{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T18:57:29Z","timestamp":1789412249771,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>People with cystic fibrosis (pwCF) require a multidisciplinary care team due to disease complexity. The Cystic Fibrosis Foundation (CFF) notes that pharmacists are recommended, while other organizations consider pharmacists required. In 2016, the CFF initiated a grant program for CFF\u2010accredited care centers and affiliate programs (CFF\u2010ACCAP) to implement outpatient pharmacy services. The primary objective of this study was to compare surveys regarding pharmacy involvement in CFF\u2010ACCAP pre\u2010 and post\u2010grant implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was an IRB\u2010approved, survey\u2010based study. The surveys were distributed via the CF pharmacist\u2010pharmacy technician and center director e\u2010mail exchanges.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There are currently 244 CFF\u2010ACCAP and 158 pharmacists. Forty\u2010two pharmacists completed the 2013 survey and <jats:styled-content>77<\/jats:styled-content>\u00a0completed the 2023 survey. Practice site shifted from primarily the inpatient (58.5%) to outpatient settings (67.5%; <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Most positions were created in the past 7 years (81%) with 50% currently or previously funded by the CFF grant program. CFF center director response decreased from 2013 to 2023 (106 vs. 48) but centers with a dedicated CF pharmacist increased from 2013 to 2023 (66%\u201386%; <jats:italic>p<\/jats:italic>\u2009=\u2009.014). In the 2023 survey, we received responses from 17 pharmacy technicians, who were newly included. Most of these technicians (64%) reported working in outpatient clinics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Since 2013, pharmacy presence has grown at CFF\u2010ACCAP, partly due to the CFF grant program. Despite pharmacists not being required members of the multidisciplinary care team, their presence is notable in 65% of CFF\u2010ACCAP centers, where they contribute significantly to improving the care provided for pwCF.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.26798","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T10:44:28Z","timestamp":1701773068000},"page":"652-661","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A decade of change: The evolution of pharmacy services at U.S. cystic fibrosis centers"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1763-1039","authenticated-orcid":false,"given":"Paige M.","family":"Grube","sequence":"first","affiliation":[{"name":"Department of Pharmacy Services University of Kentucky Healthcare Kentucky Children's Hospital Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6022-460X","authenticated-orcid":false,"given":"Elizabeth B.","family":"Autry","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Services University of Kentucky Healthcare Kentucky Children's Hospital Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1980-6031","authenticated-orcid":false,"given":"Lauren N.","family":"Kormelink","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Services University of Kentucky Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0977-7257","authenticated-orcid":false,"given":"David C.","family":"Young","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Services University of Utah Health Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6047-306X","authenticated-orcid":false,"given":"Jeffery T.","family":"Zobell","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Services Intermountain Primary Children's Hospital Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zubin N.","family":"Bhakta","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Services University of Utah Health Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aric D.","family":"Schadler","sequence":"additional","affiliation":[{"name":"College of Pharmacy University of Kentucky Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8267-9683","authenticated-orcid":false,"given":"Robert J.","family":"Kuhn","sequence":"additional","affiliation":[{"name":"College of Pharmacy University of Kentucky Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/pir.2019-0212"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.24968"},{"key":"e_1_2_10_4_1","volume-title":"Kalydeco (ivacaftor) [package insert]","year":"2017"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201910-1943SO"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2022.06.007"},{"key":"e_1_2_10_7_1","volume-title":"Cystic Fibrosis Foundation Patient Registry 2021 Annual Report","author":"Cystic Fibrosis Foundation","year":"2022"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(22)00434-9"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10010023"},{"key":"e_1_2_10_10_1","unstructured":"Cystic Fibrosis Foundation.Your CF care team. Cystic Fibrosis Foundation.\u00a0Accessed June 3 2023.\u00a0https:\/\/www.cff.org\/managing-cf\/your-cf-care-team#:~:text=Your%20new%20team%20will%20still of%20adults%20living%20with%20CF"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2014.03.009"},{"key":"e_1_2_10_12_1","unstructured":"Cystic Fibrosis Trust.Pharmacy standards in cystic fibrosis care in the UK.2022."},{"key":"e_1_2_10_13_1","unstructured":"BellS RobinsonPJCystic fibrosis standards of care. 2008. 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