Role of a Pharmacist in Postdischarge Care for Patients With Kidney Disease: A Scoping Review-Reference-Cited by-同舟云学术

Role of a Pharmacist in Postdischarge Care for Patients With Kidney Disease: A Scoping Review

Published:2024-04-02 Issue: Volume: Page:
ISSN:1060-0280
Container-title:Annals of Pharmacotherapy
language:en
Short-container-title:Ann Pharmacother

Author:

Manis Melanie M.¹²^ORCID,Skelley Jessica W.¹,Read J. Braden¹,Maxson Rebecca³,O’Hagan Emma⁴^ORCID,Wallace Jessica L.⁵⁶,Siew Edward D.⁷⁸,Barreto Erin F.⁹^ORCID,Silver Samuel A.¹⁰,Kane-Gill Sandra L.¹¹,Neyra Javier A.²

Affiliation:

1. Department of Pharmacy Practice, McWhorter School of Pharmacy, Samford University, Birmingham, AL, USA

2. Division of Nephrology, Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA

3. Department of Pharmacy Practice, Harrison College of Pharmacy, Auburn University, Auburn, AL, USA

4. Department of Libraries, The University of Alabama at Birmingham, Birmingham, AL, USA

5. Department of Pharmacy Practice, College of Pharmacy, Lipscomb University, Nashville, TN, USA

6. Department of Pharmacy, Vanderbilt University Medical Center, Nashville, TN, USA

7. Division of Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, TN, USA

8. Tennessee Valley Health Systems (TVHS), Nashville Veterans Affairs Medical Center, Nashville, TN, USA

9. Department of Pharmacy, Mayo Clinic, Rochester, MN, USA

10. Division of Nephrology, Kingston Health Sciences Center, Queen’s University, Kingston, ON, Canada

11. Department of Pharmacy and Therapeutics, School of Pharmacy, University of Pittsburgh, Pittsburgh, PA, USA

Abstract

Objective: The objective was to explore and describe the role of pharmacists in providing postdischarge care to patients with kidney disease. Data Sources: PubMed, Embase (Elsevier), CINAHL (Ebscohost), Web of Science Core Collection, and Scopus were searched on January 30, 2023. Publication date limits were not included. Search terms were identified based on 3 concepts: kidney disease, pharmacy services, and patient discharge. Experimental, quasi-experimental, observational, and qualitative studies, or study protocols, describing the pharmacist’s role in providing postdischarge care for patients with kidney disease, excluding kidney transplant recipients, were eligible. Study Selection and Data Extraction: Six unique interventions were described in 10 studies meeting inclusion criteria. Data Synthesis: Four interventions targeted patients with acute kidney injury (AKI) during hospitalization and 2 evaluated patients with pre-existing chronic kidney disease. Pharmacists were a multidisciplinary care team (MDCT) member in 5 interventions and were the sole provider in 1. Roles commonly identified include medication review, medication reconciliation, medication action plan formation, kidney function assessment, drug dose adjustments, and disease education. Some studies showed improvements in diagnostic coding, laboratory monitoring, medication therapy problem (MTP) resolution, and patient education; prevention of hospital readmission was inconsistent. Limitations include lack of standardized reporting of kidney disease, transitions of care processes, and differences in outcomes evaluated. Relevance to Patient Care and Clinical Practice: This review identifies potential roles of a pharmacist as part of a postdischarge MDCT for patients with varying degrees of kidney disease. Conclusions: The pharmacist’s role in providing postdischarge care to patients with kidney disease is inconsistent. Multidisciplinary care teams including a pharmacist provided consistent identification and resolution of MTPs, improved patient education, and increased self-awareness of diagnosis.

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/10600280241240409

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