title: [Pharmacological treatment conciliation methodology in patients with multiple conditions].
abstract: OBJECTIVE
  To carry out a bibliographic review in order to identify the different methodologies used along the reconciliation process of drug therapy applicable to polypathological patients.
  
  
  METHODS
  We performed a literature review. Data sources The bibliographic review (February 2012) included the following databases: Pubmed, EMBASE, CINAHL, PsycINFO and Spanish Medical Index (IME). The different methodologies, identified on those databases, to measure the conciliation process in polypathological patients, or otherwise elderly patients or polypharmacy, were studied. Study selection Two hundred and seventy three articles were retrieved, of which 25 were selected. Data extraction Specifically: the level of care, the sources of information, the use of registration forms, the established time, the medical professional in charge and the registered variables such as errors of reconciliation.
  
  
  RESULTS
  Most of studies selected when the patient was admitted into the hospital and after the hospital discharge of the patient. The main sources of information to be highlighted are: the interview and the medical history of the patient. An established time is not explicitly stated on most of them, nor the registration form is used. The main professional in charge is the clinical pharmacologist. Apart from the home medication, the habits of self-medication and phytotherapy are also identified. The common errors of reconciliation vary from the omission of drugs to different forms of interaction with other medicinal products (drugs interactions).
  
  
  CONCLUSIONS
  There is a large heterogeneity of methodologies used for reconciliation. There is not any work done on the specific figure of the polypathological patient, which precisely requires a standardized methodology due to its complexity and its susceptibility to errors of reconciliation.
authors.affiliation: Unidad de Gestión Clínica de Farmacia, Hospital Universitario Virgen del Rocío, Sevilla, España. Electronic address: eralfarolara@gmail.com.
authors.forename: Eva Rocío
authors.initials: ER
authors.lastname: Alfaro-Lara
authors.affiliation: Agencia de Evaluación de Tecnologías Sanitarias de Andalucía, Sevilla, España.
authors.forename: María Dolores
authors.initials: MD
authors.lastname: Vega-Coca
authors.affiliation: Unidad de Gestión Clínica de Farmacia, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: Mercedes
authors.initials: M
authors.lastname: Galván-Banqueri
authors.affiliation: Unidad de Gestión Clínica - Atención Médica Integral de Medicina Interna, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: María Dolores
authors.initials: MD
authors.lastname: Nieto-Martín
authors.affiliation: Departamento de Farmacología, Facultad de Farmacia, Universidad de Sevilla, Sevilla, España.
authors.forename: Concepción
authors.initials: C
authors.lastname: Pérez-Guerrero
authors.affiliation: Unidad de Gestión Clínica de Farmacia, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: Bernardo
authors.initials: B
authors.lastname: Santos-Ramos
mesh_terms: D006801:Humans; D059065:Medication Reconciliation / Q000379:methods*
keywords: Conciliación de la medicación; Medication reconciliation; Methods; Metodología; Paciente pluripatológico; Polypathological patient; Review; Revisión
references.citation: Healthc Q. 2005;8 Spec No:65-72
references.pmid: 16334075
references.citation: Respir Med. 2011 Oct;105 Suppl 1:S60-6
references.pmid: 22015089
references.citation: Med Clin (Barc). 2009 Nov 21;133(19):741-4
references.pmid: 19520393
references.citation: S Afr Med J. 2003 Aug;93(8):585-90
references.pmid: 14531115
references.citation: Rev Clin Esp. 2005 Sep;205(9):413-7
references.pmid: 16194474
references.citation: CMAJ. 2005 Aug 30;173(5):510-5
references.pmid: 16129874
references.citation: CANNT J. 2008 Oct-Dec;18(4):41-3
references.pmid: 19175192
references.citation: Health Manag Technol. 2008 Feb;29(2):60-1
references.pmid: 18323397
references.citation: Am J Med. 2010 Feb;123(2):182.e9-182.e15
references.pmid: 20103029
references.citation: J Gen Intern Med. 2008 Sep;23(9):1414-22
references.pmid: 18563493
references.citation: Am J Geriatr Pharmacother. 2010 Apr;8(2):127-35
references.pmid: 20439062
references.citation: J Am Pharm Assoc (2003). 2010 Jul-Aug;50(4):490-5
references.pmid: 20621867
references.citation: Medsurg Nurs. 2008 Oct;17(5):332-6
references.pmid: 19051982
references.citation: Pharmacotherapy. 2008 Apr;28(4):444-52
references.pmid: 18363528
references.citation: Arch Intern Med. 2012 Jul 23;172(14):1057-69
references.pmid: 22733210
references.citation: Med Clin (Barc). 2005 Jun 4;125(1):5-9
references.pmid: 15960937
references.citation: BMC Health Serv Res. 2007 Apr 04;7:47
references.pmid: 17408472
references.citation: Nurs Manage. 2007 Mar;38(3):18
references.pmid: 17473790
references.citation: Med Clin (Barc). 2007 Sep 15;129(9):343-8
references.pmid: 17910851
references.citation: J Gen Intern Med. 2010 May;25(5):441-7
references.pmid: 20180158
references.citation: J Pharm Pract. 2012 Apr;25(2):136-41
references.pmid: 22048929
references.citation: Am J Geriatr Pharmacother. 2010 Apr;8(2):115-26
references.pmid: 20439061
references.citation: J Gen Intern Med. 2007 Nov;22(11):1523-6
references.pmid: 17786521
references.citation: Am J Health Syst Pharm. 2007 Sep 15;64(18):1912
references.pmid: 17823101
references.citation: Am J Geriatr Pharmacother. 2006 Sep;4(3):236-43
references.pmid: 17062324
references.citation: Rev Clin Esp. 2008 Jan;208(1):4-11
references.pmid: 18221654
references.citation: Am J Med Qual. 2006 Sep-Oct;21(5):293-5
references.pmid: 16973942
references.citation: Am J Health Syst Pharm. 2007 Jul 1;64(13):1372-8
references.pmid: 17592001
references.citation: Farm Hosp. 2008 May-Jun;32(3):148-56
references.pmid: 18840344
references.citation: Health Data Manag. 2007 Jul;15(7):44, 46, 48
references.pmid: 17718310
references.citation: Am J Hosp Palliat Care. 2009 Jun-Jul;26(3):193-9
references.pmid: 19114603
references.citation: Gac Sanit. 2008 Mar-Apr;22(2):137-41
references.pmid: 18420012
references.citation: Am J Pharm Educ. 2007 Oct 15;71(5):94
references.pmid: 17998991
references.citation: Aten Primaria. 2013 Jan;45(1):6-18
references.pmid: 23218683
references.citation: Farm Hosp. 2008 Mar-Apr;32(2):63-4
references.pmid: 18783703
references.citation: Am J Health Syst Pharm. 2008 Nov 1;65(21):2047-54
references.pmid: 18945865
references.citation: Am J Med Qual. 2006 Sep-Oct;21(5):299-303
references.pmid: 16973944
references.citation: Am J Health Syst Pharm. 2007 Apr 15;64(8):850-4
references.pmid: 17420202