Prospective Randomized Trial Investigating the Influence of Pharmaceutical Care on the Intra-Individual Variability of Tacrolimus Concentrations Early After Kidney Transplant

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dc.citation.issue4
dc.citation.volume38
dc.contributor.authorBessa, Adrieli B. [UNIFESP]
dc.contributor.authorFelipe, Claudia R. [UNIFESP]
dc.contributor.authorHannun, Pedro [UNIFESP]
dc.contributor.authorSayuri, Priscila [UNIFESP]
dc.contributor.authorFelix, Maria Julia [UNIFESP]
dc.contributor.authorRuppel, Priscila [UNIFESP]
dc.contributor.authorFerreira, Alexandra N. [UNIFESP]
dc.contributor.authorCristelli, Marina P. [UNIFESP]
dc.contributor.authorViana, Laila [UNIFESP]
dc.contributor.authorMansur, Juliana F. [UNIFESP]
dc.contributor.authorBasso, Geovana [UNIFESP]
dc.contributor.authorAguiar, Wilson Ferreira [UNIFESP]
dc.contributor.authorTedesco-Silva, Helio [UNIFESP]
dc.contributor.authorMedina-Pestana, Jose [UNIFESP]
dc.coveragePhiladelphia
dc.date.accessioned2020-08-14T13:43:56Z
dc.date.available2020-08-14T13:43:56Z
dc.date.issued2016
dc.description.abstractBackground:This study evaluated the influence of pharmaceutical care (PhC) in the intra-individual variability of dose-corrected whole blood tacrolimus (TAC) trough concentrations, adherence to immunosuppressive therapy and clinical outcomes.Methods:We randomized 128 kidney transplant recipients to receive PhC consisted of predefined instructions provided by a pharmacist (PhC group, n = 64) or standard nurse staff instructions (control group, n = 64) from day 3 to day 90 after kidney transplantation. The study was powered to detect at least 50% reduction in the coefficient of variation (%CV), calculated from 6 dose-corrected whole blood TAC trough concentrations, in the PhC group. Patient adherence was evaluated using Basel Assessment of Adherence to Immunosuppressive Medication Scale (BAASIS) questionnaire.Results:There was no difference in the %CV comparing PhC and control group (31.4% 12.3% versus 32.5% +/- 16.1%, P = 0.673). There were no differences in the proportion of patients showing TAC concentrations within predefined target concentrations in each study visit. There was no difference in the proportion of nonadherent patients at day 28 (17% versus 26%, P = 0.135) and day 90 (27% versus 25%, P = 0.457) based on BAASIS questionnaire answers, respectively. There were no differences in clinical outcomes.Conclusions:Universal PhC in addition to standard nurse staff instruction was not associated with reduced intra-individual variability of dose-corrected whole blood TAC trough concentrations or improved adherence.en
dc.description.affiliationUniv Fed Sao Paulo, Div Nephrol, Hosp Rim, Rua Borges Lagoa,960-11 Andar, BR-04038002 Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Hosp Rim, Div Urol, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Div Nephrol, Hosp Rim, Rua Borges Lagoa,960-11 Andar, BR-04038002 Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Hosp Rim, Div Urol, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent447-455
dc.identifierhttp://dx.doi.org/10.1097/FTD.0000000000000299
dc.identifier.citationTherapeutic Drug Monitoring. Philadelphia, v. 38, n. 4, p. 447-455, 2016.
dc.identifier.doi10.1097/FTD.0000000000000299
dc.identifier.fileWOS000381427700004.pdf
dc.identifier.issn0163-4356
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/57451
dc.identifier.wosWOS:000381427700004
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofTherapeutic Drug Monitoring
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjecttacrolimusen
dc.subjectpharmacokineticen
dc.subjectpharmaceutical careen
dc.titleProspective Randomized Trial Investigating the Influence of Pharmaceutical Care on the Intra-Individual Variability of Tacrolimus Concentrations Early After Kidney Transplanten
dc.typeinfo:eu-repo/semantics/article
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