Oncogeriatrics joint consultations: When pharmacists improve patients' management together with oncogeriatrics physician.

Journal of clinical oncology : official journal of the American Society of Clinical Oncology(2014)

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摘要
79 Background: Elderly patients often have several diseases and therefore polymedicated. Comorbidities and treatments may interfere with management of oncological patients.The objectives of this project are 1) to ensure a proper understanding of patients regarding their treatment, 2) to perform a pharmaceutical analysis of patients' prescription, 3) to propose changes to the patients' doctors (general practitioners and physicians of the Institute) to prevent and reduce adverse drug events. The project combines medical and pharmaceutical expertise around the patient to optimize their care coordinated with the action of a "disease professional" and a "drug professional " with a particularly vulnerable population.Since the project began, more than 100 patients benefited from these joint consultations, thus establishing a network between the Institute and the general practionners supporting our patients. Optimization of drug treatment and reduction of iatrogenic events avoids the complications and hospitalizations extensions and / or re-hospitalization. The pharmaceutical intervention documented in the medical records of patients (explaining terms of the intervention) and the transmission of the report to "pharmaceutical consultation" to physician 1) improves the management of patients (reduction potential iatrogenic events - e.g. risk of falling by orthostatic hypotension) and 2) allows the referring physician to optimize patient care.Launched in 2010, the project entered its fourth year of existence and continues.
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