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外来化学療法におけるがん専門薬剤師による長期継続的な薬学的患者管理の有用性の検討

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Title: 外来化学療法におけるがん専門薬剤師による長期継続的な薬学的患者管理の有用性の検討
Other Titles: Survey of the Efficacy of Long-term and Successive Pharmaceutical Care in Outpatient Chemotherapy by Oncology Pharmacy Specialists
Authors: 齋藤, 佳敬1 Browse this author →KAKEN DB
原田, 幸子2 Browse this author
小林, 正紀3 Browse this author →KAKEN DB
植田, 孝介4 Browse this author
山崎, 浩二郎5 Browse this author
熊井, 正貴6 Browse this author
宮本, 剛典7 Browse this author
笠師, 久美子8 Browse this author
山田, 武宏9 Browse this author
小松, 嘉人10 Browse this author →KAKEN DB
井関, 健11 Browse this author →KAKEN DB
Authors(alt): Saito, Yoshitaka1
Harada, Sachiko2
Kobayashi, Masaki3
Ueda, Kosuke4
Yamazaki, Kojiro5
Kumai, Masayoshi6
Miyamoto, Takenori7
Kasashi, Kumiko8
Yamada, Takehiro9
Komatsu, Yoshito10
Iseki, Ken11
Keywords: pharmaceutical care
outpatient chemotherapy
supportive care
intervention
Issue Date: Nov-2018
Publisher: The Pharmaceutical Society of Japan
Journal Title: 薬学雑誌
Journal Title(alt): Journal of the pharmaceutical society of Japan
Volume: 138
Issue: 11
Start Page: 1409
End Page: 1416
Publisher DOI: 10.1248/yakushi.18-00081
PMID: 30381649
Abstract: It is important that pharmacists ensure safe chemotherapy implementation. In addition to inspecting chemotherapeutic prescriptions according to patient condition and drug-drug interactions, the management of chemotherapy-induced adverse effects and associated pharmaceutical intervention is one of the most important responsibilities of pharmacists in medical care teams. In May 2016, an oncology pharmacist was set responsible for the specialized, long-term, and successive pharmaceutical care, including instructions about appropriate use of medication at an outpatient chemotherapy center. We evaluated the effectiveness of the continuous pharmaceutical care. The number of medication counseling and associated pharmaceutical interventions increased with time. Specifically, the number of pharmaceutical interventions (prescription questions and pharmaceutical proposals) was 745 (459 and 286, respectively) in the surveillance period, which significantly increased compared to that observed within the same duration before posting an oncology pharmacist. The adoption rate was approximately 70% for prescription questions and 98% for pharmaceutical proposals. We also found that approximately 70% of the proposals attenuated the painful symptoms. Furthermore, approximately 60% of all pharmaceutical interventions were established after the third visit; in particular, approximately 20% of the pharmaceutical proposals were suggested after the sixth visit, indicating that continuous medication counseling results in an increase in pharmaceutical proposals. In conclusion, long-term and successive pharmaceutical care by oncology pharmacy specialists in outpatient chemotherapy contributes to a safe and less onerous chemotherapy implementation, as it has been highly adopted, is effective in many cases, and has been proven to be important for risk management in chemotherapy.
Rights: Copyright 2018 The Pharmaceutical Society of Japan
Type: article
URI: http://hdl.handle.net/2115/72151
Appears in Collections:薬学研究院 (Faculty of Pharmaceutical Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 小林 正紀

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