Suitability of teriparatide and level of acceptance of pharmacotherapeutic recommendations in a healthcare management area.

Autor:	Cantudo-Cuenca MR; Clinical Management Unit (CMU) of Pharmacy; Healthcare Management Area: South Seville.. rosa_cantudo@hotmail.com., Guzmán Ramos MI; Clinical Management Unit (CMU) of Pharmacy; Healthcare Management Area: South Seville.. rosa_cantudo@hotmail.com., Cantudo Cuenca MD; Clinical Management Unit (CMU) of Pharmacy, Hospital San Juan de Dios. Spain.. rosa_cantudo@hotmail.com., Manzano García M; Clinical Management Unit (CMU) of Pharmacy; Healthcare Management Area: South Seville.. rosa_cantudo@hotmail.com., Saborido Cansino Mdel C; Clinical Management Unit (CMU) of Pharmacy; Healthcare Management Area: South Seville.. rosa_cantudo@hotmail.com., Sánchez Pedrosa A; Clinical Management Unit (CMU) of Pharmacy; Healthcare Management Area: South Seville.. rosa_cantudo@hotmail.com.
Jazyk:	angličtina
Zdroj:	Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria [Farm Hosp] 2016 Jun 01; Vol. 40 (4), pp. 237-45. Date of Electronic Publication: 2016 Jun 01.
DOI:	10.7399/fh.2016.40.4.9953
Abstrakt:	Objective: To analyse the suitability of teriparatide prescriptions for osteoporosis treatment in a health management area, as well as the level of acceptance of pharmacotherapeutic recommendations made to physicians. Design: A prospective interventional study conducted from february 2015 to june 2015. Setting: South Seville Health Management Area. Participants: Patients receiving teriparatide. Main Measurements: Suitability of teriparatide prescriptions according to Clinical Practice Guidelines and level of acceptance of pharmacotherapeutic recommendations. Results: Teriparatide prescriptions were unsuitable in 45 patients (68.2%); 11 due to no indication, 17 patients did not have previous treatments with first-line drugs, 6 due to contraindications and 9 patients were treated for more than 24 months with the drug. Besides, 4 prescriptions were unsuitable because of combination with other therapies. The acceptance of pharmacotherapeutic recommendations was 64.4%, leading to teriparatide discontinuation in 21 patients (72.4%), and a switch to alendronate or ibandronate in another 8 patients. Conclusions: A high percentage of teriparatide prescriptions is unsuitable in our health care management area, but it has decreased after pharmacist intervention. (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
Databáze:	MEDLINE
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