Outcomes Associated with a Pharmacist-led Clinic for Patients with Diabetic Kidney Disease: A Retrospective Study

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Abstract Description
Abstract ID :
HAC6173
Submission Type
Authors (including presenting author) :
Yau NKM(1), Chang CCM(1), Leung JYY(2), Lam JKW(3), Wong JKT(3), Yick PK(1)
Affiliation :
(1) Department of Pharmacy, Ruttonjee Hospital

(2) Department of Medicine and Geriatrics, Ruttonjee Hospital

(3) Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong
Introduction :
Overseas studies have found pharmacist-led clinic services could aid attainment of treatment goals and improve therapeutic outcomes. Pharmacist clinic service is a newer healthcare concept in Hong Kong.
Objectives :
This study aimed to evaluate diabetes-related outcomes in a patient group managed by pharmacists in a pharmacist clinic service, as compared to a comparator group managed with usual care.
Methodology :
This was a retrospective cohort study conducted in the specialist outpatient department of a public hospital in Hong Kong. Patients in the intervention arm attended a pharmacist clinic session between each physician visit. The primary outcome was change in HbA1c.
Result & Outcome :
127 patients met the inclusion criteria and data was collected at baseline

and at 6 months. 68 patients and 59 patients were in the intervention

group and comparator group, respectively. Patients in the intervention

group achieved significant HbA1c reduction, which was not observed in

the comparator group (–0.48% vs. +0.17%, p=0.001). Proportions of

patients with lipid panel and urinary albumin-to-creatinine ratio

measurement within one year increased from 85.3% to 100.0%

(p=0.001) and 80.5% to 95.6% (p=0.0001), respectively. 119

pharmacist consultation sessions were conducted, with 36 additional

telephone follow-ups arranged. Pharmacists made 32 recommendations

regarding drug therapy. Of which, 31 (96.9%) were accepted by

physicians and implemented as intervention.



To conclude, a pharmacist clinic service in a public hospital was associated with favourable diabetes-related outcomes, including improved glycaemic control and increased laboratory monitoring and complication screening frequency, when added to usual care.

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