Community Pharmacist Training-and-Communication Network and Drug-Related Problems in Patients With CKD: A Multicenter, Cluster-Randomized, Controlled Trial

Lalonde, Lyne; Quintana-Bárcena, Patricia; Lord, Anne; Bell, Robert; Clément, Valérie; Daigneault, Anne-Marie; Legris, M.; Letendre, S; Mouchbahani, Marie; Jouini, Ghaya; Azar, Joëlle; Martin, Élisabeth; Berbiche, Djamal; Beaulieu, Stephanie; Beaunoyer, Sébastien; Bertin, Émilie; Bouvrette, Marianne; Charbonneau-Séguin, Noémie; Desrochers, Jean-François; Desforges, Katherine; Dumoulin-Charette, Ariane; Dupuis, Sébastien; Bouchikhi, Maryame El; Forget, Roxanne; Guay, Marie‐Claude; Lemieux, Jean-Phillippe; Morin-Bélanger, Claudia; Noël, Isabelle; Ricard, S.; Sauvé, Patricia; Paradis, François

doi:10.1053/j.ajkd.2017.05.008

Cited by 22 publications

(27 citation statements)

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“…Furthermore, recently Lalonde et al demonstrated that having provided community pharmacists with a short disease-specific training and essential clinical information successfully increased pharmacists' knowledge and clinical skills as well as reduced DRP frequency in community pharmacy practice. 26 Lalonde et al used short 90 min interactive web-based training programme on use of medications in chronic kidney disease. Pharmacists in their study completed self-administered questionnaire 12 months later, which showed that pharmacists improved knowledge by 4.5% and clinical skills by 7.4%.…”

Section: Discussionmentioning

confidence: 99%

Improving community pharmacists’ clinical knowledge to detect and resolve drug-related problems in Croatia: a before/after survey study investigating the efficacy of an educational intervention

et al. 2020

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ObjectivesThe aim of this study was to increase the knowledge level of community pharmacists in Croatia to identify and resolve drug-related problems (DRPs).DesignBefore/after survey study.SettingUniversity of Split School of Medicine.Participants115 community pharmacists from all over the Croatia.InterventionsAn interactive 3-day clinical pharmacy workshop with the goal of increasing the knowledge level of community pharmacists in Croatia to identify and resolve DRPs in routine practice. Teaching methods were based on interactive clinical case solving.Outcome measureChange of the community pharmacists’ knowledge based on preworkshop and postworkshop evaluation. A survey-based clinical knowledge measurement tool was used in order to evaluate the efficacy of the workshop. The lowest possible total score was 0 and the highest was 80. A higher survey score indicates a higher level of clinical knowledge to identify and resolve DRPs.ResultsParticipating pharmacists had significantly higher postworkshop mean survey score (49.1±8.0) than the preworkshop mean survey score (42.9±8.2), with the mean score difference of 6.2 (95% CI 4.3 to 8.1). Furthermore, it was found that community pharmacists significantly increased their survey scores, regardless of their age.ConclusionsInteractive and case-based clinical pharmacy workshop could be a valuable tool to increase the knowledge of community pharmacists about identification and management of DRPs in routine practice. However, further studies are necessary to evaluate the long-term knowledge maintenance and the improvement in patients’ clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

Improving community pharmacists’ clinical knowledge to detect and resolve drug-related problems in Croatia: a before/after survey study investigating the efficacy of an educational intervention

et al. 2020

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“…The results were reassuring because most pharmacists responded that they are willing to up‐skill even though their reported knowledge and confidence are low. Studies have shown that the provision of training, clinical support from experts and a clinical decision support system reduces drug‐related problems in CKD patients …”

Section: Discussionmentioning

confidence: 99%

“…Pharmacists can help to ensure patient safety by providing screening, dispensing, inspection, counselling and inpatient pharmaceutical services . Studies have shown that pharmacist involvement in medication review, monitoring of treatment regimens, education, counselling and disease management has a positive effect on CKD and ESRD patients …”

Section: Introductionmentioning

confidence: 99%

“…Several factors were identified in that study, including a lack of patient‐related information, time and awareness of the importance of patient renal function . Another multicentre study showed that community pharmacists with access to clinical data, appropriate training and support from hospital pharmacists with expertise in the area provided better patient care …”

Section: Introductionmentioning

confidence: 99%

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Pharmacists’ attitude, self‐reported knowledge and practice of dosage adjustment among chronic kidney disease patients in Malaysia

Teh¹,

Lee

2019

Pharmacy Practice and Res

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Drug-related issues, such as inappropriate drug dosing, are pervasive patient issues that are particularly common among chronic kidney disease (CKD) patients. Pharmacists have the expertise to play an important role in avoiding such problems. The aim of the present study was to explore pharmacists' self-perceived knowledge, attitude and practice towards dosage adjustment among CKD patients. A cross-sectional, Web-based, self-administered survey was conducted among 1594 registered pharmacists in Malaysia. Participants were surveyed regarding their perceived knowledge, attitude and implementation of drug dosage adjustment based on renal function among CKD patients in their practice. The study was completed by 234 pharmacists (14.7%). More than four-fifths of respondents (n = 199) reported that they are practicing dosage adjustment. The median self-perceived knowledge score was 27.0 (of a total of 45). Pharmacists younger than 29 years of age and those practicing in hospitals had higher knowledge of drug dosage adjustments. Female pharmacists were more likely to express interest in being involved in the identification, monitoring and resolution of drug therapy problems for CKD patients (p = 0.02). The two most common obstacles reported by pharmacists who did not practice dosage adjustment were a lack of information regarding a patient's renal function status (76%) and medical history (74%). Further training should be given to pharmacists to improve knowledge and awareness. An alert card could be implemented to record a patient's renal function to improve communication between hospitals and primary care settings.

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“…In another cluster randomized controlled trial, Lalonde and colleagues introduced a training and communication network program for pharmacists as part of the multidisciplinary care of people with CKD in Quebec, Canada. 22 In a cohort of patients already benefiting from multidisciplinary care, the introduction of the program improved the quality of medication use and reduced the number of drug-related problems by 15%. It seems intuitive that access to multidisciplinary care providers may be attractive to many patients; however, the impact on patient experience and the optimal design and involvement of team members still remains unclear.…”

Section: Management Of Patients With Ckd G4+mentioning

confidence: 99%

Improving the prognosis of patients with severely decreased glomerular filtration rate (CKD G4+): conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference

Eckardt

Bansal

Coresh

et al. 2018

Kidney International

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Patients with severely decreased glomerular filtration rate (GFR) (i.e., chronic kidney disease [CKD] G4+) are at increased risk for kidney failure, cardiovascular disease (CVD) events (including heart failure), and death. However, little is known about the variability of outcomes and optimal therapeutic strategies, including initiation of kidney replacement therapy (KRT). Kidney Disease: Improving Global Outcomes (KDIGO) organized a Controversies Conference with an international expert group in December 2016 to address this gap in knowledge. In collaboration with the CKD Prognosis Consortium (CKD-PC) a global meta-analysis of cohort studies (n = 264,515 individuals with CKD G4+) was conducted to better understand the timing of clinical outcomes in patients with CKD G4+ and risk factors for different outcomes. The results confirmed the prognostic value of traditional CVD risk factors in individuals with severely decreased GFR, although the risk estimates vary for kidney and CVD outcomes. A 2- and 4-year model of the probability and timing of kidney failure requiring KRT was also developed. The implications of these findings for patient management were discussed in the context of published evidence under 4 key themes: management of CKD G4+, diagnostic and therapeutic challenges of heart failure, shared decision-making, and optimization of clinical trials in CKD G4+ patients. Participants concluded that variable prognosis of patients with advanced CKD mandates individualized, risk-based management, factoring in competing risks and patient preferences.

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Community Pharmacist Training-and-Communication Network and Drug-Related Problems in Patients With CKD: A Multicenter, Cluster-Randomized, Controlled Trial

Cited by 22 publications

References 40 publications

Improving community pharmacists’ clinical knowledge to detect and resolve drug-related problems in Croatia: a before/after survey study investigating the efficacy of an educational intervention

Improving community pharmacists’ clinical knowledge to detect and resolve drug-related problems in Croatia: a before/after survey study investigating the efficacy of an educational intervention

Pharmacists’ attitude, self‐reported knowledge and practice of dosage adjustment among chronic kidney disease patients in Malaysia

Improving the prognosis of patients with severely decreased glomerular filtration rate (CKD G4+): conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference

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