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The purpose of this project is to compare two pharmacist-led population management strategies designed to increase the rate of appropriate monitoring of vitamin B12 and serum creatinine for patients taking metformin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Office visit-based intervention | Experimental |
| |
| Electronic message-based intervention | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Office visit intervention | Behavioral | Pharmacist communicates monitoring recommendations to physician through the electronic medical record prior to a scheduled patient office visit |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of patients in each arm who obtain monitoring of vitamin B12 as recommended | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with newly identified vitamin B12 deficiency | 6 months | |
| Percentage of patients with newly identified vitamin B12 deficiency who have prior evidence of anemia upon chart review | When a patient's serum vitamin B12 level comes back and is low the chart will be reviewed immediately to determine this. This could happen anytime during the 6 month study period. |
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Inclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Ohio State University General Internal Medicine | Columbus | Ohio | 43221 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27323792 | Derived | Matthews DE, Beatty SJ, Grever GM, Lehman A, Barnes KD. Comparison of 2 Population Health Management Approaches to Increase Vitamin B12 Monitoring in Patients Taking Metformin. Ann Pharmacother. 2016 Oct;50(10):840-6. doi: 10.1177/1060028016655180. Epub 2016 Jun 20. |
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| Electronic Message Intervention | Behavioral | Pharmacist communicates need for monitoring directly to patients and instructs them to obtain monitoring on their own time without need for an office visit with physician |
|
| within 6 months |
| Percentage of patients with newly identified vitamin B12 deficiency who have prior evidence of neuropathy upon chart review | When a patient's serum vitamin B12 level comes back and is low the chart will be reviewed immediately to determine if neuropathy is also listed as a medical problem. This could happen anytime during the 6 month study period. | within 6 months |
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D014806 | Vitamin B 12 Deficiency |
| D000740 | Anemia |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D014804 | Vitamin B Deficiency |
| D001361 | Avitaminosis |
| D003677 | Deficiency Diseases |
| D044342 | Malnutrition |
| D009748 | Nutrition Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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