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Titolo:
Clinical and economic impact of ambulatory care clinical pharmacists in management of dyslipidemia in older adults: The IMPROVE study
Autore:
Ellis, SL; Carter, BL; Malone, DC; Billups, SJ; Okano, GJ; Valuck, RJ; Barnette, DJ; Sintek, CD; Covey, D; Mason, B; Jue, S; Carmichael, J; Guthrie, K; Dombrowski, R; Geraets, DR; Amato, M;
Indirizzi:
Univ Colorado, Hlth Sci Ctr, Sch Pharm, Denver, CO 80262 USA Univ Colorado Denver CO USA 80262 ci Ctr, Sch Pharm, Denver, CO 80262 USA VAMC, Denver, CO USA VAMC Denver CO USAVAMC, Denver, CO USA James A Haley Vet Hosp, Tampa, FL 33612 USA James A Haley Vet Hosp Tampa FL USA 33612 y Vet Hosp, Tampa, FL 33612 USA VAMC, Boise, ID USA VAMC Boise ID USAVAMC, Boise, ID USA VAMC, Reno, NV USA VAMC Reno NV USAVAMC, Reno, NV USA John L McClellan Mem Vet Hosp, Little Rock, AR USA John L McClellan Mem Vet Hosp Little Rock AR USA sp, Little Rock, AR USA VAMC, Baltimore, MD USA VAMC Baltimore MD USAVAMC, Baltimore, MD USA VAMC, Iowa City, IA USA VAMC Iowa City IA USAVAMC, Iowa City, IA USA STVHCS, Audie Murphy Div, San Antonio, TX USA STVHCS San Antonio TX USASTVHCS, Audie Murphy Div, San Antonio, TX USA
Titolo Testata:
PHARMACOTHERAPY
fascicolo: 12, volume: 20, anno: 2000,
pagine: 1508 - 1516
SICI:
0277-0008(200012)20:12<1508:CAEIOA>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
AVERAGE CHOLESTEROL LEVELS; COMMUNITY PHARMACY; CORONARY EVENTS; PRAVASTATIN; PREVENTION; PHYSICIAN; REDUCTION; DISEASE; TEAM; MEN;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Carter, BL Univ Iowa, Coll Pharm, Div Clin & Adm Pharm, S532, Iowa City, IA 52242 USA Univ Iowa S532 Iowa City IA USA 52242 , Iowa City, IA 52242 USA
Citazione:
S.L. Ellis et al., "Clinical and economic impact of ambulatory care clinical pharmacists in management of dyslipidemia in older adults: The IMPROVE study", PHARMACOTHE, 20(12), 2000, pp. 1508-1516

Abstract

We examined the impact of ambulatory care clinical pharmacist interventions on clinical and economic outcomes of 208 patients with dyslipidemia and 229 controls treated at nine Veterans Affairs medical centers. This was a randomized, controlled trial involving patients at high risk of drug-related problems. Only those with dyslipidemia are reported here. In addition to usual medical care, clinical pharmacists were responsible for providing pharmaceutical care for patients in the intervention group. The control group did not receive pharmaceutical care. Seventy-two percent of the intervention group and 70% of controls required secondary prevention according to the National Cholesterol Education Program guidelines. Significantly more patients in the intervention group had a fasting lipid profile compared with controls (p=0.021). The absolute change in total cholesterol (17.7 vs 7.4 mg/dl,p=0.028) and low-density lipoprotein (23.4 vs 12.8 mg/dl, p=0.042) was greater in the intervention than in the control group. There were no differences in patients achieving goal lipid values or in overall costs despite increased visits to pharmacists. Ambulatory care clinical pharmacists can significantly improve dyslipidemia in a practice setting designed to manage manymedical and drug-related problems.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 21:33:19