Attitudes and perceptions of GPs and community pharmacists towards their role in the prevention of bisphosphonate-related osteonecrosis of the jaw: a qualitative study in the North East of England

Sturrock, Andrew, Preshaw, Philip M, Hayes, Catherine and Wilkes, Scott (2017) Attitudes and perceptions of GPs and community pharmacists towards their role in the prevention of bisphosphonate-related osteonecrosis of the jaw: a qualitative study in the North East of England. BMJ Open. ISSN 2044-6055

[img]
Preview
PDF
BMJ Open Published Paper.pdf - Published Version

Download (720kB) | Preview
[img] PDF
BMJ_Open_Paper_Final Author Submission.docx - Published Version
Restricted to Repository staff only

Download (70kB) | Request a copy

Abstract

Background Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a rare, yet significant, adverse effect of bisphosphonate therapy. A multidisciplinary approach to the prevention of BRONJ is recommended due to the significant morbidity and difficulty treating the condition. Current evidence suggests that both general practitioners (GPs) and community pharmacists have limited knowledge relating to BRONJ and that preventative strategies are rarely implemented.

Objective To explore the attitudes and perceptions of GPs and community pharmacists on the risks and preventative strategies for the development of BRONJ.

Design Interpretivist methodological approach using qualitative semistructured interviews.

Participants 9 community pharmacists and 8 GPs.

Setting Primary Care in North East England and Cumbria, UK.

Methods Using a Grounded Theory methodology and integrating a process of constant comparison in the iterative enrichment of data sets, semistructured interviews were undertaken, transcribed and analysed using framework analysis. Salient themes were identified and related back to extant literature in the field.

Results Four salient and inter-related themes emerged: (1) uncertain knowledge, indicating limited exposure of respondents to BRONJ, and limited awareness of the implications of its diagnosis, risk factors and preventative strategies; (2) patient specific, referring to the complexity of patients, patient education and prioritising aspects of care; (3) wider context, indicating a lack of interdisciplinary communication and referral processes between professions, workload pressures, access and patient receptivity to dental services; and (4) professional, reflecting professional roles and responsibilities, authority and educational initiatives

Conclusions Effective communication or collaborative care between GPs and community pharmacists for the prevention of BRONJ is not apparent. Interventions to mitigate against the risk of developing BRONJ and clarity of GP and community pharmacy roles are required.

Item Type: Article
Subjects: Sciences > Pharmacy and Pharmacology
Divisions: Faculty of Health Sciences and Wellbeing
Depositing User: Andrew Sturrock
Date Deposited: 15 Nov 2017 13:36
Last Modified: 15 Nov 2017 13:41
URI: http://sure.sunderland.ac.uk/id/eprint/8141

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year