Effect of pharmacist management on serum hemoglobin levels with renal anemia in hemodialysis outpatients

Junko Ohnishi, Akiyo Miyake, Keiko Kuwatsuka, Yuka Onoue, Miyoshi Lee, Toshihiro Koyama, Toshiaki Sendo, Hiromu Kawasaki, Yoshihisa Kitamura

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The initiation of a pharmacist-implemented management program to ensure appropriate use of erythropoietin-stimulating agents at Mizushima Kyodo Hospital is described. In the present study, we examined the influence of having pharmacists actively manage hemoglobin levels on therapeutic outcome in a retrospective study of 84 outpatients receiving hemodialysis. We compiled in-hospital guidelines for the use of erythropoietin and iron for outpatients with renal anemia. Pharmacists made recommendations, particularly about changes in the dose of erythropoietin and administration of iron preparations, to physicians. Clinical test results were monitored for 12 months (between November 2007 and October 2008) with and without the participation of pharmacists (continuous 6 months). The counseling by pharmacists significantly decreased hemoglobin levels in the high group (>12 g/dl) and significantly increased them in low group (

Original languageEnglish
Pages (from-to)1609-1612
Number of pages4
JournalBiological and Pharmaceutical Bulletin
Volume34
Issue number10
DOIs
Publication statusPublished - Oct 2011

Fingerprint

Pharmacists
Renal Dialysis
Anemia
Hemoglobins
Outpatients
Kidney
Erythropoietin
Serum
Iron
Counseling
Retrospective Studies
Guidelines
Physicians
Therapeutics

Keywords

  • Erythropoietin
  • Hemodialysis
  • Hemoglobin
  • Pharmacist
  • Renal anemia

ASJC Scopus subject areas

  • Pharmaceutical Science
  • Pharmacology

Cite this

Effect of pharmacist management on serum hemoglobin levels with renal anemia in hemodialysis outpatients. / Ohnishi, Junko; Miyake, Akiyo; Kuwatsuka, Keiko; Onoue, Yuka; Lee, Miyoshi; Koyama, Toshihiro; Sendo, Toshiaki; Kawasaki, Hiromu; Kitamura, Yoshihisa.

In: Biological and Pharmaceutical Bulletin, Vol. 34, No. 10, 10.2011, p. 1609-1612.

Research output: Contribution to journalArticle

Ohnishi, Junko ; Miyake, Akiyo ; Kuwatsuka, Keiko ; Onoue, Yuka ; Lee, Miyoshi ; Koyama, Toshihiro ; Sendo, Toshiaki ; Kawasaki, Hiromu ; Kitamura, Yoshihisa. / Effect of pharmacist management on serum hemoglobin levels with renal anemia in hemodialysis outpatients. In: Biological and Pharmaceutical Bulletin. 2011 ; Vol. 34, No. 10. pp. 1609-1612.
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