title: [Evaluation of the efforts of pharmaceutical care services before medical examination at an outpatient cancer chemotherapy clinic].
abstract: In the outpatient cancer chemotherapy clinic of Gifu University Hospital, pharmacists contributed to the provision of safe and efficacious cancer chemotherapy as full-time staff, together with doctors, nurses and other medical staff. Since April 2010, three pharmacists have been in charge of the provision of pharmaceutical care services(PCS)to all patients. Furthermore, pharmaceutical intervention before medical examination(pre-PCS)was initiated in May 2011. As a consequence, the time spent for patient education and monitoring significantly(p<0. 001)increased from 39. 7±3. 2min/patient in 2010 to 48. 0±2. 6min/patient in 2011. The number of proposals on prescriptions also significantly increased, 2. 5 times, compared to 2010. The percentage of the acceptance of proposals was 94% in fiscal year 2011. Importantly, pre-PCS improved the control of chemotherapy-induced nausea and vomiting, peripheral neuropathy and skin rash. These results suggest that pre-PCS by pharmacists would be beneficial to progress the quality of outpatient cancer chemotherapy.
authors.affiliation: Dept. of Pharmacy, Gifu University Hospital, Japan.
authors.forename: Chiaki
authors.initials: C
authors.lastname: Yoshimi
authors.forename: Maya
authors.initials: M
authors.lastname: Yamada
authors.forename: Hironori
authors.initials: H
authors.lastname: Fujii
authors.forename: Minako
authors.initials: M
authors.lastname: Nishigaki
authors.forename: Hirotoshi
authors.initials: H
authors.lastname: Iihara
authors.forename: Kiyoyuki
authors.initials: K
authors.lastname: Kitaichi
authors.forename: Mayu
authors.initials: M
authors.lastname: Takahashi
authors.forename: Sayoko
authors.initials: S
authors.lastname: Kurahashi
authors.forename: Takao
authors.initials: T
authors.lastname: Takahashi
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yoshida
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Itoh
mesh_terms: D000368:Aged; D000554:Ambulatory Care Facilities; D000970:Antineoplastic Agents / Q000009:adverse effects / Q000627:therapeutic use; D002173:Cancer Care Facilities; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000188:drug therapy; D010353:Patient Education as Topic; D010593:Pharmaceutical Services; D013997:Time Factors
chemical_list: D000970:Antineoplastic Agents