Bariatric Surgery Pharmacy Consultation Service

Authors: Silverman, Jon1; Catella, Jennifer2; Tavakkolizadeh, Ali3; Robinson, Malcolm3; Churchill, William4

Source: Obesity Surgery, Volume 21, Number 9, September 2011 , pp. 1477-1481(5)

Publisher: Springer

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Abstract:

Bariatric surgical patients often need changes in formulation and dosages of their medications. The literature contains minimal information regarding pharmaceutical care and consultation services for the bariatric surgery patient. Complex medication regimens and safety concerns initiated a collaborative effort between surgeons and pharmacists to manage more effectively bariatric patients perioperatively. The consultation service included patient identification, pharmacy referral, pharmacist consultation with the patient, communication of recommendations with surgeons, follow-up, and documentation. There were 124 consultations performed from February 2, 2009 to December 1, 2010 with an average of 7.7 medications optimized per patient. Every patient required a minimum of one adjustment to their regimen. The surgeons approved 98% of these recommendations. Of recommendations provided, the majority focused on changing the formulation of the medication in some manner. The collaborative effort between surgeons and pharmacists effected changes in medication transitioning perioperatively and resulted in improved pharmaceutical care for this patient population.

Keywords: Bariatric surgery; Consultation; Medication; Pharmacy

Document Type: Research Article

DOI: http://dx.doi.org/10.1007/s11695-011-0455-5

Affiliations: 1: L2 Pharmacy Department, Investigational Drug Services Pharmacy, Brigham and Women’s Hospital, 75 Francis St, Boston, MA, 02115, USA, Email: jsilverman@partners.org 2: L2 Pharmacy Department, Investigational Drug Services Pharmacy, Brigham and Women’s Hospital, 75 Francis St, Boston, MA, 02115, USA 3: Bariatric Surgery Service, General and GI Surgery, Brigham and Women’s Hospital, 75 Francis St, Boston, MA, 02115, USA 4: L2 Pharmacy Department, Pharmacy Administration, Brigham and Women’s Hospital, 75 Francis St, Boston, MA, 02115, USA

Publication date: September 1, 2011

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