systematic review and meta‐analysis. British Journal of Clinical Pharmacology, 87(8), 3028-3042. https://doi.org/10.1111/bcp.14745

Pharmacist‐led intervention on chronic pain management: A systematic review and meta‐analysis

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