End Stage Renal Disease
Conditions
Keywords
Document the number, type, and severity of DRPs, in HD patients., Determine the rates and categorization of, DRPs-associated hospitalizations in HD patients., Document the number and types of pharmaceutical, Care Interventions., Determine the outcomes of pharmaceutical care, Intervention, Determine the rate of acceptance of pharmaceutical, Care Interventions ., Assign significance rank to pharmaceutical, Determine annual drug cost in HD patients., Determine drug cost associated for treatment, of each HD patient comorbidity., Determine Quality of Life (QoL) using a renal, -specific instrument
Brief summary
The purpose of this study is to evaluate the effects of pharmaceutical care interventions in the ambulatory hemodialysis patients over a one-year period. Cost containment occurs through pharmaceutical care interventions designed to identify and ameliorate drug-related problems (DRPs), improve the cost-effectiveness of therapeutic regimens and prevent hospitalizations.
Detailed description
Approximately 350,000 end-stage renal disease (ESRD) patients in the United States utilized over $17.9 billion Medicare dollars in 1999. The ESRD population and cost is projected to double by 2010. ESRD patients have a mean of 5 comorbidities per patient and are prescribed a median of eight medications. The average monthly medication cost per patient is approximately $1,200.00. For every dollar spent on medication an additional $1.77 is spent on drug-related problems (DRPs). Dialysis patients are at high risk for DRPs. It is unknown if continued pharmacist intervention in hemodialysis patients will improve patient care, reduce medication utilization and cost, and prevent hospitalization as seen in other populations. The purpose of this study is to investigate the impact of continued pharmacist intervention in ambulatory hemodialysis patients.
Interventions
OTHERBehavioral Patient care
chart review
Sponsors
University of New Mexico
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients are eligible for inclusion in the study if they have been on HD for greater than three months, greater than 18 years of age, those who plan to be continuously enrollment in therapy at the same dialysis center throughout the duration of the study. Informed consent will be obtained on eligible patients. The study is to be approved by the Human Research Review Committee prior to initiation.
Exclusion criteria
* Patients will be excluded if they have been on HD for less than three months, decline the opportunity to participate, or are less than 18 years of age.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction in at home medications | through study completion, an average of 1 year | Behavioral: Patent care |
Outcome results
None listed