Clinical Pharmacists in Chronic Care Management
Secretary & Treasurer, Dr. M. Nasirullah Memorial Trust, Tejgaon, Dhaka, Bangladesh
Publication Month and Year: November 2019
C-11, 169, Sector-3, Rohini, Delhi, India
Clinical Pharmacists in Chronic Care Management
Pharmacy practice has changed significantly lately. The professionals have the chance to contribute straightforwardly to patient consideration so as to lessen morbimortality identified with medication use, promoting wellbeing and preventing diseases. Healthcare organizations worldwide are under substantial pressure from increasing patient demand. Unfortunately, a cure is not always possible particularly in this era of chronic complications, and the role of physicians has become limited to controlling and palliating symptoms. The increasing population of patients with long-term conditions are associated with high levels of morbidity, healthcare costs and GP workloads. Clinical pharmacy took over an aspect of medical care that had been partially abandoned by physicians. Overburdened by patient loads and the explosion of new drugs, physicians turned to pharmacists more and more for drug information, especially within institutional settings. Once relegated to counting and pouring, pharmacists headed institutional reviews of drug utilization and served as consultants to all types of health-care facilities. In addition, when clinical pharmacists are active members of the care team, they enhance proficiency by: Providing critical input on medicine use and dosing. Working with patients to solve problems with their medications and improve compliance.
Keywords: chronic care, pharmacy intervention, diabetes care, CVD prevention, inflammatory bowel disease
Fig 1: Clinical pharmacy offers chronic care services like asthma, diabetes, nutritional supplement counseling, smoking cessation, weight reduction, geriatric care, hyperlipidaemia, hypertension, naturopathy and wound care. The integration of clinical pharmacists into primary care clinics could have positive effects on the clinical outcomes of patients in glycemic control, blood pressure, lipid profile, in accordance with current guidelines
Clinical pharmacology is a professional discipline that combines basic pharmacology and clinical medicine. A clinical pharmacist offers invaluable support in the development of a final prescription with better patient management and enhanced safety . Its development began in the early 1950s, primarily as a result of the efforts of Harry Gold. Pharmacist rounding with inpatient hospital services has been traced to the University of Kentucky in 1957 [1, 2]. Drug therapy was becoming much more complex. Graham Calder pioneered a new role for pharmacists on hospital wards in Aberdeen . The role of clinical pharmacists underwent significant changes from the 1960s through 1990s as their participation in direct patient care enhanced. In the early 1970s, federal funding assisted with greatly expanding clinical pharmacy faculty in Colleges of Pharmacy . Pharmacy education debated where clinical pharmacy fit within pharmacy training. The AACP spearheaded an effort to examine this issue. Till then, two full generations of pharmacists have been educated and trained after the general adoption of the aims of clinical pharmacy [4, 5]. ACPE has revised the standards for colleges and schools of pharmacy several times since 2000. ACPE Standards 2016 go into effect July 1, 2016. To some extent, pharmacy took over an aspect of medical care that had been partially abandoned by physicians . Overburdened by patient loads and the explosion of new drugs, physicians turned to pharmacists more and more for drug information, especially within institutional settings. A clinical pharmacist often has a somewhat different approach to the use of drugs and may give valuable supplementary information about for example interactions, during the physician’s decision-making process concerning potential changes of and the follow-up of the medication [7, 8]. The concept of pharmaceutical care accentuates the pharmacists’ responsibility to pursue the best possible patient outcomes of therapeutic regimen . They possess in-depth knowledge of medications that is integrated with a foundational understanding of the biomedical, pharmaceutical, socio-behavioral, and clinical sciences . To achieve desired therapeutic goals, the clinical pharmacists follow evidence-based therapeutic guidelines, evolving sciences, emerging technologies, and relevant legal, ethical, social, cultural, economic, and professional precept [11-13]. In accordance, clinical pharmacists assume responsibility and accountability for managing medication therapy in direct patient care settings, whether practicing independently or in consultation or collaboration with other health care professionals [14, 15]. Their functions encompass comprehensive medication management (ie, prescribing, monitoring, and adjustment of medications), nonpharmacologic guidance, and coordination of care. Interdisciplinary collaboration allows pharmacists opportunities to provide direct patient care or consultations by telecommunication in many different clinical environments, including disease management, primary care, or specialty care [16-19]. Pharmacists may manage chronic or acute illnesses associated with endocrine, cardiovascular, respiratory, gastrointestinal, or other systems . Clinical pharmacist researchers generate, disseminate, and apply new knowledge that contributes to improved HRQoL [21-24]. Within the system of health care, clinical pharmacists are experts in the therapeutic use of medications. They consistently provide medication therapy evaluations and endorsements to patients and allied health professionals (AHPs) [25, 26]. Clinical pharmacists are a primary source of scientifically accurate/logical information and advice regarding the safe, appropriate, and cost-effective use of medications [27, 28]. They obtain medical and medication history, check medication errors including prescription, dispensing and administration errors, identify drug interactions, monitor ADR, suggest individualization of dosage regimen, provide patient counseling, etc. [29-35]. They also provide information about the use of drugs and medical devices like inhaler, insulin pen, eye drops, nasal sprays, etc. . Participation of a clinical pharmacist in ward/ICU rounds and clinical discussions helps to identify, prevent or reduce drug interaction and ADR , [37-39].
Population aging has increased the burden of chronic diseases globally. There are both ethical and practical imperatives to address health inequity issues related to chronic disease management for persons with social complexity, existing programs often do not appropriately address the needs of these individuals. This leads to low levels of participation in programs, suboptimal chronic disease management, and higher health-care utilization . Unlike acute conditions, chronic diseases require consistent care and management outside of the healthcare setting, in the community or primary care setting, in terms of medication, lifestyle management, and health behavior modification [41-45]. It is typically a multi-component intervention that includes medication therapy review, patient medication education, medication monitoring, immunizations, disease self-care and support, and/or prescribing authority. Patients who take voluminous medications due to chronic disease have a high risk of drug duplication, interaction, or ADRS, which could result in extended hospital stays and higher costs . To increase the safety and effectiveness of therapeutics, these patients must have specific needs met, with regards to appropriate medication use . Studies have shown that integrating pharmacists into ambulatory clinics can improve chronic disease management and optimal use of medications . Furthermore, pharmacist involvement in patient care may help to curtail inappropriate drug use, specifically in the elderly. A study in Canada saw the proportion of patients receiving an inappropriate medication drop significantly after medication review and optimization by a team that included a pharmacist . Compared to usual care, pharmacist-led care was associated with similar incidences or rates of office, urgent care or ED visits, and hospitalizations and medication adherence, increased the number or dose of medications received and improved study-selected glycemic, blood pressure, and lipid goal attainment . Another recent study shows telehealth-based chronic disease management program including clinical pharmacy specialists imparted statistically significant improvements in diabetes and hypertension outcomes along with clinically significant improvements in the areas of lipid management and tobacco cessation .
As the seventh-leading cause of death in the US, diabetes can lead to various health complications such as blindness, kidney disease, amputations, and heart disease. The worldwide existing prevalence of DM is about 425 million people, of whom 279 million are in urban areas and 146 million are in rural zones . The IDF estimates that by 2040, one in 10 adults (642 million) will have diabetes. Around 50% (212.4 million) of patients are unaware of their diabetes. More than 12% of total global health expenditure goes to diabetes, according to IDF . Annual worldwide economic cost of diabetic care was calculated at $727 billion in year 2017 which is predicted to be $776 billion for year 2045 respectively . Currently, more than 230 million Asian individuals are living with diabetes, accounting for approximately 55% of the world’s diabetic population. China and India collectively are home of nearly 110 million diabetic patients . It is a risk factor for CVD and has been associated with 2- to 4-fold higher mortality  and another study says that half of all diabetic death was due to CVD . The number of deaths caused by diabetes in the age range of 60-99 years in 2017 was 3,200,000 . About half of diabetes-related mortality (48%) occurs in people younger than 60 years and it continues to reduce life expectancy by 6-8 years in people diagnosed at the age of 50 years . More than 35% patients did not receive any diabetes education, while 30% diabetic patients were compliant with drug regimens and the non-compliance was higher among the lower socioeconomic groups . Pharmacist may provide a face-to-face counseling regarding knowledge on diabetes, self-monitoring of blood glucose, regular checkup of systolic blood pressure, body weight, and serum cholesterol levels. The pharmacist may also counsel regarding non-pharmacological management strategies such as diet control, exercise therapy, and early identification of symptoms of hypoglycemia (blurred vision, rapid heartbeat, sweating, fatigue, headache, dizziness, trouble thinking, seizures, and coma) and its management. In a satisfaction survey of 24 providers or clinical pharmacists, nearly 90% had favorable responses toward the protocol and its effect on access to and quality of care . Management of DM remains a significant challenge in the US, as estimates indicate that greater than 40% of diabetes patients are uncontrolled with a HbA1c. Diabetic patients who received care from the collaborative team, including a clinical pharmacist, had improvement in most key indicators of diabetes like HbA1c, in both high- and low- income countries and in both urban and rural areas [62-71]. Emphasizing medication adherence, particularly for patients with longer duration of diabetes and those with multiple comorbid diseases should be strongly considered in future diabetes management programs implemented to improve glycemic control in patients with type 2 diabetes . A mobile phone text message can serve as a simple and cost-effective option in improving medication adherence and clinical outcomes by providing information between clinic visits has been reported [73, 74]. A report from the National Diabetes Commission suggested that an inappropriate attitude of health care professionals toward diabetes could lead to poor patient outcomes . In educational program, a clinical or community pharmacist can improve adherence by providing medication consultation service, creating an individualized patient schedule on administration times and dosage of each medication, educating the patient on the importance of medication adherence, dietary adherence and exercise on better glycemic control, giving advice on how to reduce adverse effects of medications, and also by teaching how to take medications in the holy month of Ramadan or other religious fasting, and how to use pill boxes and diary logs to reduce forgetfulness. Literature indicates a number of interventional studies involving pharmacist-based educational interventions, showing clinically significant improvements in the clinical outcomes of the diabetes patients .
Fig 2: Telemonitoring model for providing clinical pharmacy services to patients with diabetes 
Hypertension affects 26.4% of the global adult population and a key driver of global disease burden . It is a major risk factor for CHD, stroke, retinopathies, and renal dysfunction. 18 million people die each year from CVDs, an estimated 31% of all deaths worldwide . Of these deaths, 85% are due to MI and stroke . CVD is currently the leading cause of morbidity and mortality and over 80% occur in LMICs . Nearly 50% patients with chest pain related to exercise have obstructive coronary artery disease . Coronary artery spasm plays an important role in the pathogenesis of IHD, including angina pectoris, MI, and sudden death, occurring most often from midnight to early morning . A study of 1,015 patients with stable coronary artery disease (CAD) showed a 4.4-fold escalation in the risk of stroke and a 3.8-fold escalation in the risk of death among patients who self-reported as non-compliant . IHD has topped the list of causes of years of life lost for more than a decade, highlighting the shift in the global burden of disease from communicable to chronic disease. Risk factors for CVD, including raised blood pressure, hypercholesterolaemia and high BMI, are among the most important contributors to DALYs . CVD claimed death of some 900,000 death in US in 2016 . BP is still uncontrolled in 50% of the US population with hypertension. Additionally, BP can remain poorly controlled despite up to six physician visits per year . Across South Asia, overall hypertension prevalence is estimated to be 27%. Prospective Urban Rural Epidemiology study has shown more than 50% are unaware of it and up to 80% of hypertensive patients have low adherence to medication. Uncontrolled BP was found more than 50% in Bangladesh, 70% in Pakistan and almost 60% in Sri Lanka . The goals of treatment of hypertension are to limit target organ damage, thereby reducing the morbidity and mortality associated with the disease . Many factors including socioeconomic status, belief about medications, comorbidity, availability of medications, access to healthcare, level of health literacy, number of medications, duration of therapy, age, gender, culture, educational status, and knowledge of the disease and treatment have been associated with the rate of adherence. Lack of medication availability, low level of awareness about the disease and treatment, inability to afford medicines, mistrust in western medicine, and more trust on traditional and spiritual healers are very common in the rural population . Non-drug therapies have been shown to lower BP, enhance antihypertensive drug efficacy, and decrease cardiovascular risk. All patients with hypertension and those in the prehypertensive category should be advised to make life-style modifications in addition to any pharmacologic treatment that they receive . Surprisingly, 60% - 80% of the population around the world (according to WHO) are partially or fully dependent upon herbal drugs for primary healthcare . Interactions of some ingredients in supplements with other anti-hypertensive and cardiovascular preparations are well-documented . Green tea showed 85% decrease in plasma concentration of nadolol, for example . The pharmacist may play a relevant role in primary and secondary prevention of CVDs, mainly through patient education and advocacy, drug safety management, medication review (review of both drug-food and drug-drug interaction), monitoring and reconciliation, detection and control of specific cardiovascular risk factors (e.g., blood pressure, blood glucose, serum lipids) and clinical events .
Pharmacist intervention can increase patients' knowledge about their condition in a way that positively modifies their beliefs about medicines, increased medication intensification without significant change in medication adherence, modify factors affecting adherence, improve adherence and patient QoL by reducing BP levels in patients treated with antihypertensive agents, increased referral acceptance [86, 95-99]. Interventions that were most effective included combinations of more convenient care, information, reminders, self-monitoring, reinforcement, advocacy, family therapy, psychotherapy, crisis intercession, regular telephone follow-up, and supportive care . Weight loss has been noted to modify risk factors via improving insulin sensitivity, reducing inflammation, decreasing BP and modifying the lipid profile . It is astonishing that 7-28% of patients with coronary heart disease still smoke, but around half of smokers are planning to quit . The World Bank suggests that around 180 million tobacco related deaths could be prevented between now and 2050 if adult tobacco consumption abate by 50% by 2020 . A clinical pharmacist trained for smoking cessation counselling can play a key role in providing such intercessions, including the assessment of pharmacotherapy interactions with tobacco use . Prescription smoking cessation medications include bupropion and varenicline . A recent Canadian survey shows that pharmacist-led intervention resulted in more than 70% of patients using nicotine replacement therapy for smoking cessation .
Fig 3: Effects of pharmacist’s intervention on humanistic, clinical and economic outcomes in patients with CVD 
In every single country in the world, the incidence of obesity is rising continuously with coronary artery disease, hypertension, type 2 diabetes mellitus, respiratory disorders and dyslipidemia . The WHO estimated that in 2016 more than 1.9 billion adults were overweight (nearly 40% of the population) and over 650 million (13% of the population) were people with obesity . Globally, the annual cost of obesity-related diseases has reached $2 trillion according to a recent report by McKinsey Global Institute . Obesity increases cardiovascular risk through risk factors such as increased fasting plasma triglycerides, high LDL cholesterol, low HDL cholesterol, elevated blood glucose and insulin levels and high blood pressure [109, 110]. Also, obesity causes cerebral vasculopathy, gallbladder lithiasis, arthropathy, ovarian polycytosis, sleep apnea syndrome, and some neoplasms . Successful obesity treatment plans incorporate diet, exercise, behavior modification (with or without drug treatment), and/or surgical intervention . Prior to recommending any treatment, the clinician must evaluate the patient for the presence of secondary causes of obesity, such as thyroid dysfunction [113, 114]. If secondary causes are suspected, then a more complete diagnostic workup and appropriate therapy is important. The clinician should then evaluate the patient for the presence and severity of other obesity-related diseases, evaluating appropriate lab tests as indicated. Based on the outcome of this medical evaluation, the patient should be counseled on the risks and benefits of available treatment options (along with obesity‐related comorbidities, including T2D prevention, and improvements in dyslipidemia, hyperglycemia, osteoarthritis, stress incontinence, GERD, hypertension, and PCOS [115, 116]. If obesity is present without other comorbid conditions, then the goal would be absolute weight loss. In the presence of comorbid conditions, relatively small reductions in total body weight can have significant effects on comorbidity .
Fig 4: 2013 AACE Obesity Treatment Algorithm 
Pharmacists, commonly considered one of the most trustworthy and accessible health care professionals, are ideally situated to provide counseling for weight and lifestyle management. Well trained pharmacists to perform basic physical assessments such as weight, waist circumference, blood glucose monitoring, and pharmacotherapy counseling, while additional training could be easily obtained for services that would encompass dietary counseling, guidance on physical activity, and behavioral counseling [108, 119, 120]. As pharmacists currently do not have a well-identified role in obesity management, but study results display that pharmacist intervention was beneficial . According to Canadian Pharmacists Journal, 2016 pharmacist prescribing resulted in >3-fold more patients achieving target LDL-c levels . Pharmacists who identify and treat patients with dyslipidemia, including those with inadequately controlled LDL cholesterol levels, are better than physicians at attaining therapeutic goals . Studies have demonstrated that pharmacist-led interventions, including lipid clinics, can help patients achieve these more aggressive goals [124, 125].
7.Asthma & COPD management
Asthma and COPD are common chronic conditions that comprise nearly 80% of direct health care costs associated with respiratory diseases in the EU . In the UK alone, 5.4 million patients are currently receiving therapeutics for asthma; of these, 1.1 million are minor. Over three million people expire due to COPD worldwide every year, an estimated 6% of all demises worldwide . It is the second most common reason for emergency hospital admission. According to WHO, COPD has become the fourth leading cause of mortality in the US. It is estimated to become the fifth leading cause of disease burden in 2020 . In 2015 alone, the death toll due to asthma was 383,000 globally . One in five individuals with a diagnosis of COPD, asthma, or both asthma and COPD in primary care settings have asthma-COPD overlap . In COPD, the outpatient therapeutic and management goals are to reduce symptoms and risks from exacerbations, and to maintain drug therapy. In contrast with asthma, COPD is a disease caused by chronic and often daily exposure to noxious particles or gases. The small airways in COPD are gradually destroyed leading to chronic bronchitis and emphysema . Optimal pharmacological treatment including rapid treatment of exacerbations, can improve symptoms, reduce exacerbation frequency, and improve exercise tolerance, while poor medication adherence and suboptimal inhaler technique negatively impact outcomes . Adherence to inhaled medication is poor in the real world and shows great variability, ranging from as low as 20% to over 60% . To improve adherence, the therapeutic decisions should be discussed with the patient and should take into consideration their lifestyle factors, demographic characteristics (age, co-morbidities, physical limitations, psychological and cognitive status), and pharmacological factors (polypharmacy regimens) to choose the best inhaler device for that patient . Pharmacist-led comprehensive therapeutic interchange program of COPD inhalers may provide 30% pharmacy cost savings, improved medication adherence, knowledge of disease, decrease the number of prescriptions for exacerbations for these patients. and reduces 30-day readmission rate [135-138]. A pharmacist-driven spirometry service was associated with quality testing results, identified respiratory disease abnormalities, and helped modifications of pulmonary drug regimens based on evidence-based guidelines . Despite advances in inhaler device technology, estimates of those making inhaler errors range up to 90% of patients irrespective of the device type used. Poor inhaler technique accounted for over €750 million in direct and indirect costs in 2015 in the UK, Spain and Sweden . By providing pharmaceutical care to patients with asthma, the pharmacist can help them to achieve treatment goals, e.g. improvement of disease control and reduction of asthma symptoms, exacerbations and medication-related side effects . Step up of therapy comprised increasing or starting corticosteroid/long-acting beta agonist combination inhaler; corticosteroid inhaler; short-acting muscarinic antagonist inhaler; oral corticosteroid; oral montelukast; or long-acting muscarinic antagonist inhaler. Step down of therapy comprised reducing or stopping corticosteroid/long-acting beta agonist combination inhaler; corticosteroid inhaler; or long-acting muscarinic antagonist inhaler. The pharmacist conducted activities such as issuing asthma action plans, educating patients, recommending to step up/down therapy, reviewing inhaler technique and making other relevant recommendations such as device changes (e.g., dry-powder to metered-dose inhaler) . Polypharmacy is burdensome and associated with patients hospitalized with acute exacerbations. It is plausible that repeated pharmacist intervention to ensure optimal pharmacotherapy and minimize adverse effects, with a direct link to a consultant respiratory physician, and the patient’s GP, may lead to improved outcomes . The interventions identified focused on key areas of asthma and COPD management and support including: assessment of current symptoms; assessment and rectification of inhaler technique; identification of medication-related problems; medication adherence; provision of written and oral education materials; smoking cessation .
Fig 5: Unifying model showing key influences on successful delivery of smoking cessation support by pharmacists 
Worldwide, it is estimated that 1 in 3 women above the age of 50 will experience osteoporotic fractures, as well as 1 in 5 men . The pervasiveness of osteoporosis is expected to rise in the US from approximately 10 million people to more than 14 million people by 2020 . In 2015, direct medical costs totaled $637.5 million for fatal fall injuries and $31.3 billion for nonfatal fall injuries. During the same year, hospitalizations cost an average of $30,550 per fall admission, totaling $17.8 billion. By 2025, the cost of fractures in the US is expected to exceed $25 billion each year to treat more than three million predicted fractures . Similar to other chronic diseases, osteoporosis has struggled with suboptimal medication adherence, resulting in an increased risk of fractures and all-cause mortality. Two gaps in osteoporosis management are well documented:
a)Most patients at high risk for fracture are not identified for treatment
b)Adherence to osteoporosis pharmacotherapy is suboptimal 
Nearly 50% osteoporosis patients are non-adherent to medications. Furthermore, approximately 50-70% of the patients discontinue their osteoporosis medications within the first year of initiation, which results in increased morbidity and mortality . In October 2010, the US FDA issued a safety communication regarding the risks of atypical fractures of the femur, with bisphosphonates drugs, the safety communication appeared to have influenced osteoporosis utilization in Medicaid recipients .
Fig 6: Mapping the factors influencing adherence and adherence strategies onto the medication-taking process in patients with osteoporosis 
High patient cost and safety concerns are barriers for nearly 60% patients . Improved osteoporosis medication adherence can reduce osteoporosis-related health care costs by preventing fractures. Persistent pharmacotherapy for osteoporosis is necessary to prevent osteoporotic fractures and to reduce osteoporosis-related health care costs . Treatment strategies of osteoporosis include non- pharmacological treatment - diet rich of calcium and vitamin D, healthy lifestyle, proper exercise plan, and pharmacological therapy . BMD monitoring after initiating anti-osteoporosis therapy in the routine clinical practice setting .
Hypercalciuria, calcium malabsorption, hyperparathyroidism, hyperthyroidism, vitamin D lack, Cushing’s syndrome, and hypocalciuric hypercalcemia attributed to secondary causes to more than 30% women. Disorders of calcium metabolism and hyperparathyroidism contributed to nearly 80% of the secondary causes . Hormone replacement therapy (HRT) is not first-line therapy position for osteoporosis, but is best for prevention of osteoporosis . However, different types of estrogen or progestogen, as well as different formulations, doses, timing of initiation, durations of therapy, and patient characteristics, may play different roles in the effects of HRT . Pharmacist-physician collaboration is associated with higher treatment rates of osteoporosis . Physicians and pharmacist should invest time to educate patients about the potential side effects and box warnings of estrogen use. Routine women wellness exams should also be focused on the development of any malignancies or adverse effects of hormone replacement therapy given a positive history. The pharmacist can play an important role at multiple levels: supporting patients in treatment, by providing information on the disease, its treatment, proper use of medication, adherence and persistence, as well as raising awareness for the prevention of osteoporosis and identifying patients at risk . The counseling should include educating and assessing the patient for proper use of estrogen medication therapies as they may be prescribed in many various preparations of oral, transdermal, vaginal insert, and topic vaginal creams for positive patient compliance and adherence to therapy .
9.Inflammatory Bowel Disease (IBD)
Inflammatory bowel disease (IBD) is a group of inflammatory conditions of the colon and small intestine. The two most common diseases are ulcerative colitis and Crohn's disease (CD). Crohn's disease can cause inflammation in any part of the GIT. Ulcerative colitis (UC) is an idiopathic inflammatory condition of the colon which results in diffuse friability and superficial erosions on the colonic wall associated with bleeding . Although these diseases have undetermined etiology, research advances have outlined some of the pathways by which they occur:
a)Genetic predisposition associated with the environment induces a disruption of the intestinal microbial flora
b)The epithelial cells and the immune system of the intestine itself determine the risk of developing the disease 
Treatment of both, IBD and IBD related pain is challenging. The upholder of IBD therapy includes systemic immunosuppressive drugs, such as corticosteroids, anti-tumor TNF antibodies or immunomodulators. Furthermore, the management of an acute flare differs from the strategies for maintenance of remission . A total of about 66,000 US residents with a new IBD diagnosis each year, since 2015 . Direct costs (including consultations, drugs, hospitalization and surgery) of UC amount to $3.4 to $8.6 billion in the US and €5.4 to €12.6 billion in EU . The prevalent populations of patients with CD or UC in the UC in 2016 are expected to incur lifetime total costs of $498 billion and $377 billion, respectively . IBD is a relapsing–remitting condition that causes inflammation and ulceration in the bowels, affecting approximately 500,000 people in the UK .
Fig 7: The seven sections of the 2019 IBD Standards 
The increasing incidence of IBD in developing countries parallels the westernization of diet, which includes higher calorie intake, especially from sugar, refined carbohydrates, animal proteins and ultra-processed foods and a lesser intake of fiber and fruits [168, 169]. Incidence rate of IBD is stabilizing in some developed countries; however, the incidence rate is increasing in developing countries such as Asia and Eastern Europe . Anxiety and depression are the most common psychological disorders in patients with IBD . IBD is associated with significantly increased MI compared with non-IBD patients . Patients with IBD are also at risk for asthma or COPD and bronchiectasis [173, 174]. Sacroiliitis, an inflammatory arthropathy associated with ankylosing spondylitis, is found in patients with IBD but may go undiagnosed . IBD patients showed increased risk for lymphoma and biliary cancer . The general goals of treatment are to induce and maintain remission, minimize complications and disease manifestations, and improve overall QoL. Personalized IBD pharmacist adherence counselling, based on the Health Beliefs Model of medication perception, may increase medication adherence. Education using pamphlets and ad hoc physician education improved knowledge but not adherence . IBD patients, mainly those having UC, need medications throughout their life with periodic dosing and occasionally, enemas and infusions may also be required. Treatment without adherence is highly regarded as the significant factor for relapse occurrence . Medication nonadherence in IBD can be improved through a single personalized counseling session by IBD pharmacist adherence counselling (IPAC) intervention, and the benefit was durable for 2 years . In addition to the disease, these patients are also managed with potent medications like steroids and biological agents, which have a host of adverse effects. Thus, the importance of the pharmacist who should be alert for any adverse reaction . Pharmacist-led drug monitoring clinics measure thioguanine nucleotides and thiopurine methyltransferase levels four weeks after treatment with thiopurines is started to optimize outcomes . In the event that insurance coverage cannot be obtained for the selected biologic response modifiers, the pharmacist identifies and discusses alternative options with the GI team; some of these options may include switching to another formulary agent or enrolling patients in medication assistance programs. Once insurance coverage of the medication is secured, the pharmacist educates the patient on self-administration, stability and storage requirements, and potential adverse effects. Additionally, the pharmacist highlights the significance of compliance with laboratory monitoring and reviews the importance of communicating with the GI team in the event of potential infection, worsening disease control, or issues obtaining or using the medication. The IBD pharmacist has a key role in the management of IBD patients contributing not only to medication monitoring, prescribing, and safety but also allowing greater capacity in the physician’s, often highly stretched IBD clinics . Beyond medication therapy coordination from beginning to end, the pharmacist plays an active role in assisting with medication reconciliation and ensuring patients are current on necessary immunizations . 40% of patients with CD do not respond to treatment with biologics, 30% to 50% achieve complete remission after six months and 30% of patients maintain the response for 12 months with continual treatment. Current strategies to overcome loss of response involve increasing the dose, decreasing the interval between administrations or switching to an alternative agent .
Primary hypothyroidism (due to thyroid gland dysfunction) is the most common, with typical causes being Hashimoto’s disease, or iatrogenic (due to exposure to radiation or thyroid surgery). Secondary hypothyroidism occurs as a result of diseases of the pituitary or hypothalamus. Common symptoms in hypothyroidism include fatigue, weight gain, cold intolerance, bradycardia, constipation, depression, and skin and hair dryness . Hyperthyroidism, on the other hand, presents with symptoms nearly opposite, including weight loss, heat intolerance, tachycardias or palpitations, hyper-defecation, nervousness, and hyper-hydrosis . Iodine nutrition is a key determinant of thyroid disease risk; however, other factors, such as ageing, smoking status, genetic susceptibility, ethnicity, endocrine disruptors and the advent of novel therapeutics, including immune checkpoint inhibitors, also influence thyroid disease epidemiology . The global prevalence of hypothyroidism is 4.6%, with prevalence being more common in women and in older individuals [187, 188]. In UK, the prevalence is around 3.5-5% and in USA, 0.2-3.7% . The prevalence of thyrotoxicosis is 10-fold higher in women. Elevated diastolic blood pressure is present in ~30% of patients with overt hypothyroidism and heart failure develops in 6-16% of patients with hyperthyroidism . There is a high (>20%) prevalence of hypothyroidism in patients with T2DM, hypertension, and patients having both . Hypothyroidism can directly cause obstructive sleep apnea (OSA) [190, 191], Bruyneel et al., 2019 reported 16% of OSA patients had a thyroid problem and 8% of these were newly diagnosed with subclinical hypothyroidism (SCH) , over 50% of the patients studied did not receive any treatment, found in a recent Egyptian study . Both hypothyroidism and hyperthyroidism were strongly associated with erectile and ejaculatory dysfunction: hypothyroidism with delayed ejaculation, hyperthyroidism with pre-mature ejaculation . Yuan et al., 2019 reported highest prevalence of vitiligo in subclinical hypothyroidism, among 6 types of thyroid disorders . Subclinical hypothyroidism is most often caused by autoimmune (Hashimoto) thyroiditis , who are at higher risk of developing audiological abnormalities as compared to the healthy individuals . Hypothyroidism may also cause alveolar hypoventilation, decreased lung volumes, upper airway obstruction, depression in respiratory stimulus, and respiratory failure . Thyroid dysfunction is a common extrapulmonary manifestation in COPD patients . The American College of Physicians and the American Society of Internal Medicine (ASIM) recommend screening women older than 50 years of age for unsuspected but symptomatic thyroid disease . However, the American Thyroid Association recommends that adults begin screening at the age of 35 years, and repeat screening every 5 years thereafter .
Fig 8: Managing Primary Hypothyroidism (Adapted from DeGroot LJ, 2016) 
Clinical pharmacist improves treatment outcome in term of knowledge, attitude and practice scores of the patients after advocacy . Thyroid medications demand careful, patient-specific dosing. Once a physician has changed the dosage of medication to achieve the desired levels of thyroid hormone in a patient, it is decisive to maintain that particular dose and medication until otherwise directed. This is an important counseling point and one that many patients may not be aware of the degree of significance. While there are only a few medicines currently used to treat thyroid disorders, pharmacists can provide education on new or existing medications. Patients should have their thyroid function monitored annually once their treatment is established. It should be noted that pregnant women and patients with nephrotic syndrome or with diseases causing chronic malabsorption may require higher doses of levothyroxine. Pharmacists play an important role in ensuring patients with hypothyroidism are managed appropriately. This can include:
•Counselling patients about the timing of levothyroxine dosing and administration with other medicines
•Discussing with patients the appropriateness of combined T4/T3 therapies in light of the large amount of debate on patient forums
•Ensuring thyroid function tests are monitored adequately-tests should be assessed four to six weeks after a dose change and at least annually when replacement therapy is stabilized; thyroid stimulating hormone values change slowly, so frequent testing is unnecessary
•Ensuring adequate titration of levothyroxine dose after test results are known 
Whether stopping by in person or picking up the phone to call, patients should be inspirited to reach out to their pharmacists-the most accessible healthcare provider-the next time a question arises about any medication, as it is both the duty and the joy of a pharmacist to provide this service.
Almost 1 in 5 adults (44 million) in the US exposed to psychiatric illness and distress in a given year, according to the NAMI. A nearly 10 million people suffer a debilitating mental illness that substantially hampers with their QoL [205, 206]. Mental and addictive disorders afflicted more than 1 billion people round the globe in 2016. They caused 7% of all global burden of disorder as measured in DALYs and 19% of all years lived with disability . Depression was the dominant cause of disability in the world, and suicide was the 10th leading cause of death in 2015 . Major depressive disorder (MDD) is the fourth cause of infirmity around the world and is estimated to be the second dominant cause of infirmity by 2020 . In EU, factors that had the strongest alliance with depression were chronic diseases, pain, circumspection in daily living, grip strength and cognitive deterioration. The gap in MH service use was nearly 80% . The therapeutic gap in developing countries was 76%–85%, according to WHO. According NMHS, it is 83% in India for mental disorder and 86% for alcohol use disorders . Swaminath et.al, 2019 revealed that mental morbidity above the age of 18 years is 10.6% with a lifetime preponderance of 13.7%. This means that 150 million Indians need active therapeutic intervention . Canadian Mental Health Association estimated that 500,000 Canadians miss work every week due to MH issues, costing the Canadian economy around $51 billion per year, as depicted by Hayes et al., 2019 . According to Australian Bureau of Statistics (ABS) National Survey of Mental Health and Wellbeing (NSMHWB) 45% of Australians exposed to a mental disorder in their lifetime, with 20% experiencing a mental disorder in the past . Shpigelman et al., 2019 reported that individuals with silent psychiatric disabilities have lower levels of self-esteem and body image compared to individuals with visible physical disabilities. Gender, family status and the acerbity level of the infirmity were found to be correlated with self-esteem and body image . Mental disorders and suicide resulting from work-load or work-related stress have become major occupational health issues worldwide, particularly in Asian countries . Depression and anxiety in more common chronic physical circumstances such as CHD or diabetes can be correlated with increased mortality, as reported by Uhlenbusch et.al, 2019. Also, depression is associated with an escalation of about 50% in costs of chronic medical ailment . Rokach et al., 2019 revealed that anxiety and depression lead to sexual dysfunction is between 30% and 70% in sexually active men and women in high-income countries . Despite psychiatry's present status as the sixth largest medical specialty, the availability of clinicians has not kept up with demand . For over 40 years, clinical pharmacists have handout to these care models in capacities ranging from educator to consultant to provider. Medicines are a major treatment modality of management for many mental illnesses and pharmacists are therefore well positioned to reinforce MH services with the potential to reduce the associated burden of mental disorders .
Fig 9: Role of Pharmacists in Mental health Disorders 
Antidepressant drug treatment (ADT), alone or in association with psychotherapy, is endorsed by the CANMAT for a minimum duration of 8 months. However, a large proportion of individuals show suboptimal attachment to ADT. In previous studies, more than 35% to 70% ceased treatment within 6 months, with up to 25% to 40% of patients having ceased their therapy within the first month [221, 222]. Also, Holvast et al., 2019 depicted non-compliance to antidepressants is high among older patients with depression in primary care settings . Transitions in care have the aptitude to be destabilizing periods for many patients and is an area where pharmacist-guided medication therapy management (MTM) has been found to be propitious . The pharmacist interim prescriber clinic was associated with a compelling decrease in mean number of patients seen per month in PES . The clinical pharmacist can make an impact by bettering mild-to-moderate MH conditions, promoting interdisciplinary collaboration, and increasing documentation and backlash that align with published treatment guidelines . Chavez et al., 2019 reported that pharmacists improved rate of patient interest in behavioral health counseling during the consult and recommending counseling directly to the patient or even initiating the referral themselves . Bingham et al., 2018 highlighted the value of the pharmacist’s involvement, suggesting the potential for improved nutrition, physical activity, and sleep for patients with MH conditions, at least in the short term . Throughout the US, pharmacists have crafted intercessions designed to prevent, identify, and manage opioid misuse and abuse . Also, Eltorki et al., 2019 reported that physicians and nurses have mostly positive perceptions and confidence from clinical pharmacists at the psychiatric hospital . In Australia, The Pharmaceutical Society’s Mental Healthcare Framework admits pharmacists as primary health care professionals who have a significant role to play within MH care. Globally, the International Pharmaceutical Federation has urged members to include pharmacists as part of their “human resource development policy” so that “an increase by 20% of service coverage for severe mental disorders can be achieved” .
Chronic neurological diseases like Alzheimer’s disease (AD), Parkinson’s disease (PD), dystonia, Amyotrophic lateral sclerosis (ALS, Lou Gehrig’s disease), Huntington’s disease, neuromuscular disease, multiple sclerosis (MS) and epilepsy, to mention only a few-afflict millions of people worldwide and account for tremendous morbidity and mortality . Contributing 11•6% of global DALYs and 16•5% of deaths from all causes, neurological disorders remain the leading group cause of DALYs and the second leading group cause of deaths in the world . Direct and indirect costs for healthcare related to AD are estimated at nearly $500 billion annually . PD is the second most prevalent neurodegenerative disease after AD, affecting approximately 4-10 million people worldwide, and is expected to double in prevalence by 2030 as the population ages . The incurred medical expenses were approximately $14 billion in 2010 , which is $52 billion now, in US only [235, 236]. Approximately 350,000 individuals in the United States and 2.5 million individuals worldwide have multiple sclerosis. Almost 10% of the cases present before the age of 18 [237, 238]. The global MS drug market was valued at US$16.3 billion in 2016, expecting to reach US$27.8 billion by 2025 . Epilepsy is another most common serious brain conditions, affecting over 70 million people worldwide , with an estimated cumulative value of lost economic welfare (VLW) $647.37 billion in 2016 . Clinical pharmacist's activity can enhance drug therapy's effectiveness and safety through pharmacotherapy interventions (PIs), thus minimizing DRPs and optimizing the allocation of financial resources associated with health care.
Patients with AD particularly susceptible to risk of anticholinergic side effects with certain medications and should be assisted by a pharmacist in selecting safe formulation such as OTC product. Pharmacists can also counsel patients and their caregivers on the safe use of alternative medicines that high majority of caregivers had requested relaxing plants and vitamins from the pharmacy for anxiety and insomnia . As AD is a progressive condition, in its early stages, individuals may present with MCI and some 40% of individuals with MCI deteriorated to dementia (estimated out-of-pocket caregiver costs more than 10 billion in 2016 in Canada alone). It is estimated that patients with dementia cost the healthcare system over 300% more than their cognitively intact peers in the same age group . Patient and caregivers’ education, monitoring its progression, becoming familiar with screening tools that can be used in pharmacy practice to assess cognitive function and helping to manage medications for patients in different stages of dementia are essential contribution by the pharmacists . In Germany, pharmacists adapt in identifying problems related to drug administration, adherence, and drug interaction among patients with dementia. Meanwhile, in the UK, a trial targeting peoples with dementia initiated on anti-psychotics demonstrated that pharmacist-led medication review successfully limited the prescribing of anti-psychotics to people with dementia because of the increased risk of ADRs. In Japan, study involving hospital pharmacists on donepezil deliberation for patients with AD and their caregivers has heightened medication adherence though this drug could cause insomnia and GI disturbance. In Malaysia, while medication reviews for patients with other chronic diseases have been invoked by hospital pharmacists via medication therapy adherence clinics, this has not been done for AD patients. It is crucial to ensure that the pharmacists are equipped with proficient knowledge on AD because poor management in AD can result in side effects, inappropriate dosing, and non-compliance to medications .
Fig 10: Treatment algorithm for Alzheimer’s disease based on severity of symptoms 
Abbreviations: AD, Alzheimer’s disease; ChEI, cholinesterase inhibitor; ER, extended release; XR, extended release.
PD is a progressive, debilitating neurodegenerative disease that often requires complex pharmacologic treatment regimens. Healthy ageing, primarily when a neurodegenerative disease is present, is possible by applying the correct pharmacological therapy, along with diet and food supplementation often are critical factors for PD management . Parkinson's disease psychosis (PDP) may affect up to 60% of patients with PD over the course of their disease, and is associated with poor prognosis, including increased risks of mortality and nursing home placement . Current management strategies aim to provide symptomatic relief and to slow down the disease progression. However, no pharmacological breakthrough has been made to protect dopaminergic neurons and associated motor circuitry components . To carry out MTM with PD patients, the pharmacist’s expertise needs to transcend the technical knowledge about the PD pharmacological treatment. It has been estimated that the PD patients’ adherence to the treatment is nearly 40%, compromising the benefits of the therapy. MTM aims at optimizing the pharmacological therapy results, so the pharmacist monitors the results of the treatment prescribed by the doctor and elaborates a healthcare plan to guarantee the treatment’s effectiveness, safety, and convenience, and therefore improve the patients’ QoL . During this time, pharmacists can serve as invaluable partners in the care of people with PD by assisting with complex medication schedules, addressing side effects, assisting with different formulations of medications, obtaining approval for medications on emergency release, ensuring appropriate intake to maximize the absorption of medications, suggesting and monitoring diet and supplementation and guiding the choice of medication based on patient preference, other concurrent medications and medical conditions, and affordability .
Exhibit 1: Pharmacists’ contribution to PD detection and management 
•Observe or examine patients who present with or complain of parkinsonian symptoms (tremor, rigidity, bradykinesia, postural hypotension).
•Review medications to determine possibility of drug-induced PD.
•Refer patients who present with PD symptoms to their family physician for an accurate diagnosis and further referral to neurologist.
•Provide written and verbal education to both patients and caregivers on the advantages and disadvantages of various anti-parkinsonian medications.
•Develop therapeutic goals with patients with PD, caregivers and other members of the patient’s health care team.
•Actively assess anti-parkinsonian medications for appropriateness, effectiveness, tolerability, safety and affordability based on clinical and lifestyle characteristics of the patient.
•Assess patient’s adherence to anti-parkinsonian medications.
•Assist patients, caregivers and other members of the health care team with adjusting doses of anti-parkinsonian medications.
•Assist patients with appropriate dosing, administration and timing of anti-parkinsonian medications.
•Recognize real and potential drug-related problems related to anti-parkinsonian medications and use full scope of practice available in your jurisdiction to facilitate resolution of drug-related problems in collaboration with patients, caregivers and other members of the health care team.
Fig 11: Summary of the identification, diagnosis and prognosis in Parkinson’s disease 
Medication nonadherence directly contributes to poor seizure control. A lack of emphasis on correcting poor adherence and failures in patient adherence can result in unwarranted alterations to a patient's drug regimen . Timely recognition and effective early therapy with first- and second-line antiepileptic drugs (AEDs) may avert unnecessary hospitalizations. Seizures should be recognized and addressed like any other symptom that causes discomfort or reduces QoL. Use of alternative AED administration routes (buccal, intranasal, or subcutaneous) may offer possibilities for effective and individualized AED therapy, even during the last days of life. In hospice or home care, however, also IV treatment is possible via vascular access devices for long-term use. Aggressive unlimited ICU treatment of refractory status epilepticus (SE) in palliative patients is mostly not indicated . There are three types of non-compliance:
iii)In an appointment
First, non-adherence in medication defined as a non-adherence which includes failure to have the prescription dispensed or renewed, the omission of doses, errors of dosage, incorrect administration, errors in the time or frequency of administration, and premature discontinuation of the drug regimen. Second, a non-adherence in dietary/exercise occurs if the patient fails to follow the diet and exercise recommendations. Last, a non-adherence in an appointment occurs if the patient fails to come at clinics for the scheduled check-up . Routine assessment of adherence barriers is imperative from toddlerhood to young adulthood given that the prevalence of barriers and their relative influence on important health outcomes vary by developmental stage .
Fig 12: Practical approach to modern epilepsy care 
Risk of seizure recurrence can be significantly reduced by 30-40% when treatment is immediately introduced once epilepsy is diagnosed. The reduction is effective for the first 2 years. However, long-term outcome is not affected, and in the UK study around 75% were seizure-free at 2 years, no matter whether treatment was delayed until after the second or third seizure or not. Overall, if patients’ relapse, 90% do so within the first 2 years.
Therapeutic drug monitoring for AEDs is commonly used to help guide and assist clinicians with optimal dosing in patients. Monitoring serum concentrations can allow clinicians to achieve seizure control while minimizing adverse effects. Established drug levels for various AEDs should be primarily viewed as reference ranges and not therapeutic levels. Pharmacists can play a significant role in optimizing therapy for patients with epilepsy. Patient counseling on the potential adverse effects of AEDs is important. Pharmacists involved in the review of prescriptions were able to prevent errors in dose and frequency of administration of AEDs. Patients and family members should be educated on expected CNS and cognitive side effects, potential skin reactions, and the risk for suicidal behavior. Patient education should also address the significance of medication adherence. Patient medication profiles should be investigated for possible drug interactions, and dosage adjustments or alternative agents should be endorsed if necessary. Additionally, pharmacists can advise clinicians on appropriate therapeutic drug monitoring. The development of instruments to guide the care of epileptic patients, such as algorithms and protocols, could assist with the exertion of relevant and effective methods of patient assessment and would also encourage the pharmacotherapeutic monitoring of epileptic patients through pharmaceutical care [257-261].
Fibromyalgia (FM) is an idiopathic chronic condition that causes comprehensive musculoskeletal pain, hyperalgesia and allodynia, afflicting 2.10% (a total of 4% female and 2-5% male) of the world’s population, 2.3% of the European population, 2.4% of the Spanish population [262, 263]. In France, work productivity loss accorded almost 90% of the total costs incurred by patients with FM, with an economic cost of 13000 million euros yearly which is around $100 billion in US [262, 264, 265]. Work disability was found to be 35% in US and Australia and 30% reported in Canada due to FM . FM is more common in female compared to male, with a ratio of 2:1  or 3:1 , although other studies reveal 85%-90% FM patients are middle aged women [269, 270]. 30-50% of FM patients have anxiety and/or depression at the time of investigation , while patients have a lifetime history of depression (50-75%)  and depressive disorders (13%-63.8%) . Physical complications of FM are indicated in Figure 13.
Fig 13: Physical complications of Fibromyalgia
The APS guidelines cite strong evidence supporting the use of TCAs and moderate evidence for serotonin and norepinephrine reuptake inhibitors (SNRIs), fluoxetine, tramadol, and pregabalin . A nearly 70% German FM patients used thermal baths, 35.2% use alternative therapeutics such as homeopathy, dietary supplements, and 18.4% use introspective or meditation-based exercises such as yoga or Tai chi . Low FODMAP was found be compelling in QOL, quality of sleep, anxiety and depression and inflammatory biomarkers in FM patients [276-281]. Cognitive behavioral therapy (CBT) interventions may slow or reverse cortical gray matter atrophy, diminishes circulating proinflammatory cytokines (IL-6, IL-8, and TNF-α level) of FM patients, pain symptoms and pain perceptions, helps FM patient having fear of pain, anxiety, depression and sleep disturbances [282-287]. Physiotherapy and acupuncture, both are compelling, not found to be more beneficial than each other, longer post-treatment follow-up may help arbitrate the superior treatment option . Low to moderate intensity endurance and strength training are strongly suggested in FM patients. Strength training alleviates pain, fatigue, number of tender points, depression, and anxiety, with increased functional capacity and QoL. Exercise activates the endogenous opioid and adrenergic systems but does not consistently alleviate pain in FM patients [264, 275]. Pharmacists can participate in ongoing follow-up to monitor patients’ responses to both pharmacologic and nonpharmacologic intercession. The assessment should consider both the impact on symptoms of FM and on the patient’s function. If patients do not achieve a satisfactory treatment response or experience intolerable adverse events, pharmacists can collaborate with other members of the healthcare team to arbitrate whether a trial of another medication would be appropriate. Because emerging evidence indicates FM has many possible root causes, lack of treatment response to one medication does not affect whether another medication will be effective. Pharmacists can assess and triage patients who present to the pharmacy with a history of symptoms that are associated with FM [289, 290].
Fig 14: An integrated approach for FM management 
14.Recurrent Urinary Tract Infections
Between 50% and 60% of adult women will face at least one UTI event in their life, and close to 10% of postmenopausal women indicate that they had a UTI in the previous year, according to Medina et al., 2019 . Recurrent UTIs (RUTIs) are mainly precipitated by reinfection of the same pathogen mostly caused by frequent sexual intercourse, heterosexual anal intercourse (without circumcision and a condom), different sexual partners (Each sex partner shares his/her UGT microbiota with the other), utilization of spermicide and another sexual partner, sexual intercourse with addicted partners, sexual intercourse with sex workers, sexual intercourse with online dating friends, sexual intercourse with another sex partner for 2 months. [293-303]. Many other factors have been thought to predispose women to RUTIs, such as voiding patterns pre- and post-coitus, wiping technique, wearing tight undergarments, deferred voiding habits and vaginal douching; nevertheless, there has been no proven association . Obesity was found to be associated with RUTIs in premenopausal women . Several other risk factors are associated with cystitis, a prior UTI, vaginal infection, diabetes, and genetic susceptibility . Pathogens responsible most commonly are Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, Enterococcus faecalis and Staphylococcus saprophyticus [293, 306-310]. The role of dietary pattern in RUTI is also not clear. Increasing fluid consumption is often recommended for patients with UTI [301, 307-314] but there has been no clear clinical evidence to support this recommendation . After a first episode of a UTI, 27% of women have a confirmed recurrence within the next 6 months . Although there have been few studies on the determent of RUTIs without use of antibiotics within the past years, interest probiotics has increased over the years. Reviews by Akgül et al., 2018 concluded that evidence of probiotic appliance in UTIs is not yet sufficient to recommend use of probiotics . Different vaccines based on the whole cells (killed or live-attenuated vaccines) and antigens (subunits, toxins and conjugated vaccines) have been evaluated against UTIs pathogens, as reported by Asadi et al., 2019 . Substantial efforts have been expended in development of endogenous antimicrobial peptides (AMPs) as new therapeutic options suitable in the treatment of drug-resistant microbial infections. For example, Wnorowska et al., 2019 reported that combination of natural peptide LL-37 with synthetic analogs might be a potential solution to treat UTIs caused by drug-resistant bacteria . UTI is one of the most prevalent diseases with diverse etiological agents annually affecting 250 million and causes death of 150 million people overall. Financial burden of UTIs exceeds $3.5 billion in US alone, while over half of the anti-infection agents prescribed for a suspected UTI in older adults being considered unnecessary. Surprisingly, nosocomial UTIs account for nearly 40% of all hospital acquired infections and around half of UTI in children are missed. Sexual intercourse ≥3 times/week was associated with greater frequency of UTIs. Close proximity of the urethral meatus to the anus and shorter urethra, is a likely factor in women (Figure 15). Genital hygiene practices such as urination after and washing genitals after intercourse, male partner washing genitals before intercourse, taking baths, frequent replacing of underwear, controlled frequency of sexual intercourse, and washing genitals from front to back were associated with a reduced frequency of UTIs [319-322].
Fig 15: Bacterial spreads to the urinary bladder due to close proximity to anus, causing inflammation
Pharmacist management of uncomplicated UTI is effective, safe, and patient satisfaction appears very high. In Quebec, pharmacists can prescribe for UTI in women if there has been an interpretation of UTI and a resulting prescription to treat it in the past year. In Saskatchewan, prescribing for UTI in women has been suggested, but is not yet approved. And in Alberta, pharmacists who have Additional Prescribing Authorization are able to prescribe for UTI if it is within their scope of practice and if, through their own estimate or collaboratively with another health professional, it is determined that treatment is appropriate. If a patient has been prescribed an antibiotic for a presumed UTI, the pharmacist should also apprise here to confirm the aptness of treatment. Patients should be asked about symptoms such as dysuria, frequency, urgency, suprapubic pain, flank pain or tenderness, fever, or hematuria in non-catheterized patients. In catheterized patients, symptoms suggestive of UTI include fever, rigors, flank pain or tenderness, acute hematuria, purulent discharge from catheter site and new or deteriorated mental status (in the presence of leukocytosis) with no attributable alternative cause. In cases of complicated UTI or pyelonephritis, a urine culture should always be sent. Pharmacists who are unable to order urine cultures should advocate for or make advises to have them done when they are pertinent and should discourage the sending of urine cultures when they are not indicated. Pharmacists should also familiarize themselves with the local antibiogram, as this will assist in the selection of empiric therapy. They should keep in mind, however, that resistance rates portrayed in hospital antibiograms may not be representative of the expected resistance patterns of uncomplicated infections, as these antibiograms are often heavily influenced by patients with complicated and nosocomial infections, which tend to be more resistant in nature. Medically underserved populations pose a unique challenge for providing effective patient education, compared with the general population. Patient adherence to provider recommendations is key to achieving therapeutic success. Also, as there are many modifiable risk factors for developing UTIs, it is important to effectively communicate these factors to patients to prevent recurrence and subsequent readmissions. As pharmacists already play a key role in medication counseling prior to hospital discharge, this presents an opportunity to incorporate patient education on infection management and prevention by pharmacists as part of ASPs [323-325].
Fig 16: Proposed algorithm for assessment and management of urinary tract infection by Beahm et al., 2017 
Kidney disease is a global public health problem, affecting over 750 million persons worldwide . Over 30 million American adults may have CKD  and 1.8 million in UK . The global estimated prevalence of CKD is 13.4% (11.7-15.1%), and patients with ESRD needing renal replacement therapy is estimated between 4.902 and 7.083 million . In 1990, renal failure was considered as the 27th mortality factor in the world, and reached the 18th rank in 2010. According to the Centers for Disease Control and Prevention, in 2014, more than 20% of people with serious hypertension suffered from chronic kidney disease and were at risk for ESRD. On the other hand, hypertension is present in over 90% of individuals with advanced kidney disease [327, 330]. In all developed countries and in many developing countries, diabetes and hypertension are considered as the main cause of CKD. Dialysis remains the most commonly employed treatment option for patients with ESRD because not all patients are medically suitable for kidney transplantation, and the demand for kidneys far exceeds the supply. The total cost of dialysis is mostly composed of the costs of the treatment itself (including disposables, machines, accommodation, electricity, water and human resources) and the costs of medications, transportation, complications, additional hospital admissions and interventions . Total annual cost of CKD far exceeds $5 billion in Korea , $114 billion in US  and Canada $40 billion . The prevalence of CKD and ESRD is projected to rise by up to 80% by 2020 due to ageing population and the rising prevalence of diabetes in Australia . Multidisciplinary healthcare teams of physicians, nurses, dieticians, and clinical pharmacists share the goal of disease aversion progression and managing comorbid conditions in CKD and ESRD patients. At the initial appointment, the patient meets with all team members for a need estimate. The pharmacist obtains the patient’s medication and allergy histories. The pharmacist also educates the patient about the importance of medication management in chronic kidney disease, adherence to drug regimens, and the potential risks of nephrotoxic medications. At subsequent visits, the patient is seen by specific team members, as appropriate to the person’s laboratory results or as requested by the patient or other team members. As specialists in pharmacotherapy, clinical pharmacists are routinely involved in patient care and interact with other health care professionals, addressing multiple, often unmet needs for pharmacotherapy optimization. Ideally, this happens through a preventive, rather than a reactive, approach . The pharmacist continually assesses drug therapy for efficacy and adverse effects, using laboratory results, the results of physical examinations performed during clinic visits, and information obtained during phone conversations with the patient. The main areas of focus for the CKD pharmacist are management of anemia, monitoring for hypertension, reduction of cardiovascular risk, adjustment of doses, and recommendations relating to medications that are eliminated renally. Drug coverage and supply issues involve communication with community pharmacists and the office of the provincial health plan. The CKD pharmacist deals with drug information requests from team members and other health care providers. Management of inventory and reporting (to the public health department) of vaccinations performed in the clinic are also the pharmacist’s responsibility. Other members of the team participate in the patient education classes, which are offered throughout the year to provide patients with self-management information . One large cross-sectional study observed associations between uncontrolled hypertension and CKD patients with greater medication nonadherence. An earlier study reveals that clinical pharmacists’ interventions reduced DRPs, gaps between clinical interventions and hospital admissions, length of hospital stays, number of transplant rejections, improved outcome of renal function and incidence of ESRD or death [337-339].
Fig 17: Dialysis facility-centered medication management services model 
In this model of care delivery, a pharmacist can provide crosscutting medication management services by communicating bidirectionally between the dialysis unit team and the patient’s care providers, family, and payers, closing the loop of communication, improving medication list accuracy, and identifying and resolving MRPs. The pharmacist in this model could function like a consultant, providing medication management services to patients in several dialysis units.
There are nearly 40 million HIV-positive people in the world, while the developing countries contain 95% of them. It is estimated that 14 thousand individuals are being infected with the HIV each day worldwide and more than 30 million people have lost their lives because of the AIDS, since the first HIV positive patient was identified. Whilst AIDS-related deaths and total new infections have fallen by 34% and 18%, respectively, since 2010, worldwide new infections in 2016 and 2017 have remained constant at 1.8 million cases, 10% of whom were children. About 2.1 million new HIV-positive cases were diagnosed in 2015 only [341, 342]. South and Southeast Asia placed the third rank of the highest HIV/AIDS incidence after the states of sub-Saharan Africa and North Africa in 2012, as 3.9 million people were living with HIV and 270,000 people becoming newly . Interestingly, HIV prevalence among prisoners has been reported to vary between different countries from 0%-2% in Australia to 2% in America, 11% in Latin American countries, 10% in the Middle East, and 20% in African countries . In China, men who have sex with men (MSM) transmission has surpassed both injection drug use and blood donors and has become the major HIV transmission route, rose from 44.3% in 2008 to 63.5% in 2012 and to 71.3% in 2015 in Nanjing . Another study revealed that married Indian women who experience physical and sexual violence from husbands face a significantly increased risk of HIV infection as compared with women who are not thus abused . However, the HIV epidemic has cost the global economy over half a trillion dollars so far in the 21st century (between 2000 and 2015), according to a new scientific study .
Fig 18: Diary of key sentinel timeline events from discovery to evolution of therapy of HIV-1 AZT, Zidovudine 
Ever since the first report by the New York Times on a mysterious illness in 1981 and the identification of HIV-1 as the cause of this illness in 1983, significant strides have been made in the treatment and management of HIV-1. Since the introduction of combination antiretroviral therapy in the mid-1990s, there have been >30 agents approved for the treatment of HIV-1-positive individuals.
Exhibit 2: Guidelines for HIV Prevention & Treatment 
HIV infection is diagnosed by tests for antibodies to HIV-1 and HIV-2. Antibody testing starts with a sensitive screening test such as enzyme-linked immunosorbent assay (ELISA). Reactive screening tests must be confirmed by a supplemental test, such as Western Blot, or by immunofluorescence assay. If confirmed by a supplemental test, a positive test indicates that a person is infected with HIV and is capable of transmitting the virus to others. HIV is detectable within 3 months after infection in at least 95% of patients. Although a negative antibody test result indicates that a patient is not infected, it cannot exclude the possibility of a recent infection. Patients with a new diagnosis should receive initial behavioral and psychosocial counseling on-site. Providers should be alert for medical or psychosocial conditions that might require immediate attention. Patients should be encouraged to notify their partners (including sex partners and needle sharing) and to refer them for counseling and testing. Needlestick injuries are fairly common occurrences in the health care field. Guidelines are available from the US Public Health Service for the management of occupational exposure to HIV, HBV, and HCV and recommendations for postexposure prophylaxis. These guidelines are updated regularly, and include such topics as implementation of a bloodborne pathogen policy, treatment recommendations after needlestick injuries, monitoring for adverse effects, and laboratory testing to monitor for seroconversion. Health care providers should be knowledgeable about the symptoms and signs of acute retroviral syndrome, characterized by fever, malaise, lymphadenopathy, and skin rash, which occur within the first few weeks after HIV infection. This presentation occurs before the antibody test results become positive. Current guidelines suggest that patients with recently acquired HIV infection might benefit from antiretroviral drugs and may be candidates for clinical drug trials. Anyone with an acute HIV infection should be referred immediately to an appropriate HIV care provider. Once detection has been confirmed, this should prompt education efforts to reduce the spread of HIV to others. This includes counseling patients on high-risk behaviors (eg, sharing of intravenous needles, unprotected sexual behavior).
The core goals of management remain maximal suppression of viral replication and promotion of immune reconstitution through combination antiretroviral therapy (ART). In both the unadjusted and the adjusted analyses, patients with pharmacist-assisted ART management achieved more rapid viral suppression than patients managed without such assistance [349, 350]. Secondary goals of therapy include promoting long-term adherence, avoiding drug interactions, minimizing toxic effects, simplifying treatment regimens, decreasing drug costs, managing comorbid conditions, and preventing transmission of HIV by achieving undetectable viral load. Pharmacists’ involvement in the care of HIV-positive patients has been associated with improved patient outcomes, including enhanced, reduced pill burden and dosing frequency, greater increases in CD4 cell counts, higher rates of viral suppression, and decreases in medication errors . Pharmacist involvement ensured identification, prevention, and solving of DRPs , increased CD4+ T-lymphocyte counts , reduced cost associated with medicine, doctor/hospital appointments, laboratory tests, and hospitalizations , reduced pill burden and dosing frequency  and greater adherence to and persistence with ART adherence (early studies indicated 95% adherence was needed for viral suppression) . In a US Department of Veterans Affairs Medical Center adherence study, the results demonstrated a 10% increase in adherence associated with a viral load decrease . Pharmacist counseling of patients with HIV includes several key aspects: an evaluation to ensure appropriate dosage, patient administration counseling, ART adherence education, medication interactions, and possible adverse effect management. If lab data are available, monitoring of CD4+ cell counts and HIV RNA viral load could also be reviewed . One common reason patient cite for missing medication doses is forgetfulness. Reminder strategies such as pillboxes, calendars, or other medication planners can help improve adherence . According to an analysis of the retrospective data, more than 50% of HIV-positive patients continued their regimens at home, and the remainder had provider support for not having a home regimen. A pharmacy resident or a student trained in medication reconciliation could be appointed with gathering patient information through insurance claims, outpatient pharmacies, and patient or caregiver interviews . This visit gives pharmacists the opportunity to detect any problems in adherence and to suggest ways of managing adverse effects or other problems to patients before the drugs have to be discontinued.
Fig 19: Integrated AYA-centered Framework for differentiated HIV prevention and Treatment Services 
Abbreviations: adolescents and young adults (AYA); Pre-Exposure Prophylaxis (PrEP).
In 2019, 1,762,450 new cancer cases and 606,880 cancer deaths are projected to occur in the United States . Globally, cancer is responsible for at least 20% of all mortality , 18.1 million new cancer, 9.5 million death in 2018 [363, 364], the 5- year prevalence of 43.8 million , is predicted to rise by 61.4% to 27.5 million in 2040 . Approximately 70% of deaths from cancer occur in LMICs . Asia, Africa, and Latin America are collectively home to more than 50% of cancer patients; with more than half of global cancer-related mortalities occurring in Asia alone . The 3 most prevalent cancers in 2019 are prostate, colorectal and skin melanoma among males, and breast, uterine corpus, and colorectal among females . Overall cancer death rates declined faster in blacks than whites in US, although rates for cancers of the breast, uterine corpus, and pancreas are increasing in black people . Also, black men have a 70% higher prostate cancer and a more than 2-fold higher mortality rate compared with white men . The cost of delivering cancer treatment is estimated to rise globally with a projected total spending of $458 billion by 2030 . However, the financial burden stems from employment loss, cost of care even when patients don't require chemotherapy, out of pocket costs' opportunity costs of informal care time and can continue long after the death of the patient [373, 374]. Studies say 46 billion in productivity lost in major emerging economies due to cancer  and economic costs of tobacco-related cancers exceed USD 200 billion each year . Also, cancer causes 2.6 times more likely to file for bankruptcy than the non-cancer people . Cancer trends in young adults, reflect recent changes in carcinogenic exposures, which could foreshadow the future overall disease burden . Cancer cachexia (anorexia, weight loss, loss of adipose tissue and skeletal muscle) is reported in 30%-80% cancer patients and causes 20% of all cancer deaths . Worldwide, some 60%-80% people depend on alternative medicines [380-382], which is also true for nearly 40% to 70% European [383, 384], 50% Italian, 40% Korean, 30% British  and up to 87% of Australian cancer patients . Use of unapproved/unlabeled/wrong herbal treatment is not uncommon [387, 388] and also drug interactions reported phyto-therapeutics in oncology . So, proper and up-to-date knowledge is necessary in using alternative treatment options as patients who received alternative medicines had a 2.5 greater risk of dying compared to those who received conventional cancer treatment . In oncology, a retrospective observational cohort study of a pharmacist-managed oral chemotherapy management clinic that provided services (including education on oral chemotherapy agents, concurrent medications, symptom management, and insurance assistance) to cancer patients for up to three months found that the program led to reductions in rates of adverse effects, non-adherence, drug interactions, and medication errors over time, as well as potential cost avoidance or cost savings . Patients also appear to value pharmacist-led interventions in the oncology setting. Based on a survey of outpatients, 86% felt it important to discuss their initial treatment with a pharmacist, while 76% requested pharmacy follow-up at future visits; patients were interested in visiting a pharmacist regularly while receiving chemotherapy, and may be willing to pay for pharmacy counseling services . However, inpatient clinical pharmacy services positively impact on patient care. An experienced cancer pharmacist possesses the specific knowledge about the medications used in the care of cancer patients and has been shown to obtain more accurate medication histories than doctors or nurses in the hospital setting . In the UK, pharmacist independent prescribers can prescribe for any condition within their clinical competence including systemic anti-cancer therapy . Greater training of pharmacists may lead to greater therapeutic interventions and interactions with patients regarding their treatment regimens. Pharmacist intervention aids completion of planned chemotherapy and management of treatment-related adverse events . Ambulatory care clinical pharmacists are often responsible for managing comorbid conditions of patients with cancer. There are over 100 types of cancers, located in different organs and sub-tissues and originating from different cell types. Some cancer types (e.g., colon, breast, and non-Hodgkin’s lymphoma) contain even more specific classifications based on their molecular subtypes. Despite this complexity and variability, most types of cancer are treated with the same generic therapies .
American Cancer Society estimated that in 2018 lung and bronchus cancers would be responsible for 234,030 new cases which represent 14% of all new cancer cases and 1.5 million deaths . Also, Global lung cancer deaths were estimated at 1.7 million in 2015, contributing to approximately 20% of all cancer-related deaths. In 2004, lung cancer was associated with highest treatment cost at $4.2 billion , which was $ 268 billion in 2010 . The overall economic impact of lung cancer in Europe is substantial, it was found more than €100 billion, when costs related to disability and premature mortality are considered as well . Non-small-cell lung cancer (NSCLC) is the most common type of lung cancer, accounting for about 80%-85% of all cases [401, 402]. More than half of the NSCLC cases are diagnosed at an advanced stage (stages III and IV) [403, 404]. Smoking causes at least 80% of lung cancer deaths . Lin et al., 2019 concluded association between lung cancer incidence and increased reliance on coal for energy generation . Other possible reasons are exposure to indoor and outdoor air pollution, exposure to radiation, and occupational exposure to agents such as asbestos, nickel, chromium, and arsenic . India currently produces approximately 730 million kg of dry tobacco. Its use is associated with several types of cancers which are very common in LMICs contributing to 50% of all cancers in men and 20% in women. Globally, 90% of lung cancer deaths in men and 80% in women are attributable to smoking. By 2030, tobacco use is estimated to kill around 10 million people a year. The epicenter of this tobacco epidemic is LMICs with 70% of estimated deaths and 80% of the 1 billion smokers in the world coming from here .
Fig 20: Algorithm for the management of EGFR-mutated NSCLC 
Molecular testing is recommended at multiple points along the treatment pathway for this patient population. Additional challenges arise because of the known benefits of treating oligometastatic disease, especially in the brain, and treating beyond classical radiologic progression. Clinical trials should be considered at all steps along the treatment path.
a)If oligo-progression (such as isolated brain metastasis) occurs, consider local therapy and continuation of tyrosine kinase inhibitor.
b)Re-biopsy currently required. Biopsy of growing lesion is recommended if possible. Testing can be performed on histology or cytology cell block. Consider testing plasma free DNA as an alternative if clinically available.
c)Clinical trials are preferred at all treatment steps, if available. EGFR = epidermal growth factor receptor; TKI = tyrosine kinase inhibitor.
Chemotherapy remains the indispensable choice for the vast majority of patients with advanced NSCLC, including primary tumors and lung metastases. Use of the pulmonary route is a promising way to decrease the severe systemic toxicities associated with chemotherapy. Inhalation allows the administration of high drug doses directly to lung tumors without prior distribution in the organism . Pharmacists are expected to assist patients with completion of adjuvant chemotherapy. A clinical trial directly comparing preoperative with postoperative chemotherapy for early-stage NSCLC demonstrated an attrition rate of 34% for postoperative chemotherapy within the protocol-defined window of 6 to 7 weeks owing to a wide range of complicating factors . Pharmacist intervention aids completion of planned chemotherapy and management of treatment-related adverse events . More than 80% lung cancer in UK are preventable. One-fifth of lung cancers occur in people who have never smoked. More than 90% of lung cancer cases are symptomatic at diagnosis, with a cough being most common. Pharmacists are ideally placed to detect early signs and symptoms of lung cancer, offer advice and refer people to a GP when appropriate. Pharmacists and pharmacy staff who have the opportunity to talk to patients about the signs and symptoms of lung cancer. With practical guidance, pharmacists can appropriately use immune checkpoint inhibitors for stage III NSCLC, educate patients and other clinicians about immunotherapy, and monitor and manage immune-mediated adverse events. Adding a specialist cancer pharmacist to the outpatient lung cancer team led to significant improvements in patient medication adherence. Both patients and GPs were highly satisfied with the service. Medication misadventure and clinic attendances were reduced [393, 411, 412].
Hematopoietic cancers constitute a diverse group of diseases including leukemias, lymphomas, plasma cell tumors, myelodysplastic syndromes, and mastocytosis. They arise primarily from two categories of immunological cell types, myeloid and lymphoid cells . AML is the most common form of acute leukemia in adults, accounting for over 80% of all diagnosed acute leukemias [414, 415]. Globally, between 1990 to 2018, the number of leukemia cases markedly increased from 297,000 to 437,033 , accounting for close to 250,000 annual deaths due to AML worldwide . Optimization of post-remission therapies to maintain complete remission and prevent relapse is a major challenge in treating patients with AML . Children with Down syndrome have a 150-fold increased risk of developing AML and 20-fold increased risk of developing ALL . The incidence of ALL is about 3.3 cases per 100,000 children . Outcomes for patients with CML have substantially improved due to advances in drug development and rational treatment intervention strategies . Allowed costs for leukemia patients averaged almost $157,000 in the year after diagnosis, with costs for AML almost tripling that amount, according to a new report from the Leukemia & Lymphoma Society (LLS) . Malignant blood disorders cost €12 billion ($13 billion) in EU in 2012, with more than 60% of that amount spent on healthcare costs and nearly a third spent on drugs .
Fig 21: Treatment algorithm for patients with RR-AML 
There is no standard of care for the treatment of relapsed or refractory AML. A clinical trial is always the preferred option. The above algorithm is based on current clinical practice and will hopefully change in coming years due to improvements. In particular the targeted and immunotherapeutic agents detailed in this review may ultimately have utility in (1) initial therapy; (2) as a bridge to, or as a temporizing measure before, allo-HSCT; and/or (3) as part of consolidative therapy. *Achievement of a complete remission (CR) prior to undergoing alloHSCT is associated with best survival and is generally preferred. The survival of patients with residual disease undergoing alloHSCT varies considerably however and this therapy may be a reasonable option in selected patients not in CR. HMA: Hypomethylating agent. LDAC: Low-dose cytosine arabinoside. Allo-HSCT: Allogeneic Hematopoietic Stem Cell Transplant.
The Leukemia/BMT Program’s pharmacists have advanced specialty training in leukemia and bone marrow transplantation. They work directly with patients and the healthcare team, and are responsible for providing unbiased, patient-specific drug prescribing information and for identifying, preventing and resolving DRPs. They provide medication counseling when chemotherapy starts. While patients are on treatment, they check in periodically during a clinic visit (or hospitalization for inpatient chemotherapy) to answer any new medication-related questions or provide recommendations for symptom management. They can educate and counsel patients on chemotherapy and supportive-care medications both during their visit to the clinic or infusion center and after they head home. This entails reviewing home medications for potential drug-drug interactions, providing written materials detailing treatment regimens, and recommending options for nausea and pain management. Myeloma regimens, as an example of one condition for which multiple drugs are given on differing schedules, can be particularly complex. To ensure that patients are prepared to follow these regimens, pharmacists may work with nurses to create treatment calendars as visual aids . The pharmacy team would ensure the NRT product is suitable for the patient based on their smoking status and lifestyle, and continue to ensure the NRT product is suitable on dispensing. Research has indicated that non-adherence is a major contributing factor for treatment failure in patients with CML receiving imatinib, oncology pharmacists had a nearly 90% imatinib adherence rate compared to 65.8% in the usual care group .
The most common breast cancer type is the invasive ductal carcinoma accounting for 70-80% of all breast cancers diagnosed . It starts in a milk passage (a duct), breaks through the wall of the duct and invades the tissue of the breast . In US, 232,000 new cases of breast cancer were diagnosed  and claimed the lives of 40,290 women  in 2015. First-degree relatives of patients with breast cancer have a 2-fold to 3-fold excess risk for development of the disease . BRCA1 and BRCA2 are the 2 most important genes responsible for increased breast cancer susceptibility . Early breast cancer detection programs depend for effectiveness on the participation rate, which is affected by risk factor awareness . Since 1990, between 384,000 and 614,500 breast cancer deaths have been averted due to increased mammography screening and improved treatment . However, more than 25% breast cancer is projected to be increased by 2020 .
Fig 22: Breast Cancer Features 
All breast cancers arise in the terminal duct lobular units (the functional unit of the breast) of the collecting duct. The histological and molecular characteristics have important implications for therapy, and several classifications on the basis of molecular and histological characteristics have been developed. The histological subtypes described here (top right) are the most frequent subtypes of breast cancer; ductal carcinoma (now referred to as ‘no special type’ (NST)) and lobular carcinoma are the invasive lesions; their preinvasive counterparts are ductal carcinoma in situ and lobular carcinoma in situ (or lobular neoplasia), respectively. The intrinsic subtypes are based on a 50-gene expression signature (PAM50). The surrogate intrinsic subtypes are typically used clinically and are based on histology and immunohistochemistry expression of key proteins: estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor 2 (HER2) and the proliferation marker Ki67. Tumors expressing ER and/or PR are termed ‘hormone receptor-positive’; tumors not expressing ER, PR and HER2 are called ‘triple-negative’. The relative placement of the boxes aligns with the characteristics (for example, proliferation and grade) in green. −, negative; +, positive. GES, gene expression signature.
a)ESR1 mutations induced by aromatase inhibitor targeted therapy.
b)Artefact; expression of normal breast components due to low tumor cellularity.
Women with breast cancer had a higher risk of developing new comorbidities than women without cancer . stressful life , urban living, mastectomy , lower socioeconomic status [435, 440], genetic predisposition, African-American origin, not having children or breastfeeding, early menstruation/late menopause, obesity, alcohol abuse, HRT after menopause, benign breast conditions or having breast proliferation, using contraceptives and exposure to diethylstilbestrol , age between 40-60, late age first pregnancy, smoking , abortion history  are the associated factors. Distressingly, the 5-year cumulative mortality remains unacceptably high at 50%, primarily due to a late-stage presentation . Wearing bra is not associated with breast cancer risk  but wearing (tight) bras for many hours and having breast implants [442, 445] may have associations. Around 60% of breast cancer mortality occurs in LMICs . Conflicting data exists about the influence of oral contraceptive pills (OCPs) on the development of breast cancer. There are clear benefits to the use of OCPs, including a reduction in ovarian cancer risk by 40% and reduction in endometrial cancer risk by 60%. Due to evidence from the Women’s Health Initiative, use of hormone replacement therapy is not recommended for patients to prevent the occurrence of breast cancer . Yuan et al., 2019 reported that medical and surgical abortion and less than 20 years IUD use could increase the risk of breast cancer for post-menopausal women . The prevalence costs of breast cancer care in the US in 2010 was $16.5 billion [449, 450], and exceeded $39 billion before 2017 . Pharmacists can improve chemotherapy breast cancer patients’ QOL regarding malaise and nausea by providing personal counseling before the medical examinations. In addition to the attending physician and nurses, pharmacists can also partially alleviate malaise through active intervention that involves patient counseling and guidance . It is worth mentioning that clinical pharmacists are well accepted as patient medication educator and psychological consultant. Wang et al., 2015 reported reduced fatigue, the symptoms of nausea and vomiting, and pain as they followed clinical pharmacists' advice. Medication education and nonpharmacological intervention (e.g., cognitive behavioral interventions, relaxation interventions, and music therapy) by clinical pharmacists could effectively improve the quality of sleep and reduced cancer-related constipation and diarrhea of cancer patients . Clinical pharmacist may observe all patients who receive active therapy, and monitors the emergence and management of treatment-related toxicities through patient assessment and evaluation of laboratory results. During discussions with the patient, the clinical pharmacist may reinforce the importance of adhering to therapy as prescribed. This is especially important for patients who receive oral chemotherapy, which is self-administered so patients may have fewer clinic visits than those who receive IV treatment. Depending on the patient’s needs, the clinical pharmacist may also work with other staff members, such as financial counselors or social workers, to optimize patient care. Similarly, clinical pharmacists confer with specialty pharmacists to ensure that insurance issues are resolved so that the patient receives timely access to treatment. In some cases, it may be necessary to switch therapies. When this occurs, clinical pharmacists leverage their specialized training to make treatment recommendations based on the patient’s breast cancer subtype, extent of disease, treatment history, and performance status .
Colorectal cancer (CRC) is the third most common cancer worldwide and the fourth most common cause of cancer death . It is the second leading cause of death in US, affecting some 135,000 estimated new patients with more than 50000 deaths every year [456-458]. In 2015, there were 376,000 new cases and 191,000 deaths in China . The overall incidence of CRC is decreasing in many high-income countries, although reported significant increase in Denmark, New Zealand, Australia, UK and Canada, mainly driven by increases in distal (left) tumors of the colon and predominant in [460-467]. Lifestyle determines around 50% to 60% incident of CRC irrespective of age [468-471]. Physical activity may prevent approximately 15% of the colon cancers . Fish, poultry, cheese, fruit, vegetables, tea and coffee were not associated with colorectal-cancer risk . Alcohol consumption, red meat/processed meat, junk food, smoking, diabetes and obesity potentiate the same risk [474-477]. In 2018, the estimated national expenditure was $16.6 billion in US, which was $4.5 billion to $9.6 billion in 2009 and projected to be more than $20 in 2020 [478-480]. There were over 1.8 million new cases in 2018. Hungary, North Korea, Slovakia, Norway, Denmark, Portugal, Japan are in the top-ranking positions . 5-year survival for patients with stage IV CRC is less than 10% . The overall risk of CRC among patients with ulcerative colitis is about ten times higher than that of the general population . CRC patients have unique psychosocial needs (e.g., isolation, embarrassment) related to altered eating and bowel habits and sexual dysfunction that warrant clinical attention .
Fig 23: Algorithm for colorectal cancer screening 
+, either colorectal cancer or adenomatous polyp; *, HNPCC = hereditary nonpolyposis colorectal cancer and FAP = familial adenomatous polyposis.
Multiple risk factors are associated with the development of this malignancy, including genetic susceptibility, environmental, and life-style. It has been suggested that diets high in fiber are protective against the development of colorectal cancer. Cho et.al, 2019 revealed that age, sex, family history of colorectal cancer, and education and additionally adjusted for the five modifiable risk factors (i.e., prior BMI, physical activity, dietary inflammatory index, smoking, and alcohol consumption) are CRC promoters . The risk of colon cancer may be increased as much as twofold in men who are in the highest quintile of body size. Potential mechanisms to this relationship include the observation that physical activity stimulates bowel peristalsis, resulting in decreased bowel transit time, and the possibility that exercise can alter levels of blood glucose, insulin, and other hormones, which may reduce tumor cell growth. In the Physicians' Health Study, men with C-peptide in the top vs the bottom quintile had a 2.7-fold significantly higher risk of colorectal cancer after control for BMI and exercise . Heavy alcohol consumption increases risk of rectal and colon cancer by as much as two to three times, although some studies have found no significant increase in risk . The strongest evidence-based screening recommendations include offering annual fecal occult blood testing (FOBT) or flexible sigmoidoscopy every 5 years. Each of these screening tests has been associated with reductions in mortality. Patients with a positive specimen should be followed up with colonoscopy. Flexible sigmoidoscopy reduced mortality by two-thirds for lesions within reach of the sigmoidoscope. Hypnosis, music and relaxing video reduced anxiety and pain associated with colonoscopy and need for sedation during colon cancer screening [489-497]. The pharmacist can help provide educational and financial resources and relieve any anxiety related to the screening process. Pharmacists have the ability to recommend colorectal cancer screening tips and tools to reduce risk. Pharmacists can also refer patients to qualified health care providers for follow-up care and act as a prescriber-patient liaison. Pharmacists can also play an essential role by reviewing the proper instructions for any colorectal screening preparation medications . Pharmacists should be aware that there are differences in the guidelines with regards to method and frequency of colorectal cancer screening, but the accepted starting range for screening all adult patients at average risk is 50 years. Mass media campaigns have increased the awareness of the need for colon cancer screening, and counseling by pharmacists is a good way to help reinforce these recommendations. Additionally, pharmacists should be aware of patients displaying any of the colorectal cancer warning signs (eg, bleeding, changes in bowel habits, weight loss, abdominal pain) so that they can be referred to appropriate medical care and diagnostic work-up. Chemotherapy-induced diarrhea can negatively affect the QoL of patients and treatment process. A chemotherapeutic treatment for colon cancer consisting of fluorouracil and capecitabine is associated with 50%, and irinotecan with 80% occurrence of diarrheal symptoms. Also, the clinical oncology pharmacist has an important role in the identification and resolution of DRPs. Evaluation of symptom-related quality of life is important for the monitoring of patients receiving chemotherapy .
Prostate cancer is the second most frequent malignancy (after lung cancer) in men worldwide, counting 1,276,106 new cases and causing 358,989 deaths (3.8% of all deaths caused by cancer in men) in 2018. Based on GLOBOCAN 2018 estimates, 1,276,106 new cases of prostate cancer were reported worldwide in 2018, with higher prevalence in the developed countries [500, 501]. In Europe, prostate cancer is now the most common cancer in men, accounting for 23% of all male cancers and 10% of cancer-related deaths in males in 2012 . In the USA, the total estimated expenditure on prostate cancer was $9.9 billion 2006  and expected to be $39 billion to more than $58 billion in 2020 . The incidence rate of prostate cancer increases dramatically after 55 years of age. Americans have a 5-year survival approximately 15% less than whites, perhaps due to the combination of higher levels of testosterone compared to white males and increased androgen receptor activation. Obesity is associated with an increased risk of prostate cancer mortality and recurrence. Low-fat diets and other dietary considerations such as β-carotene, lycopene, and vitamin E may be protective, although these are still unproven . Smoking has not been associated with an increased risk of prostate cancer, but smokers with prostate cancer have an increase in mortality [505, 506]. Alcohol consumption does not appear to be associated with the development of prostate cancer [507, 508]. Many patients with localized prostate cancer are asymptomatic, while those with more invasive disease develop symptoms of alterations in urinary frequency, hesitancy, and flow, and new-onset impotence. There are several prostate cancer cell lines that form primary tumors, but will not metastasize to bone . Some nonspecific signs of more advanced disease include anemia and weight loss. The prostate specific antigen (PSA) test involves taking a simple blood sample and detecting the enzyme levels. While it is simple and readily available, it does generate false-positives and false-negatives and cannot be recommended alone as a screening tool. The American Cancer Society recommends digital rectal examination (DRE) and prostate specific antigen (PSA) be offered annually to men beginning at age 50 years with at least a 10-year life expectancy, and to younger men (45 years old) who are considered to be at high risk for prostate cancer development (eg, those with a strong family history, African Americans) [510, 511]. If both tests are normal, no further diagnostic work-up is required. If either is abnormal, further work-up by transrectal ultrasound is indicated. However, to transition to patient-centered care, pharmacy services should organize around the understanding of patients’ needs, preferences, and expectations for the clinical judgment and decision-making processes. Pharmacist–patient communication is an important strategy for humanized practice. This allows the pharmacist to see beyond an individual with health problems to a patient being with particularized needs . The initial management of newly diagnosed prostate cancer should consider the extended natural history of this malignancy and the risk of progression to more aggressive disease. Shared decision-making, the patient’s life expectancy, and personal preferences play an increasing role in the choice of appropriate treatment options. Pharmacists may play an important role in consulting and educating patients about the screening tests, treatments, and related benefits and harms. Enhanced risk-classification methods and expanded treatment options allow pharmacists to counsel patients regarding therapy based on cancer prognosis and patient preference. Androgen deprivation therapy (ADT) remains the standard of care for newly diagnosed metastatic disease and an important option in the management of higher risk localized cancer. Pharmacists are well-equipped to provide patient counseling and management of complications of ADT . Patel et al., 2016 demonstrated maximized oral chemotherapy treatment outcomes with the addition of a formalized monitoring program directed by an oncology pharmacist . Also, pharmacist led adherence program facilitated timely dose adjustments and high patient adherence . Pharmacists can play active roles in the management of prostate cancer, particularly by assisting in the prevention and management of the side effects of hormone therapy and chemotherapy. Hormone therapy can be associated with various adverse effects, such as osteoporosis and hot flashes. Pharmacists can suggest therapies to manage hot flashes and promote the intake of adequate amounts of calcium and vitamin D to prevent osteoporosis. Common side effects of systemic chemotherapy, such as neutropenia and thrombocytopenia, can lead to dose reductions or treatment delays, if not managed properly. Pharmacists, using a variety of online resources can counsel patients and ensure the maximum cycles of chemotherapy can be administered [516, 517].
Fig 24: Prostate-specific antigen (PSA) testing and prostate cancer patient pathway 
Screening for prostate cancer is a highly debated topic due to limitations in the sensitivity and specificity of the PSA test, and also due to the potential harms of unnecessary investigations. In the UK, there is currently no formal screening program. The Department of Health has developed the Prostate Cancer Risk Management Program (PCRMP) for men aged over 50 years, which includes a pathway shown in this figure. The program aims to help ensure that the GP and the patient make robust, informed decisions regarding investigation for prostate cancer.
The pharmacist’s main responsibility is to maximize positive outcomes of drug therapy and minimize drug misadventures. Patient therapy should result in the achievement of definite outcomes that improve the patient’s QoL. To date, numerous studies have found an increased rate of hospital admission rates secondary to medication noncompliance and/or adverse drug reactions. The actual number of DRPs necessitating hospital admission may be higher than reported because of lack of documentation, further underestimating the problem. Initially, collecting and interpreting relevant patient information, identifying patient health-care needs, and formulating a DRP list may be challenging for the pharmacist. Preventive or chronic care is a challenge that should be undertaken by health care providers in all practice settings. Pharmacists should “seize the moment” to educate and counsel patients regarding these various topics when the opportunities arise. Clinical pharmacists use population health methods to generate chronic disease management referrals for patients with uncontrolled chronic conditions. Opportunities for pharmacists to help bring about awareness of recommendations and risk factors for the development of disease, and educate patients as to the benefits of prevention, occur daily. It is important for the pharmacists on the “front line” to have a general understanding of current recommendations for screening and disease prevention so that they can provide appropriate counseling and care for their patients. Also, pediatric clinical pharmacists have evolved over the last 2 decades and have proven to be a key player in the multidisciplinary team. Although, there are ample of evidences of positive impact on clinical, humanistic and economic outcomes and the benefits of clinical pharmacists managing chronic conditions have been extensively published, their involvement in the multidisciplinary team providing care to patients with chronic cases, more high-quality research is warranted.
I’m thankful to Dr. Christel G. Svingen, Deputy Director of Pharmacy Red Lake Indian Health Service Hospital, Minnesota for his valuable time to audit my paper and for his thoughtful suggestions. I’m also grateful to seminar library of Faculty of Pharmacy, University of Dhaka and BANSDOC Library, Bangladesh for providing me books, journal and newsletters.
American Association of Colleges of Pharmacy (AACP); Accreditation Council for Pharmacy Education (ACPE); International Diabetes Federation (IDF); Hemoglobin A1c (HbA1c); Ischemic Heart Disease (IHD); Myocardial Infarction (MI); Coronary Heart Disease (CHD); Disability-Adjusted Life Year (DALY); Quality of Life (QoL); Drug Related Problems (DRPs); Inflammatory bowel disease (IBD); Hormone replacement therapy (HRT); Bone-Mineral Density (BMD); Chronic Obstructive Pulmonary Disease (COPD); LDL cholesterol (LDL-C); Gastroesophageal Reflux Disease (GERD); Obstructive Sleep Apnea (OSA); Subclinical Hypothyroidism (SCH); National Alliance on Mental Illness (NAMI); Major Depressive Disorder (MDD); National Mental Health Survey (NMHS); Australian Bureau of Statistics (ABS); National Survey of Mental Health and Wellbeing (NSMHWB); Coronary Heart Disease (CHD); Mental Health (MH); Antidepressant Drug Treatment (ADT); Canadian Network for Mood and Anxiety Treatments (CANMAT); Psychiatric Emergency Services (PES); Disability-Adjusted Life Year (DALY); Drug-Related Problems (DRPs); Value of Lost Economic Welfare (VLW); Amyotrophic Lateral Sclerosis (ALS); Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs); Tricyclic Antidepressants (TCAs); Antimicrobial Stewardship Programs (ASPs); End-Stage Renal Disease (ESRD); Chronic Kidney Disease (CKD); Men who have Sex with Men (MSM); Non-small-cell lung cancer (NSCLC); Enzyme-Linked Immunosorbent Assay (ELISA); Leukemia & Lymphoma Society (LLS); Acute Lymphoblastic Leukemia (ALL); Acute Myeloid Leukemia (AML); Chronic Myeloid Leukemia (CML); Nicotine Replacement Therapy (NRT); Androgen Deprivation Therapy (ADT); Prostate Specific Antigen (PSA); Digital Rectal Examination (DRE); Prostate Specific Antigen (PSA); Fecal Occult Blood Testing (FOBT); Global Cancer Incidence, Mortality and Prevalence (GLOBOCAN)
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Conflict of Interest: The author declares that he has no competing interests.
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