Medication Management of Patients With Cancer Undergoing Surgery From Preadmission to Discharge: A Mixed-Methods...

Area of Science:

• Oncology
• Pharmacology
• Perioperative Care

Background:

• Cancer patients undergoing surgery often face complex medication management challenges.
• Preoperative medication regimens can significantly impact postoperative outcomes and complications.

Purpose of the Study:

• To systematically review and synthesize evidence on regular medication management for cancer patients during the perioperative period.
• To identify factors influencing medication management from hospital admission to discharge.

Main Methods:

• A mixed-methods systematic review was conducted.
• Searches were performed across multiple databases (MEDLINE, CINAHL, EMBASE, APA PsycINFO, Scopus, Web of Science) until February 2023.
• The JBI methodology for mixed-methods systematic reviews was followed.

Main Results:

• Eight studies were included, identifying two key themes in medication management.
• Preoperative factors like polypharmacy and inappropriate medications were linked to postoperative complications.
• Pharmacist-led interventions and nurse-patient collaboration improved perioperative medication management.

Conclusions:

• Optimizing regular medication management, particularly preoperatively, is essential for reducing postoperative complications in cancer patients.
• Involving pharmacists and nurses enhances medication management, benefiting healthcare professionals and institutions.
• Improved medication management reduces errors, adverse drug events, and enhances surgical outcomes.