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Table of Contents
Year : 2021  |  Volume : 4  |  Issue : 2  |  Page : 423-424

Pharmacy satisfaction in patients with primary brain tumors receiving systemic therapy: A cross-sectional study

Department of Medical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India

Date of Submission11-Feb-2021
Date of Decision19-Apr-2021
Date of Acceptance30-Apr-2021
Date of Web Publication30-Jun-2021

Correspondence Address:
Vijay M Patil
Department of Medical Oncology, Tata Memorial Hospital, Mumbai - 400 012, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/crst.crst_38_21

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How to cite this article:
Menon N, Ravish PZ, Singh GK, Rajendra A, Patil VM. Pharmacy satisfaction in patients with primary brain tumors receiving systemic therapy: A cross-sectional study. Cancer Res Stat Treat 2021;4:423-4

How to cite this URL:
Menon N, Ravish PZ, Singh GK, Rajendra A, Patil VM. Pharmacy satisfaction in patients with primary brain tumors receiving systemic therapy: A cross-sectional study. Cancer Res Stat Treat [serial online] 2021 [cited 2021 Sep 17];4:423-4. Available from: https://www.crstonline.com/text.asp?2021/4/2/423/320312

There is growing awareness about the need for keeping the patients informed about their cancer treatment to improve their quality of life (QOL).[1],[2],[3] In the recent years, medication therapy management has emerged as an important aspect of health-care practice. This has led to the recognition of the role of pharmacists in improving patient outcomes by ensuring medicine optimization.[4] Therefore, appropriate pharmaceutical care is essential for providing good quality health-care services. To measure and assess the quality of pharmaceutical care, various tools such as Picker, Patient Judgment System, and Sequs are available.[5] Ware et al. have reported that the patient feedback is the best tool for measuring the patients' satisfaction with medical care.[6] Nowadays, treatment satisfaction among patients with cancer is of paramount interest and drives health-care practice.[4] A descriptive, questionnaire-based, cross-sectional study from North-west India found the satisfaction level toward the services provided by the community pharmacist to be low among the study participants.[7] With a growing population, constantly increasing incidence of cancer, and limited health infrastructure, pharmacy satisfaction becomes even more important for patients with cancer in a country like India. Therefore, we conducted this study to assess pharmacy satisfaction in patients with cancer being treated at our tertiary care center and determine the role of the patient-pharmacist relationship. A total of 50 consecutive patients (age ≥18 years) with brain tumors who visited the Neuro Medical-Oncology outpatient department between October 14, 2018 and December 30, 2018 were enrolled in the study. In view of the noninterventional nature of the study, approval from the Institutional Ethics Committee was not required. Informed verbal consent was obtained from the patients in real-time during a private interview session. The patients were administered the Functional Assessment of Chronic Illness Therapy General Population (FACIT-GP) and FACIT-Satisfaction with Pharmacist (SWiP) (version 4) questionnaires to collect the data on pharmacy satisfaction. The questionnaires were filled by the patients, and if they were unable to do this themselves, they were helped by a doctor, nurse, or social worker. Each item in the questionnaire could be rated on a five-point Likert scale, ranging from 0 (”Never” or “Not at all”) to 4 (”Several times a day” or “Very much”). A higher score was indicative of better perceived pharmacy satisfaction and QOL. No formal sample size calculation was performed for this study. Multiple regression analysis was performed to identify the factors affecting pharmacy satisfaction and QOL among patients. These factors included age, sex, Eastern Cooperative Oncology Group Performance Status (ECOG-PS), hospital category under which treatment was availed (general or private, which signified the paying ability of the patient), and monthly income.

The median age of our study population was 35.5 years (range 18–63). The median physical well-being score was 18 (interquartile range [IQR], 11.5–22; range, 0–24), the median emotional well-being score was 12 (IQR, 7.25–16; range, 0–16), the median functional well-being score was 19 (IQR, 15–23; range, 6–24), the median social/family well-being score was 20 (IQR, 16.38–20; range, 6–20), and the FACT–G score was 64 (IQR, 55.25–75.75; range, 30.5–84). The median SWiP score was 28 (IQR, 25–28; range, 5–28). There was no significant correlation between the FACIT-SWiP and FACT-GP scores (P = 0.705). In addition, we did not find any significant association between the various subscales of FACT-GP and the factors such as age, sex, ECOG PS, hospital category, and monthly income. However, the FACIT-SWiP score was significantly associated with the age of the patient (P = 0.019).

Gourdji et al. used the Sequs questionnaire in their study and found that a lack of interaction or limited time spent with the pharmacist with regard to the medications was associated with low pharmacy satisfaction among patients with cancer.[5]

To the best of our knowledge, ours is the first Indian study to report the perceived pharmacy satisfaction and QOL of patients with brain tumors, and our data can be useful in generating hypotheses and sample size calculation for future studies. In future studies, we wish to assess if the pharmacy satisfaction scores increase with the involvement of social workers in proper navigation and assistance. The patients in our study were satisfied with the pharmacists and age was found to be significantly associated with the satisfaction rate, with the older patients being more satisfied.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Ramesh A, Rajanandh MG, Thanmayee S, SalaghaMerin G, Suresh SS, Srinivas KS, et al. Impact of patient counseling on medication adherence, beliefs and satisfaction about oral chemotherapies in patients with metastatic cancer at a super specialty hospital. Int J Cancer 2015;11:128-35.  Back to cited text no. 1
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McKee M, Frei BL, Garcia A, Fike D, Soefje SA. Impact of clinical pharmacy services on patients in an outpatient chemotherapy academic clinic. J Oncol Pharm Pract 2011;17:387-94.  Back to cited text no. 4
Gourdji I, McVey L, Loiselle C. Patients' satisfaction and importance ratings of quality in an outpatient oncology center. J Nurs Care Qual 2003;18:43-55.  Back to cited text no. 5
Ware JE Jr., Snyder MK, Wright WR, Davies AR. Defining and measuring patient satisfaction with medical care. Eval Program Plann 1983;6:247-63.  Back to cited text no. 6
Chhabra M, Gudi S, Rashid M, Goyal A, Tripathi R, Kashyap A. Satisfaction towards the services provided by the community pharmacist in north-west India: A qualitative exploratory study. Clinical Epidemiology and Global Health 2019;7:615-9.  Back to cited text no. 7


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