Danielle Cooney|Helen Moon|Yang Liu|R. Tyler Miller|Adam T. Perzynski|Brook Watts|Paul Drawz
A pharmacist based intervention to improve the care of patients with CKD: a pragmatic, randomized, controlled trial
Louis Stokes Cleveland VA Medical Center|Louis Stokes Cleveland VA Medical Center|Case Western Reserve University|The University of Texas Southwestern Medical Center|Case Western Reserve University|Case Western Reserve University|University of Minnesota
primary care providers routinely follow guidelines care patients chronic kidney disease ckd multidisciplinary efforts may improve care patients chronic disease pharmacist based interventions effectively improved management hypertension performed pragmatic randomized controlled trial evaluate effect pharmacist based quality improvement program 1 outcomes patients ckd 2 adherence ckd guidelines primary care settingpatients moderate severe ckd receiving primary care services one thirteen communitybased veterans affairs outpatient clinics randomized multifactorial intervention included phonebased pharmacist intervention pharmacistphysician collaboration patient education ckd registry n 1070 usual care n 1129 primary process outcome measurement parathyroid hormone pth one year study period primary clinical outcome blood pressure bp control subjects poorly controlled hypertension baselineamong poorly controlled baseline bp difference last recorded bp percent goal bp study period 420 vs 412 control arm subjects intervention arm likely pth measured study period 469 vs 161 control arm p 0001 classes antihypertensive medications end study p 002a onetime pharmacist based intervention proved feasible patients ckd intervention improve bp control improve guideline adherence increased number antihypertensive medications prescribed subjects poorly controlled bp findings inform design quality improvement programs future studies needed improve care patients ckdclinicaltrialsgov nct01290614