AI Article Synopsis
- A structured medication review can enhance the safety and effectiveness of drug therapy for patients undergoing bariatric surgery due to changes in how their bodies process medications after the surgery.
- The study involved both retrospective and prospective evaluations, comparing patient medication interventions before and after implementing the structured review process.
- Results showed a significant increase in pharmacy-led interventions from 2.6% to 45% after the introduction of the medication review, indicating it is beneficial to address medication-related risks prior to surgery.
Article Abstract
Purpose: More medication-related issues are seen with the growing demand for bariatric surgery, because of possible altered pharmacokinetics after surgery. Collaboration with a pharmacist could improve the short- and long-term safety and efficacy of pharmacotherapy in patients undergoing bariatric surgery. The aim of this study was to evaluate the impact of a structured medication review to identify medication-related risks before bariatric surgery.
Materials And Methods: The impact on pharmacy-led interventions of introducing a structured medication review was evaluated in a historically controlled study. In the retrospective part, we evaluated patient characteristics, medication use, and number of pre-surgery consultations with a pharmacist before the introduction of medication reviews. A flowchart was developed to detect the use of medicines with risks associated with bariatric surgery. In the prospective part, we evaluated pharmacy-led interventions after the introduction of structured medication reviews using the flowchart. Outcome effectiveness was measured through the number of pre-surgery pharmacy-led interventions.
Results: Before using the flowchart for screening on risk medicines, 40 (2.6%) pharmacy-led interventions were identified in 1536 patients. In the prospective group, 195 patients were included and 88 (45%) interventions were identified (p < 0.001).
Conclusion: A structured medication review before bariatric surgery significantly increased the number of pharmacy-led interventions in bariatric surgery patients. This procedure will shift interventions to pre-surgery instead of post-surgery, contributing to the optimization of pharmacotherapy at an early stage.
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Source |
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| http://dx.doi.org/10.1007/s11695-023-06889-5 | DOI Listing |
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