Nephrology

Talk

Safe Medication Use In Patients With Impaired Renal Function To Prevent Adverse Drug Reactions

Friday, November 24
9:15 AM - 10:15 AM

Adverse drug reactions (ADRs) are a public health problem in Canada. 3-6% of hospital admissions are due to medication adverse events, resulting in significant costs to the health care system. Patients with chronic kidney disease (CKD) are at increased risk for ADRs, including acute kidney injuries (AKIs), due to the nephrotoxic effects of certain drugs. Inappropriate drug dosing, particularly those drugs that rely on kidney function for elimination, also remains a challenge for this patient population as it often represents an older demographic, who are taking numerous medications for multiple comorbidities.
It is difficult for primary care providers to easily access a list of commonly prescribed, potentially harmful medications in patients with CKD. The development of such a list would contribute to an effective strategy to reduce and prevent patient harm. The Ontario Renal Network has committed to developing tools and resources for family physicians to reduce the incidence of avoidable harm in patients with impaired renal function. This past year, a literature review was conducted to identify commonly prescribed medications associated with ADRs in patients with CKD, followed by a modified Delphi method to generate a nationally accepted list of inappropriate medications, and those requiring dose adjustment, for the renal compromised population. The pan-Canadian Delphi panel included participation from nephrologists, pharmacists, clinical pharmacologists, and family physicians.
This presentation will use interactive case-based scenarios to highlight an evidence-informed list of common medications prescribed in primary care that need to be used cautiously in CKD patients.

Learning Objectives:

Allan Grill

Provincial Lead, Primary Care, CCO - Ontario Renal Network
Assistant Professor, Dept. of Family & Community Medicine, University of Toronto

Dr. Allan Grill is an Assistant Professor in the Department of Family & Community Medicine at the University of Toronto and the Lead Physician at the Markham Family Health Team. He enjoys an active community-based clinical practice and has a staff appointment at Markham Stouffville Hospital. Dr. Grill also serves as the Provincial Primary Care Lead for the Ontario Renal Network, and is part of a team that focuses on innovative ways to improve Early Detection and Prevention of Progression of Chronic Kidney Disease in the primary care setting.

Presentation(s):

Send Email for Allan Grill

Allan Grill

Provincial Lead, Primary Care, CCO - Ontario Renal Network
Assistant Professor, Dept. of Family & Community Medicine, University of Toronto

Dr. Allan Grill is an Assistant Professor in the Department of Family & Community Medicine at the University of Toronto and the Lead Physician at the Markham Family Health Team. He enjoys an active community-based clinical practice and has a staff appointment at Markham Stouffville Hospital. Dr. Grill also serves as the Provincial Primary Care Lead for the Ontario Renal Network, and is part of a team that focuses on innovative ways to improve Early Detection and Prevention of Progression of Chronic Kidney Disease in the primary care setting.

Presentation(s):

Send Email for Allan Grill

Allan Grill

Provincial Lead, Primary Care, CCO - Ontario Renal Network
Assistant Professor, Dept. of Family & Community Medicine, University of Toronto

Dr. Allan Grill is an Assistant Professor in the Department of Family & Community Medicine at the University of Toronto and the Lead Physician at the Markham Family Health Team. He enjoys an active community-based clinical practice and has a staff appointment at Markham Stouffville Hospital. Dr. Grill also serves as the Provincial Primary Care Lead for the Ontario Renal Network, and is part of a team that focuses on innovative ways to improve Early Detection and Prevention of Progression of Chronic Kidney Disease in the primary care setting.

Presentation(s):

Send Email for Allan Grill


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