OPERAM

Optimising Therapy to prevent avoidable hospital admissions in the multimorbid elderly

Project duration: 01.05. 2015 - 30.04. 2020     terminated

 

OPERAM was supported by the European Commision's Horizon 2020 programme under the grant agreement No 634238,
and by the Swiss State Secretariat for Education, Research and Innovation (SERI) under contract number 15.0137.

 

Coordinator

University of Bern, CH
Department of General Internal Medicine, Inselspital,
Bern University Hospital and Berner Institut für Hausarztmedizin (BIHAM)
Prof. Dr. Nicolas Rodondi

Partners

Université catholique de Louvain, BE
Clinical Pharmacy Research Group of the Louvain Drug Research Institute (LDRI/CLIP)
Prof. Dr. Anne Spinewine

Cliniques Universitaires Saint Luc, BE
Prof. Dr. Olivia Dalleur             

Utrecht University, NL
Department of Information and Computing Sciences
Dr. Marco Spruit         

Cork University Hospital, IE
Department of Medicine, Schools of Medicine and Pharmacy
Department of Epidemiology and Public Health
University College Cork and Department of Geriatric Medicine
Prof. Dr. Denis O'Mahony

Universität Basel, CH
Institute of Pharmaceutical Medicine (ECPM), a member of the Department of Public Health at the Medical Faculty
Prof. Dr. Matthias Schwenkglenks

tp21 GmbH, DE
Dr. Petra Zalud

University of Ioannina, GR
Department of Primary Education, School of Education of the University of Ioannina
Prof. Dr. Dimitris Mavridis        

University Medical Center Utrecht, NL
Department of Geriatric Medicine and Expertise Centre Pharmacotherapy in Old Persons
Dr. Wilma Knol

Università degli Studi 'G. d'Annunzio' Chieti e Pescara, IT
Department of Medical, Oral and Biotechnological Sciences
Prof. Dr. Marcello Di Nisio

Objectives

The overall aim of OPERAM (OPtimising thERapy to prevent Avoidable hospital admissions in the Multimorbid elderly) is to optimise existing pharmacological and non-pharmacological therapy primarily in order to reduce avoidable hospital admissions among the elderly population aged ≥75 years with multimorbidity.

Specifically, the OPERAM consortium aims at:

    • Creating new evidence to prevent avoidable hospital admissions through optimising pharmacotherapy in the multimorbid elderly by performing a multi-centre cluster randomised clinical trial (RCT) to assess the impact of a structured medication review
    • Obtaining evidence-based data comparing pharmacological and non-pharmacological interventions to prevent common causes of avoidable hospital admissions in the elderly with multimorbidity, and rank these interventions according to their effectiveness and safety using network meta-analyses (NMA)
    • Identify the most cost-effective pharmacological and non-pharmacological interventions to prevent avoidable hospital admissions in the multimorbid elderly



OPERAM publications

Intervention protocol: Optimising thERapy to prevent Avoidable hospital admission in the Multi-morbid elderly (OPERAM): a structured medication review with support of a computerised decision support system
EK Crowley, BTGM Sallevelt, L Huibers, KD Murphy, M Spruit, Z Shen, B Boland, A Spinewine, O Dalleur, E Moutzouri, A Löwe, M Feller, N Schwab, L Adam, I Wilting, W Knol, N Rodondi, S Byrne, D O' Mahony; BMC Health Serv Res. 2020 Mar 17;20(1):220. doi: 10.1186/s12913-020-5056-3

Rationale and design of Optimising thERapy to prevent Avoidable hospital admissions in Multimorbid older people (OPERAM): a cluster randomised controlled trial
L. Adam, E. Moutzouri,C. Baumgartner, A. L. Loewe, M. Feller, K. M'Rabet-Bensalah, N. Schwab, S. Hossmann, C. Schneider, S. Jegerlehner, C. Floriani, A. Limacher, K. T. Jungo, C. J. A. Huibers, S. Streit, M. Schwenkglenks, M. Spruit, A. Van Dorland, J. Donzé, P. M Kearney, Peter Jüni, D. Aujesky, P. Jansen, B. Boland, O. Dalleur, S. Byrne,W. Knol, A. Spinewine, D. O’Mahony, S. Trelle, N. Rodondi; BMJ Open 2019;9:e026769. doi:10.1136/bmjopen-2018-026769

A Lightweight API-Based Approach for Building Flexible Clinical NLP Systems
Z. Shen, H. van Krimpen, M. Spruit. Journal of Healthcare Engineering 2019. doi.org/10.1155/2019/3435609

Identification of Behaviour Change Techniques in Deprescribing Interventions: A Systematic Review and Meta-Analysis
Christina R. Hansen, Denis O’Mahony, Patricia M. Kearney, Laura J. Sahm, Shane Cullinan, C.J.A. Huibers, Stefanie Thevelin, Anne W.S. Rutjes, Wilma Knol, Sven Streit and Stephen Byrne
British Journal of Clinical Pharmacology - August 2018

Prevalence of potentially inappropriate prescribing in a subpopulation of older European clinical trial participants: a cross-sectional study
David O Riordan, Carole Elodie Aubert,  Kieran A Walsh,  Anette Van Dorland, Nicolas Rodondi,  Robert S Du Puy,  Rosalinde K E Poortvliet, Jacobijn Gussekloo, Carol Sinnott, Stephen Byrne1 Rose Galvin, J Wouter Jukema, Simon P Mooijaart, Christine Baumgartner, Vera McCarthy, Elaine K Walsh, Tinh-Hai Collet, Olaf M Dekkers, Manuel R Blum, Patricia M Kearney
BMJ Open 2018;8:e019003. doi:10.1136/bmjopen-2017-019003

International core outcome set for clinical trials of medication review in multi-morbid older patients with polypharmacy
Jean-Baptiste Beuscart, Wilma Knol, Shane Cullinan, Claudio Schneider, Olivia Dalleur, Benoit Boland, Stefanie Thevelin, Paul A. F. Jansen, Denis O’Mahony, Nicolas Rodondi, Anne Spinewine
BMC Medicine201816:21

Developmant of  core outcome set for medication review in older patients with multimorbidity and polypharmacy: a study protocol
Jean-Baptiste Beuscart, Olivia Dalleur, Benoit Boland, Stefanie Thevelin, Wilma Knol, Shane Cullinan, Claudio Schneider, Denis O’Mahony, Nicolas Rodondi, Anne Spinewine
Clinical Intervention in Aging, August 2017:12  1379-1389

A systematic review of the outcomes reported in trials of medication review in older patients: the need for a core outcome set
Jean-Baptiste Beuscart , Lisa G. Pont, Stefanie Thevelin, Benoit Boland, Olivia Dalleur, Anne W., S. Rutjes, Johanna I. Westbrook and Anne Spinewine
Br J Clin Pharmacol (2017) 83 942-952

Additional considerations are required when preparing a protocol for systematic review with multiple interventions.
Chaimani A, Caldwell DM, Tianjing L, Higgins JPT, Salanti G.
Journal of Clinical Epidemiology. 2017;83,65-74

A comparison of 20 heterogeneity variance estimators in statistical synthesis of results from studies: A simulation study.
Petropoulou M, Mavridis D.
Statistics in Medicine 2017 Epub 2017 Aug 6

 

Final Project Executive Summary and Results    

 

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