[Impact of a primary care pharmacy unit on the optimization of pharmacological treatment of type 2 diabetic patients]. / Impacto de una unidad de farmacia de atención primaria en la optimización del tratamiento farmacológico de pacientes diabéticos tipo 2.
Aten Primaria
; 56(9): 102945, 2024 Sep.
Article
em Es
| MEDLINE
| ID: mdl-38663157
ABSTRACT
OBJECTIVE:
To evaluate the impact of a pharmaceutical intervention on treatment optimization in patients with type 2 diabetes mellitus.DESIGN:
Before-after intervention study. SITE Health centers of the Primary Care Department of Camp de Tarragona.PARTICIPANTS:
Patients aged ≥ 18 years, diagnosed with type 2 diabetes mellitus and under treatment with antidiabetic drugs.INTERVENTIONS:
Review of pharmacological treatment for type 2 diabetes mellitus and issuance of proposals for its adequacy. MAIN MEASUREMENTS Demographic and clinical variables were collected to assess the adequacy of antidiabetic treatment. A consensus meeting was arranged with the patients' primary care physician to evaluate the proposals for improvement. The implementation of the proposals and the variation in postintervention glycemic control were assessed.RESULTS:
A total of 907 patients (59% men) were included. A total of 782 proposals for intervention were made in 65.8% of the patients reviewed. Of the proposals, 43.5% corresponded to drug discontinuation, 16% to intensification of dosing and 12.6% to exchange for a therapeutic equivalent. Of the consensual proposals, 54.7% were implemented. HbA1c was reduced by 0.2% after the intervention (7.4 vs 7.2%).CONCLUSIONS:
Review of the pharmacological treatment of patients with type 2 diabetes mellitus by a pharmacist or pharmacologist facilitates its optimization.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Diabetes Mellitus Tipo 2
/
Hipoglicemiantes
Idioma:
Es
Ano de publicação:
2024
Tipo de documento:
Article