Review Article

Pharmacists’ Research Contributions in the Fight against HIV/AIDs

Table 1

Pharmacist impact on adherence in patients with HIV/AIDs.

AuthorsYearAnalysis typeObjectiveNo. of patientsResultsStatistical value

Cantwell-McNelis and James [2]2002RetrospectiveEvaluation of a pharmacist run adherence program80(i) Increase in refill rates by patients in contact with a pharmacist (31 versus 50 days)
(ii) Significant decrease in viral load (values not reported)

Foisy and Akai [3]2004Observational, prospectiveDescribe the implementation of a pharmacy driven direct-observation therapy service57(i) 149 drug-related problems identified with 95% acceptance of recommendations
(ii) 13.4% drug-related problems included adherence

Castillo et al. [4]2004Retrospective, observationalCompare the impact of different levels of pharmacy care on adherence and time to viral suppression489(i) AIDS-tertiary pharmacies had highest rates of adherence compared to outside pharmacies and physician clinics
(ii) Probability of HIV-1 RNA suppression by 12 months was 74.6% for the AIDS tertiary pharmacies, 59.4% for off site pharmacies, and 60% for physician offices

Hirsch et al. [5]2009CohortInvestigate the impact of pharmacy established MTM services7,018(i) 56.3% adherence in pilot pharmacy compared to 38.1% in comparison group
(ii) Difference in excess refills (19.7% versus 44.8%, pilot pharmacy versus other pharmacies)

Ma et al. [6]2010Retrospective, cohortInvestigate clinical outcomes of an HIV clinical pharmacist interventions75(i) Prescribed daily pill quantities reduced from a mean of 7.2 ± 3.9 to pills per day
(ii) 25% increase in CD4+ cell count
(iii) 33% increase in patients with undetectable viral load

Henderson et al. [7]2011Prospective, cohortEvaluating antiretroviral adherence and impact of pharmacy interventions28(i) Overall 19% increase in adherence rates
(ii) Increase in the trend toward undetectable viral load (58–73%, baseline and postintervention)

Hirsch et al. [8]2011CohortEvaluation of pharmacy driven MTM services2,234Increased adherence in the pilot pharmacy than nonpilot pharmacy by 22.1%

MTM: medication therapy management, AIDS: acquired immunodeficiency syndrome, HIV: human immunodeficiency virus.