IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i8p4370-d539703.html
   My bibliography  Save this article

Pharmacist-Led Collaborative Medication Management for the Elderly with Chronic Kidney Disease and Polypharmacy

Author

Listed:
  • A Jeong Kim

    (Department of Pharmacy, Seoul National University Hospital, Seoul 03080, Korea
    A Jeong Kim and Hayeon Lee should be considered joint first author.)

  • Hayeon Lee

    (Department of Pharmacy, Seoul National University Hospital, Seoul 03080, Korea
    A Jeong Kim and Hayeon Lee should be considered joint first author.)

  • Eun-Jeong Shin

    (Department of Pharmacy, Seoul National University Hospital, Seoul 03080, Korea)

  • Eun-Jung Cho

    (Department of Pharmacy, Seoul National University Hospital, Seoul 03080, Korea)

  • Yoon Sook Cho

    (Department of Pharmacy, Seoul National University Hospital, Seoul 03080, Korea)

  • Hajeong Lee

    (Division of Nephrology, Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea)

  • Ju-Yeun Lee

    (College of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul 08826, Korea)

Abstract

Inappropriate polypharmacy is likely in older adults with chronic kidney disease (CKD) owing to the considerable burden of comorbidities. We aimed to describe the impact of pharmacist-led geriatric medication management service (MMS) on the quality of medication use. This retrospective descriptive study included 95 patients who received geriatric MMS in an ambulatory care clinic in a single tertiary-care teaching hospital from May 2019 to December 2019. The average age of the patients was 74.9 ± 7.3 years; 40% of them had CKD Stage 4 or 5. Medication use quality was assessed in 87 patients. After providing MMS, the total number of medications and potentially inappropriate medications (PIMs) decreased from 13.5 ± 4.3 to 10.9 ± 3.8 and 1.6 ± 1.4 to 1.0 ± 1.2 (both p < 0.001), respectively. Furthermore, the number of patients who received three or more central nervous system-active drugs and strong anticholinergic drugs decreased. Among the 354 drug-related problems identified, “missing patient documentation” was the most common, followed by “adverse effect” and “drug not indicated.” The most frequent intervention was “therapy stopped”. In conclusion, polypharmacy and PIMs were prevalent in older adults with CKD; pharmacist-led geriatric MMS improved the quality of medication use in this population.

Suggested Citation

  • A Jeong Kim & Hayeon Lee & Eun-Jeong Shin & Eun-Jung Cho & Yoon Sook Cho & Hajeong Lee & Ju-Yeun Lee, 2021. "Pharmacist-Led Collaborative Medication Management for the Elderly with Chronic Kidney Disease and Polypharmacy," IJERPH, MDPI, vol. 18(8), pages 1-8, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4370-:d:539703
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/8/4370/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/8/4370/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Agnus M. Kim & Seongcheol Cho & Hyun Joo Kim & Hyemin Jung & Min-Woo Jo & Jin Yong Lee & Sang Jun Eun, 2018. "Primary Care Patients’ Preference for Hospitals over Clinics in Korea," IJERPH, MDPI, vol. 15(6), pages 1-11, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yanchen Liu & Yingchun Chen & Xueyan Cheng & Yan Zhang, 2020. "Performance and Sociodemographic Determinants of Excess Outpatient Demand of Rural Residents in China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(16), pages 1-14, August.
    2. Agnus M. Kim & Seongcheol Cho & Hyun Joo Kim & Min-Woo Jo & Sang Jun Eun & Jin Yong Lee, 2018. "Rethinking the Role of the Public Health Clinic: Comparison of Outpatient Utilization in the Public Health Clinics and Private Clinics in Korea," IJERPH, MDPI, vol. 15(7), pages 1-12, June.
    3. Agnus M. Kim & Sungchan Kang & Jong Heon Park & Yoon Kim, 2020. "Regional Variation of Hospitalization Rates for Asthma in Korea: Association with Ambient Carbon Monoxide and Health Care Supply," IJERPH, MDPI, vol. 17(4), pages 1-10, February.
    4. Hyemin Jung & Min-Woo Jo & Hyun Joo Kim & Won Mo Jang & Sang Jun Eun & Jin Yong Lee, 2019. "General Public’s Perspectives on Medical Doctors and Local Clinics in South Korea," IJERPH, MDPI, vol. 16(11), pages 1-9, June.
    5. Hanbit Lee & Eun Kyoung Choi & Kyung A. Min & Eunjeong Bae & Hooyun Lee & Jongsoo Lee, 2022. "Physician-Customized Strategies for Reducing Outpatient Waiting Time in South Korea Using Queueing Theory and Probabilistic Metamodels," IJERPH, MDPI, vol. 19(4), pages 1-15, February.
    6. Yanbing Zeng & Yuanyuan Wan & Zhipeng Yuan & Ya Fang, 2021. "Healthcare-Seeking Behavior among Chinese Older Adults: Patterns and Predictive Factors," IJERPH, MDPI, vol. 18(6), pages 1-18, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4370-:d:539703. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.