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- Title
Identification of Medication-Related Risks in Bariatric Surgery Patients by Performing Structured Medication Reviews.
- Authors
Böhm, Doortje T.M.M.; Berghuis, Kim; Said, Mohammed; Kerskes, Marieke C.H.M.; Deenen, Maarten J.; Bastiaans, Diane E.T.
- 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.
- Subjects
MEDICATION reconciliation; BARIATRIC surgery; GASTRIC bypass; MEDICATION safety; MEDICAL screening; DRUG therapy
- Publication
Obesity Surgery, 2023, Vol 33, Issue 12, p3932
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-023-06889-5