Abstract
CKD Care: Evaluating the Role of Clinical Pharmacists: FR-PO1105
Journal of the American Society of Nephrology, Vol.35(10S)
10/2024
DOI: 10.1681/ASN.20245bwj7gvr
Abstract
Background:
Clinical pharmacists are proven to lower cardiovascular (CV) risks in chronic disease management. Chronic kidney disease (CKD) increases CV events, yet studies on clinical pharmacist-driven CKD care remain scarce. We evaluated the pharmacist utilization in CKD within the Veterans Health Administration–known for its robust clinical pharmacist workforce.
Methods:
We conducted a retrospective cohort study of Veterans with CKD. CKD was defined by an estimated glomerular filtration rate (eGFR) <60 mL/min (measured twice, ≥90 days apart) during 2018 to 2019. Pharmacist users were individuals who had at least 1 clinic visit with a clinical pharmacist. Logistic regression analysis was used to identify factors associated with pharmacist use.
Results:
Our cohort (732,003 Veterans with CKD) was predominantly White (72%) and male (96%), with mean age=75 years (yrs) and mean eGFR=46 mL/min; 37% lived in rural areas. 22% were identified as pharmacist users. Compared to pharmacist non-users, pharmacist users were younger (70 vs. 75 years), less likely to live in rural areas (35% vs. 37%) and had a higher prevalence of diabetes mellitus (74% vs. 46%). Logistic regression analysis indicated lower pharmacist utilization among Veterans aged ≥70 yrs (odds ratio [OR] 0.82 for age 70-79 yrs and 0.63 for age ≥80 yrs, p <0.01), particularly in rural areas (p for interaction, <0.05) as shown in Figure. Rurality was associated with underutilization of pharmacist-led care (OR, 0.92, p <0.001). Clinical pharmacist utilization did not differ across varied CKD stages (p >0.05).
Conclusion:
Approximately 1 in 5 Veterans with CKD utilize clinical pharmacist care. Older age and rural residence significantly associate with underutilization of pharmacists in CKD care.
Details
- Title: Subtitle
- CKD Care: Evaluating the Role of Clinical Pharmacists: FR-PO1105
- Creators
- Masaaki Yamada - University of IowaQianyi Shi - University of Iowa Hospitals and ClinicsBrian C. Lund - Iowa City VA Medical CenterMary K. Good - University of Iowa, Internal MedicineBenjamin R. Griffin - University of IowaMelissa L. Swee - University of IowaSadaf Akbari - University of IowaKorey Kennelty - University of IowaElissa Z. Faro - University of IowaMary Vaughan SarrazinDiana I. Jalal - University of Iowa
- Resource Type
- Abstract
- Publication Details
- Journal of the American Society of Nephrology, Vol.35(10S)
- DOI
- 10.1681/ASN.20245bwj7gvr
- ISSN
- 1046-6673
- eISSN
- 1533-3450
- Publisher
- AMER SOC NEPHROLOGY; WASHINGTON
- Grant note
- Veterans Affairs
Veterans Affairs Support
- Language
- English
- Date published
- 10/2024
- Academic Unit
- Anthropology; Health Management and Policy; Epidemiology; Surgery; Family and Community Medicine; Pharmacy Practice and Science; Injury Prevention Research Center; Nephrology; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984740859202771
Metrics
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