Evidence mapPaperPMID 31550992Full record

ArticleJournal of pharmacy practice2021

A Pilot Study Embedding Clinical Pharmacists Within an Interprofessional Nephrology Clinic for the Initiation and Monitoring of Empagliflozin in Diabetic Kidney Disease.

Laura K Triantafylidis, Chelsea E Hawley, Christopher Fagbote, Jiahua Li, Nicole Genovese, Julie M Paik

Open access · greenAbstract read
In one paragraph

Article in Journal of pharmacy practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Review
  5. Diabetic Kidney Disease Prevention Care Model Development.Clinical diabetes : a publication of the American Diabetes Association · 2024
    Article
  6. Construction of a Nomogram-Based Prediction Model for the Risk of Diabetic Kidney Disease in T2DM.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Article
  7. Article
  8. Medication Optimization for New Initiators of Empagliflozin for Diabetic Kidney Disease.Clinical diabetes : a publication of the American Diabetes Association · 2022
    Article
  9. Review
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Laura K TriantafylidisPharmacy Department, VA Boston Healthcare System, Boston, MA, USA.ORCID https://orcid.org/0000-0002-8818-9535
Chelsea E HawleyPharmacy Department, VA Boston Healthcare System, Boston, MA, USA.
Christopher FagbotePharmacy Department, VA Boston Healthcare System, Boston, MA, USA.
Jiahua LiRenal Section, 20025VA Boston Healthcare System, Boston, MA, USA.
Nicole GenovesePharmacy Department, VA Boston Healthcare System, Boston, MA, USA.
Julie M PaikNew England Geriatric Research, Education and Clinical Center, 20025VA Boston Healthcare System, Boston, MA, USA.
VA Boston Healthcare System · USBrigham and Women's Hospital · US

Funding

Intramural VA VA999999NIDDK NIH HHS K23 DK100447
6 · The paper itself

Abstract

backgroundThe American Diabetes Association (ADA) recommends sodium-glucose cotransporter-2 (SGLT2) inhibitors as the second medication to be started, after metformin, for patients with chronic kidney disease (CKD). Sodium-glucose cotransporter-2 inhibitors may cause volume, blood pressure, and electrolyte disturbances; consequently, frequent monitoring and adjustments to other diabetes, blood pressure, and/or diuretic medications may be necessary.

objectiveTo evaluate the safety and efficacy of an interprofessional clinic model partnering nephrologists and pharmacists for the initiation and monitoring of SGLT2 inhibitors.

methodsA clinical pharmacist was embedded within the nephrology clinic to provide patient education, telephone follow-up, and to work collaboratively with the nephrologists. Diabetes, hypertension, and diuretic regimens were adjusted as needed after empagliflozin initiation. Diabetes regimens were adjusted to adhere to the 2019 ADA guidelines that promote agents with CKD and atherosclerotic cardiovascular disease benefit.

resultsFourteen patients were initiated on empagliflozin during the study period. Urine albumin-to-creatinine ratio (UACR) improved (mean % change -12% ± 61%); the mean percentage change was greater in patients with a higher baseline UACR. The mean change in hemoglobin A

conclusionThe implementation of an innovative, interprofessional care model within a nephrology clinic for the initiation and monitoring of empagliflozin in patients with DKD demonstrated clinical benefit with minimal safety concerns.

Indexed as

Diabetes Mellitus, Type 2Diabetic NephropathiesNephrologySodium-Glucose Transporter 2 InhibitorsBenzhydryl CompoundsGlucosidesHumansHypoglycemic AgentsPharmacistsPilot ProjectsBenzhydryl CompoundsempagliflozinGlucosidesHypoglycemic AgentsSodium-Glucose Transporter 2 Inhibitorschronic kidney diseasecollaborative carenephrologypharmacistSGLT-2 inhibitors

Identifiers

PMID31550992
PMCPMC8148072
OpenAlexW2975611969

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.