Effectiveness of a Structured Intervention to Optimize the Use of Mirabegron

Catalan Institute of Health

Status: Completed

Conditions: Overactive Bladder Syndrome

Treatments: Behavioral: Review the use of mirabegron and its discontinuation

Study type: Interventional

Funder types: Other

Identifiers

NCT03536494

ICS-MIR-2018-01

Details and patient eligibility

About

This study was a multicentre, quasi-experimental design, controlled, before-and-after trial to estimate the effectiveness related to the review of mirabegron use and, if appropriate, its discontinuation.

Intervention group: Patients with mirabegron prescription assigned to any of the 17 primary health care centers (PHC) located in the northern area of Barcelona.

Control group: All the other patients assigned to any of the other 34 health care centers in Barcelona belonging to the Catalan Institut of Health (CIH).

The structured intervention included initiatives with general practitioners and urologists/gynaecologists, management support from health care authorities, and monthly feed-back monitoring to general practitioners (GPs).

The follow-up period was 12 months, from January 1st to December 31st, 2017.

Full description

A quasi-experimental design with before/after measurement and a control group was used.

The objective was to identify the effectiveness of a training activity on the review of treatments. In addition, it was proposed to establish the duration of medication in real clinical practice, and its prevalence of use before and after the intervention.

Control group: Usual care

Intervention:

• Initiatives for healthcare professionals: information and training with written material, in an diagram format, distributed to all general practitioners.
• Initiatives for specialized hospital care: information regarding the intervention for urologists and gynaecologists.
• Management support with the definition of a structured strategy for all the addresses of the PHC and GPs.
• Monthly monitoring of the intervention (feed-back to all GPs).

The intervention consisted of: a) meetings with all the directors of the PHC; b) informative meetings and sessions in the PHC; c) distribution of the diagram to all the GPs; d) lists of patients with treatment provided periodically from the medication area; and e) review of the treatments by the GPs.

If considered appropriate, and with the consent of the patient, the medication was withdrawn.

A pharmacist and a clinical pharmacologist acted as consultants in case of any doubts regarding specific patients.

Enrollment: 1,932 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients ≥ 18 years with mirabegron prescription. The prescription could be performed by a hospital or primary care doctor.

Exclusion criteria

• Patients under 18 years

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

1,932 participants in 2 patient groups

Mirabegron intervention

Experimental group

Description:

Review the use of mirabegron and its discontinuation

Treatment:

Behavioral: Review the use of mirabegron and its discontinuation

Control group

No Intervention group

Description:

Usual care