Medication Use of Patients in Hemodialysis Patients

A special issue of Pharmacy (ISSN 2226-4787).

Deadline for manuscript submissions: closed (31 July 2021) | Viewed by 3252

Special Issue Editor


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Guest Editor
Department of Pharmacy, University Health Network, Leslie Dan Faculty of Pharmacy University of Toronto, Toronto, ON M4G 2C4, Canada
Interests: medication optimization in chronic kidney disease

Special Issue Information

Dear Colleagues,

Polypharmacy refers to the use of multiple concurrent medications, typically five or more per day. Consequences of polypharmacy can be numerous and drastic. These include adverse drug reactions, drug–drug interactions, non-adherence, increased risk of cognitive impairment, impaired balance, and falls; and finally, an increased risk of morbidity, hospitalization, and mortality by greater than 45%.2-Patients on hemodialysis (HD) have the highest pill burden of all chronically ill patient populations, taking on average 12 + 5 distinct medications per day.

We invite you to share your approaches and successes in understanding and improving medication use in patients on hemodialysis. We hope this Special Issue will inspire other clinicians to share their own practices, adopt new approaches, and innovate to help patients on hemodialysis manage their medications.

Prof. Dr. Marisa Battistella
Guest Editor

Manuscript Submission Information

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Keywords

  • medication use
  • medication optimization
  • deprescribing
  • chronic kidney disease
  • hemodialysis

Published Papers (1 paper)

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Research

13 pages, 3012 KiB  
Article
Evaluation of a Pharmacist–Dietician-Led Patient-Centered Approach to Managing CKD-MBD: A Mixed-Method Study
by Tamara Baker, Heather Naylor, Bryanne MacNeil and Martin MacKinnon
Pharmacy 2020, 8(3), 171; https://doi.org/10.3390/pharmacy8030171 - 14 Sep 2020
Cited by 2 | Viewed by 2794
Abstract
Chronic kidney disease mineral and bone disorder (CKD-MBD) is a common complication in end-stage renal disease (ESRD). To improve prescribing consistency and patient outcomes, a patient-centered, pharmacist–dietician-led approach to managing CKD-MBD was developed. The purpose of this study was to evaluate if the [...] Read more.
Chronic kidney disease mineral and bone disorder (CKD-MBD) is a common complication in end-stage renal disease (ESRD). To improve prescribing consistency and patient outcomes, a patient-centered, pharmacist–dietician-led approach to managing CKD-MBD was developed. The purpose of this study was to evaluate if the new approach impacted serum markers of CKD-MBD and medication burden, and to evaluate patient satisfaction. A single-arm, pre–post, mixed-methods study was conducted. Serum markers of CKD-MBD and medication data were collected pre- and post-intervention, and a patient survey administered post-intervention. Focus groups were conducted, transcribed, and analyzed thematically. No statistically significant differences in serum markers of CKD-MBD or medication burden were found. Eighty-seven percent of patients were satisfied with their care, however, 31% were very dissatisfied with medical explanations provided to them and 48% felt their allotted time with healthcare professionals was too short. Four major themes identified from focus groups included lack of privacy, knowledge and perceptions of blood work rounds, issues with taking phosphate binders, and areas for increased patient education. Patients would prefer more information regarding their blood work results and more time with the healthcare team. Areas for expanded education include renal diet, phosphate binders, and consequences of abnormal bloodwork. Full article
(This article belongs to the Special Issue Medication Use of Patients in Hemodialysis Patients)
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