Availability of information on renal function in Dutch community pharmacies.
Background Early detection and monitoring of impaired renal function may prevent drug related problems. Objective To assess the availability of information on patient's renal function in Dutch community pharmacies, for patients using medication that might need monitoring in case of renal impairment. Methods Per pharmacy, 25 patients aged ≥65 years using at least one drug that requires monitoring, were randomly selected from the pharmacy information system. For these patients, information on renal function [estimated glomerular filtration rate (eGFR)], was obtained from the pharmacy information system. When absent, this information was obtained from the general practitioner (GP). Results Data were collected for 1632 patients. For 1201 patients (74 %) eGFR values were not directly available in the pharmacy, for another 194 patients (12 %) the eGFR value was not up-to-date. For 1082 patients information could be obtained from the GP, resulting in 942 additional recent eGFR values. Finally, recent information on renal function was available for 72 % (n = 1179) of selected patients. Conclusion In patients using drugs that require renal monitoring, information on renal function is often unknown in the pharmacy. For the majority of patients this information can be retrieved from the GP.
Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, PO Box 80082, 3508 TB, Utrecht, The Netherlands. e.koster@uu.nl.
Ellen S
ES
Koster
Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, PO Box 80082, 3508 TB, Utrecht, The Netherlands.
Daphne
D
Philbert
Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, PO Box 80082, 3508 TB, Utrecht, The Netherlands.
Michelle
M
Noordam
Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, PO Box 80082, 3508 TB, Utrecht, The Netherlands.
Nina A
NA
Winters
Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, PO Box 80082, 3508 TB, Utrecht, The Netherlands.
Lyda
L
Blom
Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht University, PO Box 80082, 3508 TB, Utrecht, The Netherlands.
Marcel L
ML
Bouvy
D000368:Aged; D000369:Aged, 80 and over; D003157:Community Pharmacy Services; D005260:Female; D058005:General Practitioners; D063005:Health Information Systems / Q000706:statistics & numerical data*; D006801:Humans; D007668:Kidney / Q000502:physiology*; D008297:Male; D009426:Netherlands
Clinical risk management; Community pharmacy; Estimated glomerular filtration rate (eGFR); Pharmaceutical care; Renal function; The Netherlands