the-effect-of-pharmacists-interventions-on-anaemia-management-among-continuous-ambulatory-peritoneal-dialysis-patients-in-terengganu-tertiary-hospital

Abstract

Pharmacist's interventions in anaemia management have been shown to improve clinical and economic outcomes. To determine the outcome of hemoglobin (Hb) level after the implementation of ESA monitoring card and counselling, a prospective, single-blinded randomised controlled study involved patients attending the CAPD clinic in Terengganu tertiary hospital, Malaysia was carried out. Intervention group received ESA injection counselling based on a validated checklist and ESA monitoring card, while the standard care group only received standard care. Result showed a total of 118 eligible patients with 68 of them in the standard care group and 50 patients in the intervention group with an average age of 50.8 (±14.57) and 49.4 (±13.69) years, respectively. Mean Hb showed significant improvement in both standard care and interventional groups with p<0.001. Intervention group had a higher percentage increment in mean Hb 6.7% compared to standard care group 5.9%. However, mean difference Hb between standard care and interventional group after at least 1 month of interventions was not significant with 0.59 (±1.78) and 0.692 (±1.68) respectively (p=0.764). In conclusion, pharmacist's interventions, including counselling and ESA monitoring card may help in improving Hb level in CAPD patients.