Implementing a pharmacist-led, individualized medication assessment and planning (iMAP) intervention to reduce medication related problems among older adults with cancer

Journal of Geriatric Oncology
Ginah NightingaleAndrew Chapman

Abstract

Medication-related problems (MRP) affecting older adults are a significant healthcare concern and account for billions in medication-related morbidity. Cancer therapies can increase the prevalence of MRP. The objective of this study was to test the feasibility and effectiveness of implementing a pharmacist-led individualized medication assessment and planning (iMAP) intervention on the number and prevalence of MRP. This prospective pilot study enrolled oncology outpatients aged ≥65years. Intervention feasibility encompassed recommendation acceptance rate and intervention delivery time. The intervention was facilitated by pharmacists where patients received comprehensive medication management at baseline and at the 30- and 60-day follow-up. Forty-eight eligible patients enrolled and 41 patients (85.4%) were included in the analysis. Mean age was 79.1years [range 65-101]; 66% women, 83% Caucasian, mean comorbidity count was 7.76. Forty-six percent of the pharmacist recommendations were accepted and the prevalence of MRP at baseline versus 60-day follow-up decreased by 20.5%. The average time to conduct the initial session was 22min versus 15min for the follow-up sessions. Resources needed included a tracking system for scheduling...Continue Reading

Citations

Aug 31, 2019·The International Journal of Pharmacy Practice·Madjda Samir AbdinLine Guénette
Nov 7, 2019·European Journal of Cancer Care·Elze VrijkorteThijs Oude Munnink
May 18, 2019·American Society of Clinical Oncology Educational Book·Allison MagnusonKelly M Trevino
Feb 23, 2020·International Journal of Clinical Pharmacy·Rashida Muhammad UmarPerran Fulden Yumuk
Dec 20, 2019·Journal of Oncology Pharmacy Practice : Official Publication of the International Society of Oncology Pharmacy Practitioners·Danielle S ChunJennifer L Lund
Jan 21, 2021·Current Problems in Cancer·George N OkoliDavid E Dawe
Feb 17, 2021·Journal of Geriatric Oncology·Ginah NightingaleAndrew Chapman
Dec 24, 2020·Journal of Geriatric Oncology·Ashley BarlowGinah Nightingale
Jul 25, 2021·International Journal of Environmental Research and Public Health·Ana Rita PaivaFátima Roque
Oct 8, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Lisanne N van Merendonk, Mirjam Crul

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