Bethany A Bell, Stephen G Taylor, Alex M Roberts, Dexin Shi, Katelynn Burgess, Caroline Hough, Kate Flory
Factor Structure of the Teacher Strengths and Difficulties Questionnaire in a Large Community-Based Sample: An Investigation of Alternative Measurement Models
Assessment
polypharmacy common among individuals multimorbidity often leading inappropriate medication use associated increased risk frailty hospitalisation mortality structured medication reviews smrs emerged promising method optimising medication use however research examining efficacy limited review aims evaluate impact smrs improving outcomes adults multimorbidity polypharmacy primary care settings additionally review seeks identify prevailing patterns trends mode delivery smrs systematic review conducted using ovid medline ovid embase web science cinahl 1997present primary outcomes include medicationrelated measures dose frequency dosage form secondary outcomes investigation include physical mental functional health service outcomes reported two independent reviewers conduct screening data extraction resolving disagreements discussion eligible studies identified extracted data summarised tabular format risk bias articles assessed using either cochrane risk bias 2 tool newcastleottawa scale depending design studies retrieved subgroup analysis performed using demographic variables modes delivery data supports appropriate metaanalysis data extracted conducted determine impact smrs reported outcomes metaanalysis possible due heterogeneity narrative synthesis approach adopted proposed review exempt ethical approval aims collate summarise peerreviewed published evidence protocol subsequent review disseminated peerreviewed journals conferences patientled lay summaries crd42023454965