Accuracy of reporting current medications by cancer patients presenting to an emergency center

• Published in: Supportive care in cancer Vol. 18; no. 10; pp. 1347 - 1354
• Main Authors: Hwang, Jessica P., Holmes, Holly M., Kallen, Michael A., Ensor, Joe, Etchegaray, Jason, Saab, Rana, Arbuckle, Rebecca B., King, Krista M., Escalante, Carmen P.
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer-Verlag 01.10.2010; Springer; Springer Nature B.V
• Subjects: Adult; Aged; Aged, 80 and over; Cancer; Cancer patients; Communication; Cross-Sectional Studies; Data Collection; Drug therapy; Drug-Related Side Effects and Adverse Reactions; Drugs; Drugstores; Emergency medical care; Emergency Service, Hospital - statistics & numerical data; Evaluation; Female; Health Knowledge, Attitudes, Practice; Humans; Knowledge; Male; Medicine; Medicine & Public Health; Middle Aged; Neoplasms - complications; Neoplasms - drug therapy; Nursing; Nursing Research; Oncology; Original Article; Pain Medicine; Patient compliance; Patients; Pharmaceutical Preparations - administration & dosage; Polypharmacy; Rehabilitation Medicine; Young Adult; Patient compliance; Emergency medicine; Medication therapy management; Cancer
• DOI: 10.1007/s00520-009-0760-x
• ISSN: 0941-4355

Background Due to high coexistence of comorbidity, cancer patients take many medications and are susceptible to negative consequences of polypharmacy. To avoid adverse events during care transitions, patients need to correctly communicate their medications. The emergency center (EC) presents opportunities to assess patients’ knowledge of medications and reconcile medication profiles. Objective The purpose was to evaluate the medication knowledge of cancer patients presenting to the EC and to identify factors associated with higher knowledge. Design and measurements For the cross-sectional self-administered survey, 254 patients were enrolled and gave name, dose, frequency, route, and indication for medications. Responses were checked for accuracy against outpatient pharmacy dispensing records within or outside M. D. Anderson Cancer Center. Demographic data was obtained from medical records. For each patient, we calculated a patient medication knowledge (PMK-overall) score indicating percentage of correct responses. Results Median PMK-overall score was 80%. Patients who used a medication aid to fill out the survey were 6.5 times more likely to have a high level of medication knowledge, or PMK-overall score ≥ 80%. Predictors of using a medication aid included lower education level, solid tumor, more than five medications, married, and using a medication list at home. Conclusions Though our findings may not be generalizable to settings outside the EC, we found cancer patients to have high levels of medication knowledge. Future studies should validate the use of PMK scores to predict medication adherence and other outcomes. Patients should be encouraged to use a medication aid when presenting information to the health care system.