Pharmacist - Physician Collaborative Approach to the Management of Metabolic Syndrome

University of Jordan199 enrolled

Overview

This study devised an experimental focused pharmaceutical care program, allowed a clinical pharmacist to work in a physician office to assess and manage patients' metabolic syndrome status and its individual components. This study described the clinical benefits of physician- clinical pharmacist interaction in achieving improved glycemic control, lipid and blood pressure measurements, involving medication, diet, physical activity and patient heath care counseling.

A single blinded prospective randomized controlled trial conducted in family medicine outpatients clinics in Jordan. The study enrolled 199 patients met the National Cholesterol Education Program Adult Treatment Panel III (NCEP/ATPIII) criteria for the diagnosis of MS upon the time of enrollment. Patients were randomized into: 110 participants into the intervention arm (pharmacist-physician collaborative approach) and 89 into the control arm (physician only team). Only patients in the intervention arm were provided pharmacist recommendations and pharmaceutical care counseling.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

199

Conditions

Metabolic Syndrome

Interventions

Pharmaceutical care servicesOTHER

Patients' metabolic components were assessed and managed collaboratively by focused care plan designed by the clinical pharmacist and approved by the physician.Pharmacist emphasized the change in lifestyle, particularly weight loss and physical activity as a first line therapy for at least 3 months, patients were started on drug therapy when needed as recommended by clinical guidelines.

Eligibility

Sex: ALLMin age: 32 YearsMax age: 88 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Meeting at least 3 of the 5 criteria for the National Cholesterol Education Program Adult Treatment Panel III (NCEP/ATPIII) for the diagnosis of Metabolic syndrome upon the time of enrollment. : 1. Abdominal circumference \>102 cm in males or \>88 cm in females. 2. HDL cholesterol \< 40 mg/dl for males or \< 50 mg/dl for females. 3. Triglycerides ≥ 150 mg/dl. 4. Blood pressure ≥ 130/85 mmHg or receiving hypertension treatment. 5. Baseline glycemia ≥ 110 mg/dl. Exclusion Criteria: 1. Patients with hypertensive urgency or emergency with BP more than (180/110). 2. Patients with recent stroke or myocardial infraction (within past 6 months). 3. Patients with Class III or IV Chronic heart Failure (CHF). 4. Patients with Unstable angina. 5. Patients with Serious renal or hepatic disease. 6. Pregnant patients. 7. Patients with Dementia or cognitive impairment. 8. If the patient is unable to provide informed written consent.

Locations (1)

family medicine clinic JUH

Amman, Amman Governorate, Jordan

Outcomes

Primary Outcomes

Improvements in metabolic syndrome status over the course of this study and absolute mean improvements in individual MS components.

Primary outcomes were specified as: * Fasting blood glucose \< 110 mg/dl. * Body weight BMI \< 25 kg/m2. * Waist circumference ≤ 102 cm (40 in) in men and ≤ 88 cm (35 inches) in women. * Serum triglycerides \< 150 mg/dl. * HDL cholesterol ≥40mg/dl in men and ≥50mg/dl in women. * Blood pressure \< 130/85 mm Hg or \< 130/80 mm Hg when patients were diabetic.

Time frame: 6 monthS

Data from ClinicalTrials.gov

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