Medication reconciliation enhances the accuracy of gastric emptying scintigraphy.

Gastric emptying scintigraphy Gastroparesis Medication reconciliation Patient safety Radiopharmacy

Journal

EJNMMI radiopharmacy and chemistry
ISSN: 2365-421X
Titre abrégé: EJNMMI Radiopharm Chem
Pays: England
ID NLM: 101714628

Informations de publication

Date de publication:
26 Sep 2024
Historique:
received: 09 07 2024
accepted: 18 09 2024
medline: 26 9 2024
pubmed: 26 9 2024
entrez: 26 9 2024
Statut: epublish

Résumé

Gastroparesis (GP) is a prevalent sensorimotor disorder characterized by delayed gastric emptying without mechanical obstruction, posing significant diagnostic challenges. Gastric emptying scintigraphy (GES) is the gold standard for diagnosing GP. However, its accuracy can be compromised by many medications that affect gastric motility. This study evaluates the impact of medication reconciliation on the diagnostic accuracy of GES. A significant proportion of patients (75%) were on medications known to affect gastric motility. Recommendations for medication adjustments were communicated, with 30% non-adherence. Adjustments in GES interpretations were necessary for 20% of patients following comprehensive medication reviews. The involvement of radiopharmacists facilitated accurate diagnostic conclusions, underscoring the critical role of medication reconciliation in GES accuracy. Medication reconciliation enhanced the accuracy of GES in diagnosing gastroparesis, emphasizing the need to integrate clinical pharmacy practices into nuclear medicine. This interdisciplinary approach not only improves diagnostic accuracy but also enhances patient safety, advocating for the adoption of such practices in the management of gastroparesis.

Sections du résumé

BACKGROUND BACKGROUND
Gastroparesis (GP) is a prevalent sensorimotor disorder characterized by delayed gastric emptying without mechanical obstruction, posing significant diagnostic challenges. Gastric emptying scintigraphy (GES) is the gold standard for diagnosing GP. However, its accuracy can be compromised by many medications that affect gastric motility. This study evaluates the impact of medication reconciliation on the diagnostic accuracy of GES.
RESULTS RESULTS
A significant proportion of patients (75%) were on medications known to affect gastric motility. Recommendations for medication adjustments were communicated, with 30% non-adherence. Adjustments in GES interpretations were necessary for 20% of patients following comprehensive medication reviews. The involvement of radiopharmacists facilitated accurate diagnostic conclusions, underscoring the critical role of medication reconciliation in GES accuracy.
CONCLUSION CONCLUSIONS
Medication reconciliation enhanced the accuracy of GES in diagnosing gastroparesis, emphasizing the need to integrate clinical pharmacy practices into nuclear medicine. This interdisciplinary approach not only improves diagnostic accuracy but also enhances patient safety, advocating for the adoption of such practices in the management of gastroparesis.

Identifiants

pubmed: 39325280
doi: 10.1186/s41181-024-00299-3
pii: 10.1186/s41181-024-00299-3
doi:

Types de publication

Journal Article

Langues

eng

Pagination

68

Informations de copyright

© 2024. The Author(s).

Références

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Auteurs

Vincent Nail (V)

Radiopharmacy, Assistance Publique - Hôpitaux de Marseille, Hôpital Nord, Marseille, France.
Aix-Marseille Univ, CNRS, CERIMED, Marseille, France.

Alexandre Chapot (A)

Radiopharmacy, Assistance Publique - Hôpitaux de Marseille, Hôpital Nord, Marseille, France.

Oriane Nachar (O)

Radiopharmacy, Assistance Publique - Hôpitaux de Marseille, Hôpital Nord, Marseille, France.
Aix-Marseille Univ, INSERM, INRAE, Marseille, C2VN, France.
Aix-Marseille Univ, CNRS, CERIMED, Marseille, France.

Sophie Gabriel (S)

Nuclear medicine department, Assistance Publique - Hôpitaux de Marseille, Hôpital Nord, Marseille, France.

Anaïs Moyon (A)

Radiopharmacy, Assistance Publique - Hôpitaux de Marseille, Hôpital Nord, Marseille, France.
Aix-Marseille Univ, INSERM, INRAE, Marseille, C2VN, France.
Aix-Marseille Univ, CNRS, CERIMED, Marseille, France.

David Taieb (D)

Nuclear medicine department, Assistance Publique - Hôpitaux de Marseille, Hôpital Nord, Marseille, France.
Aix-Marseille Univ, CNRS, CERIMED, Marseille, France.

Benjamin Guillet (B)

Radiopharmacy, Assistance Publique - Hôpitaux de Marseille, Hôpital Nord, Marseille, France.
Aix-Marseille Univ, INSERM, INRAE, Marseille, C2VN, France.
Aix-Marseille Univ, CNRS, CERIMED, Marseille, France.

Philippe Garrigue (P)

Radiopharmacy, Assistance Publique - Hôpitaux de Marseille, Hôpital Nord, Marseille, France. philippe.garrigue@ap-hm.fr.
Aix-Marseille Univ, INSERM, INRAE, Marseille, C2VN, France. philippe.garrigue@ap-hm.fr.
Aix-Marseille Univ, CNRS, CERIMED, Marseille, France. philippe.garrigue@ap-hm.fr.
Assistance Publique - Hôpitaux de Marseille CHU NORD, Chemin des Bourrely 13015, Marseille, France. philippe.garrigue@ap-hm.fr.

Classifications MeSH