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Böhm, D.T.M.M.; Berghuis, K.; Said, M.; Kerskes, M.C.H.M.; Deenen, M.J.; Bastiaans, D.E.T. (2023)

"Identification of medication-related risks in bariatric surgery patients by performing structured medication reviews

Article / Letter to editor
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...Show morePurpose 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.Show less
Pharmacotherapy
Bariatric surgery
Medication-related risks
Pharmacy-led interventions
Structured medication reviews
All authors
Böhm, D.T.M.M.; Berghuis, K.; Said, M.; Kerskes, M.C.H.M.; Deenen, M.J.; Bastiaans, D.E.T.
Date
2023-10-26
Journal
Obesity Surgery
Volume
33
DOI
doi:10.1007/s11695-023-06889-5
Link
https://link.springer.com/article/10.1007/s11695-023-06889-5