Yitka Graham1,2, Lindes Callejas-Diaz3, Lindsay Parkin4,3, Kamal Mahawar4,5, Peter K Small4,5, Catherine Hayes4. 1. Faculty of Health Sciences and Wellbeing, University of Sunderland, Sciences Complex, Chester Road, Sunderland, SR1 3SD, UK. yitka.graham@sunderland.ac.uk. 2. Bariatric Surgical Unit, Directorate of General Surgery, Sunderland Royal Hospital, Sunderland, UK. yitka.graham@sunderland.ac.uk. 3. Department of Pharmacy, Sunderland Royal Hospital, Sunderland, UK. 4. Faculty of Health Sciences and Wellbeing, University of Sunderland, Sciences Complex, Chester Road, Sunderland, SR1 3SD, UK. 5. Bariatric Surgical Unit, Directorate of General Surgery, Sunderland Royal Hospital, Sunderland, UK.
Abstract
BACKGROUND: The effects of surgical procedures and the need for life-long nutrient supplementation may impact on medication regimes, requiring changes to dosage and formulation of medicines, which can be difficult for patients following surgery. Our pre-surgical assessment pathway involves a pharmacist with specialist knowledge of bariatric surgery, to help prepare patients for these changes. OBJECTIVE: To explore the patient-reported impact of the specialist bariatric pharmacist in pre-surgical assessment. SETTING: National Health Service Hospital, United Kingdom. METHODS: A two phased, retrospective study design using participants recruited from pre-surgical clinic lists. The first phase consisted of confidential, face to face semi-structured interviews. A constant comparative analytic framework informed the construction of the second phase, which consisted of a confidential survey to test the generalizability of the findings with a larger cohort of patients. RESULTS: A total of 40 participants (12 interviews, 28 surveys) were recruited to the study. The majority of participants were female (n = 33), mean age 50 years, mean pre-surgical weight 124 kg (n = 38). The most common comorbidity was type 2 diabetes. Participants on medication had at least one comorbidity, with the majority of conditions improved or eliminated after surgery. CONCLUSIONS: The pre-surgical consultation with the pharmacist was highly valued by the participants, providing information and support which helped prepare for medication changes after bariatric surgery. Many felt that a post-surgical appointment with the pharmacist would provide support and improve compliance with vitamins and medications. Future research into the role of pharmacists in the bariatric multi-disciplinary team and patient support are recommended.
BACKGROUND: The effects of surgical procedures and the need for life-long nutrient supplementation may impact on medication regimes, requiring changes to dosage and formulation of medicines, which can be difficult for patients following surgery. Our pre-surgical assessment pathway involves a pharmacist with specialist knowledge of bariatric surgery, to help prepare patients for these changes. OBJECTIVE: To explore the patient-reported impact of the specialist bariatric pharmacist in pre-surgical assessment. SETTING: National Health Service Hospital, United Kingdom. METHODS: A two phased, retrospective study design using participants recruited from pre-surgical clinic lists. The first phase consisted of confidential, face to face semi-structured interviews. A constant comparative analytic framework informed the construction of the second phase, which consisted of a confidential survey to test the generalizability of the findings with a larger cohort of patients. RESULTS: A total of 40 participants (12 interviews, 28 surveys) were recruited to the study. The majority of participants were female (n = 33), mean age 50 years, mean pre-surgical weight 124 kg (n = 38). The most common comorbidity was type 2 diabetes. Participants on medication had at least one comorbidity, with the majority of conditions improved or eliminated after surgery. CONCLUSIONS: The pre-surgical consultation with the pharmacist was highly valued by the participants, providing information and support which helped prepare for medication changes after bariatric surgery. Many felt that a post-surgical appointment with the pharmacist would provide support and improve compliance with vitamins and medications. Future research into the role of pharmacists in the bariatric multi-disciplinary team and patient support are recommended.
Authors: Christopher M Bland; April Miller Quidley; Bryan L Love; Catherine Yeager; Bliss McMichael; P Brandon Bookstaver Journal: Am J Health Syst Pharm Date: 2016-06-28 Impact factor: 2.637
Authors: Jeffrey I Mechanick; Adrienne Youdim; Daniel B Jones; W Timothy Garvey; Daniel L Hurley; M Molly McMahon; Leslie J Heinberg; Robert Kushner; Ted D Adams; Scott Shikora; John B Dixon; Stacy Brethauer Journal: Surg Obes Relat Dis Date: 2013-01-19 Impact factor: 4.734
Authors: Rachael Gooberman-Hill; Amanda Burston; Emma Clark; Emma Johnson; Sharon Nolan; Victoria Wells; Lizzy Betts Journal: Musculoskeletal Care Date: 2013-12