{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:55:38Z","timestamp":1777859738323,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,5,26]],"date-time":"2021-05-26T00:00:00Z","timestamp":1621987200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pharmacy Practice"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>No guidelines exist for de-escalating antihypertensive medications surrounding bariatric surgery. This study analyzed clinical pharmacy specialist (CPS) management of antihypertensive medications in patients undergoing bariatric surgery at a Veterans Affairs medical center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The primary objective was to describe the CPS role in antihypertensive management surrounding bariatric surgery through evaluation of number of CPS encounters, number and type of antihypertensive medications and medication interventions by CPSs and all other providers, over 5 time periods between a pre-operative assessment and up to 6 months post-operatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Electronic medical records of patients taking antihypertensive medication who underwent bariatric surgery between 1\/1\/2014 and 2\/27\/2018, had primary care through our facility, and at least 1 encounter with a CPS were reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty patients were included out of 221 screened. There were 109 total medication interventions in 37 patients. CPSs provided 60 medication interventions (55% of total interventions) in 26 patients. Mean antihypertensive agents per patient was 2.18 at baseline versus 0.95 at 6-months post-operative. Dihydropyridine calcium channel blockers had the highest discontinuation rate. Thiazide diuretics were most commonly discontinued prior to surgery and angiotensin converting enzyme inhibitors were discontinued more steadily over the study duration. Nineteen patients (48.7%) had blood pressure &lt;140\/90 mmHg and were off all antihypertensive medications at the final CPS encounter.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The results of this small study support the role of CPSs in antihypertensive medication management surrounding bariatric surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08971900211015072","type":"journal-article","created":{"date-parts":[[2021,5,26]],"date-time":"2021-05-26T05:39:16Z","timestamp":1622007556000},"page":"922-928","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Clinical Pharmacy Specialists\u2019 Role in Antihypertensive Management Surrounding Bariatric Surgery in a Veterans Affairs Population"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0786-7937","authenticated-orcid":false,"given":"Jessica L.","family":"O\u2019Neill","sequence":"first","affiliation":[{"name":"VA Ann Arbor Healthcare System, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel A.","family":"Pinkney","sequence":"additional","affiliation":[{"name":"PACE Southeast Michigan, Sterling Heights, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn M.","family":"Hurren","sequence":"additional","affiliation":[{"name":"VA Ann Arbor Healthcare System, Ann Arbor, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,5,26]]},"reference":[{"key":"bibr1-08971900211015072","doi-asserted-by":"publisher","DOI":"10.4158\/EP161365.GL"},{"issue":"288","key":"bibr2-08971900211015072","first-page":"1","author":"Hales CM","year":"2017","journal-title":"NCHS Data Brief"},{"key":"bibr3-08971900211015072","doi-asserted-by":"publisher","DOI":"10.4158\/EP12437.GL"},{"key":"bibr4-08971900211015072","unstructured":"American Society for Metabolic and Bariatric Surgery. Bariatric surgery procedures. Accessed April 30, 2021. https:\/\/asmbs.org\/patients\/bariatric-surgery-procedures"},{"key":"bibr5-08971900211015072","doi-asserted-by":"publisher","DOI":"10.1038\/ajh.2010.172"},{"key":"bibr6-08971900211015072","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpv153"},{"key":"bibr7-08971900211015072","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.2202"},{"key":"bibr8-08971900211015072","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.032130"},{"key":"bibr9-08971900211015072","doi-asserted-by":"publisher","DOI":"10.1016\/j.jash.2018.09.007"},{"key":"bibr10-08971900211015072","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000007508"},{"key":"bibr11-08971900211015072","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-014-1375-y"},{"key":"bibr12-08971900211015072","doi-asserted-by":"publisher","DOI":"10.1159\/000481825"}],"container-title":["Journal of Pharmacy Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08971900211015072","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08971900211015072","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08971900211015072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:36:41Z","timestamp":1777509401000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08971900211015072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,26]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1177\/08971900211015072"],"URL":"https:\/\/doi.org\/10.1177\/08971900211015072","relation":{},"ISSN":["0897-1900","1531-1937"],"issn-type":[{"value":"0897-1900","type":"print"},{"value":"1531-1937","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,26]]}}}