Skip to main content
Log in

Availability of information on renal function in Dutch community pharmacies

  • Short Research Report
  • Published:
International Journal of Clinical Pharmacy Aims and scope Submit manuscript

Abstract

Background Early detection and monitoring of impaired renal function may prevent drug related problems. Objective To assess the availability of information on patient’s renal function in Dutch community pharmacies, for patients using medication that might need monitoring in case of renal impairment. Methods Per pharmacy, 25 patients aged ≥65 years using at least one drug that requires monitoring, were randomly selected from the pharmacy information system. For these patients, information on renal function [estimated glomerular filtration rate (eGFR)], was obtained from the pharmacy information system. When absent, this information was obtained from the general practitioner (GP). Results Data were collected for 1632 patients. For 1201 patients (74 %) eGFR values were not directly available in the pharmacy, for another 194 patients (12 %) the eGFR value was not up-to-date. For 1082 patients information could be obtained from the GP, resulting in 942 additional recent eGFR values. Finally, recent information on renal function was available for 72 % (n = 1179) of selected patients. Conclusion In patients using drugs that require renal monitoring, information on renal function is often unknown in the pharmacy. For the majority of patients this information can be retrieved from the GP.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Zhang QL, Rothenbacher D. Prevalence of chronic kidney disease in population-based studies: systematic review. BMC Public Health. 2008;11(8):117.

    Article  Google Scholar 

  2. Leendertse AJ, van Dijk EA, De Smet PA, Egberts TC, van den Bemt PM. Contribution of renal impairment to potentially preventable medication-related hospital admissions. Ann Pharmacother. 2012;46(5):625–33.

    Article  PubMed  Google Scholar 

  3. Such Diaz A, Saez de la Fuente J, Esteva L, Alanon Pardo AM, Barrueco N, Esteban C, et al. Drug prescribing in patients with renal impairment optimized by a computer-based, semi-automated system. Int J Clin Pharm. 2013;35(6):1170–7.

    Article  PubMed  Google Scholar 

  4. Regeling Geneesmiddelenwet, Bijlage 1 [Dutch Medicines Act, Appendix 1]. http://wetten.overheid.nl/BWBR0022160/2016-01-23.

  5. Blix HS, Viktil KK, Moger TA, Reikvam A. Use of renal risk drugs in hospitalized patients with impaired renal function—an underestimated problem? Nephrol Dial Transplant. 2006;21(11):3164–71.

    Article  PubMed  Google Scholar 

  6. Verminderen Chronische Nierschade Top Tien Geneesmiddelen [Reducing Renal Impairment Top Ten Drugs]. http://www.haagsenieren.nl/Top%2010%20geneesmiddelen.pdf.

  7. Koster ES, Blom L, Philbert D, Rump W, Bouvy ML. The Utrecht pharmacy practice network for education and research: a network of community and hospital pharmacies in the Netherlands. Int J Clin Pharm. 2014;36(4):669–74.

    Article  PubMed  Google Scholar 

  8. NHG. LTA Chronische nierschade [LTA Chronic renal impairment]. https://www.nhg.org/themas/publicaties/lta-chronische-nierschade.

  9. St Peter WL, Wazny LD, Patel UD. New models of chronic kidney disease care including pharmacists: improving medication reconciliation and medication management. Curr Opin Nephrol Hypertens. 2013;22(6):656–62.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Bourne RS, Choo CL. Pharmacist proactive medication recommendations using electronic documentation in a UK general critical care unit. Int J Clin Pharm. 2012;34(2):351–7.

    Article  PubMed  Google Scholar 

  11. Geerts AF, Scherpbier-de Haan ND, de Koning FH, van der Sterren TM, van Weel C, Vervoort GM, et al. A pharmacy medication alert system based on renal function in older patients. Br J Gen Pract. 2012;62(601):e525–9.

    PubMed  PubMed Central  Google Scholar 

  12. Kadir L. Nierfunctiewaarden: uitwisseling kan beter [Renal function values: exchange can be improved]. Pharm Weekbl. 2015;150(7):25–6.

    Google Scholar 

Download references

Funding

This study was funded by the Dutch Kidney Foundation (Nierstichting).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ellen S. Koster.

Ethics declarations

Conflicts of interest

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Koster, E.S., Philbert, D., Noordam, M. et al. Availability of information on renal function in Dutch community pharmacies. Int J Clin Pharm 38, 797–801 (2016). https://doi.org/10.1007/s11096-016-0332-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11096-016-0332-3

Keywords

Navigation