2023-09-28 14:46:10 +00:00
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abstract: 'Objectives: The objective is to describe and quantify the impact of a
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novel practice model for pharmacist involvement in care coordination and
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patient education in hepatitis C virus (HCV) care.
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Setting: This practice model was implemented in the gastroenterology
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clinic at the Richard L. Roudebush Veterans Affairs Medical Center in
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Indianapolis, Indiana.
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Practice description: Traditional pretreatment workup for HCV requires
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multiple on-site appointments to complete imaging and laboratory
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assessments and for provider and social work appointments. High
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pretreatment time burden and increasing psychosocial complexity of the
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patient population present significant barriers to HCV eradication.
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Patients frequently miss appointments, and each on-site visit creates a
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separate opportunity for patients to be lost to follow-up.
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Practice innovation: The pharmacist-driven multidisciplinary
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pretreatment workup process was launched by HCV pharmacists to mitigate
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barriers. Patients complete the pretreatment evaluation process, which
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includes same-day pharmacy education, provider visit, social work
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assessment, FibroScan, and laboratory assessments, in approximately 2.5
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hours.
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Evaluation: Forty-six patients who completed the pharmacist-driven
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multidisciplinary pretreatment workup process versus 235 patients who
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completed traditional workup were analyzed for time from date of HCV
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consultation placement to treatment start and time from most recent HCV
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provider visit to treatment start.
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Results: From time of HCV consult entry to date of treatment start,
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patients were initiated on HCV treatment in an average of 42.2 +/- 7.5
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days and 184.1 +/- 27.6 days (P = 0.0001) within the intervention and
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traditional workup groups, respectively. A decreased time from most
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recent HCV provider visit to treatment initiation was noted between
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groups with 38.2 +/- 7.1 days and 54.7 +/- 3.6 days (P = 0.04) in the
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intervention and traditional workup groups, respectively.
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Conclusion: The pharmacist-driven multidisciplinary pretreatment workup
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process is an effective way to engage patients and decrease time to
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treatment initiation. This model could be replicated in other practice
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settings, especially those challenged by multi-step care coordination.
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Published by Elsevier Inc. on behalf of the American Pharmacists
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Association.'
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affiliation: 'Houck, KK (Corresponding Author), 1481 W 10th St, Indianapolis, IN 46202
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USA.
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Houck, Kelly K.; Ifeachor, Amanda P.; Fleming, Breanne S.; Andres, Audrey M., Richard
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L Roudebush Vet Affairs Med Ctr, Pharm Serv, 1481 W 10th St, Indianapolis, IN 46202
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USA.
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O''Donovan, Kristin N.; Johnson, Andrew J., Butler Univ, Coll Pharm \& Hlth Sci,
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Indianapolis, IN 46208 USA.
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Liangpunsakul, Suthat, Indiana Univ Sch Med, Div Gastroenterol \& Hepatol, Dept
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Med, Dept Biochem \& Mol Biol, Indianapolis, IN 46202 USA.
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Liangpunsakul, Suthat, Richard L Roudebush Vet Affairs Med Ctr, Sect Gastroenterol
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\& Hepatol, Med Serv, 1481 W 10th St, Indianapolis, IN 46202 USA.'
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author: Houck, Kelly K. and Ifeachor, Amanda P. and Fleming, Breanne S. and Andres,
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Audrey M. and O'Donovan, Kristin N. and Johnson, Andrew J. and Liangpunsakul, Suthat
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author-email: kellykyrouac@gmail.com
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author_list:
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- family: Houck
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given: Kelly K.
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- family: Ifeachor
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given: Amanda P.
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- family: Fleming
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given: Breanne S.
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- family: Andres
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given: Audrey M.
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- family: O'Donovan
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given: Kristin N.
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- family: Johnson
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given: Andrew J.
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- family: Liangpunsakul
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given: Suthat
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da: '2023-09-28'
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doi: 10.1016/j.japh.2019.05.003
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eissn: 1544-3450
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files: []
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issn: 1544-3191
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journal: JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION
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language: English
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month: SEP-OCT
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number: '5'
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number-of-cited-references: '7'
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orcid-numbers: Johnson, Andrew/0000-0003-0178-1462
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pages: 710-716
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papis_id: 952261e4d0641fc647f51982ecc61afc
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ref: Houck2019pharmacistdrivenmult
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times-cited: '6'
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title: 'Pharmacist-driven multidisciplinary pretreatment workup process for hepatitis
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C care: A novel model for same-day pretreatment workup'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000485792600019
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usage-count-last-180-days: '0'
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usage-count-since-2013: '2'
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volume: '59'
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web-of-science-categories: Pharmacology \& Pharmacy
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year: '2019'
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