Evidence map›Paper›PMID 42344490›Full record

ArticleFrontiers in medicine2026

Impact of clinical pharmacist-led medication management and education on tacrolimus therapeutic control.

Nur Ozturk, Büşra Nur Çattık, Barış Malbora, Ayşe Burcu Akıncı, Başak Adaklı Aksoy, Dilek Ece, Tunç Fişgin, Müge Gündoğdu, Melek Erdem, Safiye Suna Çelen and 1 more

Abstract read
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Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Nur OzturkGraduate School of Health Sciences, Clinical Pharmacy PhD Program, Istanbul Medipol University, Istanbul, Türkiye.
Büşra Nur ÇattıkDepartment of Clinical Pharmacy, School of Pharmacy, Istanbul Medipol University, Istanbul, Türkiye.
Barış MalboraPediatric Hematology and Oncology, Memorial Bahçelievler Hospital, Istanbul, Türkiye.
Ayşe Burcu AkıncıPediatric Stem Cell Transplantation Unit, Medical Park Pendik Hospital, Istanbul, Türkiye.
Başak Adaklı AksoyPediatric Hematology and Oncology, Medical Park Gaziosmanpaşa Hospital, Istanbul, Türkiye.
Dilek EcePediatric Hematology and Oncology, Memorial Bahçelievler Hospital, Istanbul, Türkiye.
Tunç FişginPediatric Hematology and Oncology, Medical Park Gaziosmanpaşa Hospital, Istanbul, Türkiye.
Müge GündoğduPediatric Hematology and Oncology, Koc University Hospital, Istanbul, Türkiye.
Melek ErdemPediatric Hematology and Oncology, Medical Park Gaziosmanpaşa Hospital, Istanbul, Türkiye.
Safiye Suna ÇelenPediatric Hematology and Oncology, Medical Park Göztepe Hospital, Istanbul, Türkiye.
Nilay AksoyDepartment of Clinical Pharmacy, Faculty of Pharmacy, Altinbaş University, Istanbul, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The management of Tacrolimus in pediatric bone marrow transplantation (BMT) presents significant challenges owing to its narrow therapeutic index and considerable pharmacokinetic variability. This study assesses the effects of clinical pharmacist interventions, particularly the resolution of drug-related problems (DRPs) and caregiver and nursing staff education, on stabilizing tacrolimus blood concentrations. Methods: This prospective interventional study was conducted across five hospitals in Istanbul from June 2024 to January 2026. The study comprised 65 pediatric patients, their caregivers, and 50 nurses. Clinical pharmacists identified Drug-Related Problems (DRPs) utilizing the PCNE V9.00 system and delivered both verbal and written educational interventions. Knowledge assessments and tacrolimus levels were evaluated at baseline, post-education, and at the 3-month follow-up. Results: Out of the 35 pharmacist interventions conducted, 77.1% were successfully resolved. The proportion of patients within the therapeutic range (5-20 ng/ml) increased from 52.3% at baseline to 84.4% following the educational intervention and remained at 82.5% after 3 months ( Discussion: Clinical pharmacist-led interventions substantially improve the management of tacrolimus therapy in pediatric bone marrow transplantation. Systematic education and proactive resolution of drug-related problems are essential for optimizing medication levels and safeguarding patient safety by addressing critical behavioral and systemic factors in post-transplant management.

Indexed as

bone marrow transplantationclinical pharmacistpediatrictacrolimustherapeutic drug monitoring

Identifiers

PMID42344490
PMCPMC13286822

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.