{"id":"https://openalex.org/W2997287142","doi":"https://doi.org/10.1136/bmjebm-2019-pod.127","title":"21 Medicines management after bariatric surgery","display_name":"21 Medicines management after bariatric surgery","publication_year":2019,"publication_date":"2019-12-01","ids":{"openalex":"https://openalex.org/W2997287142","doi":"https://doi.org/10.1136/bmjebm-2019-pod.127","mag":"2997287142"},"language":"en","primary_location":{"id":"doi:10.1136/bmjebm-2019-pod.127","doi":"https://doi.org/10.1136/bmjebm-2019-pod.127","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmjebm-2019-pod.127","pdf_url":null,"source":{"id":"https://openalex.org/S4363604354","display_name":"Poster presentations","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Poster Presentations","raw_type":"proceedings-article"},"volume":null,"type":"conference-paper","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5064735513","display_name":"Rosemary Allin","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rosemary Allin","raw_affiliation_strings":["Drug and Therapeutics Information Service (DATIS), Adelaide, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Drug and Therapeutics Information Service (DATIS), Adelaide, Australia","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Teresa Girolamo","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Teresa Girolamo","raw_affiliation_strings":["Adelaide Metabolic and Obesity Surgery, Adelaide, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Adelaide Metabolic and Obesity Surgery, Adelaide, Australia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068191136","display_name":"Sue Edwards","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sue Edwards","raw_affiliation_strings":["Drug and Therapeutics Information Service (DATIS), Adelaide, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Drug and Therapeutics Information Service (DATIS), Adelaide, Australia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078072306","display_name":"Joy Gailer","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Joy Gailer","raw_affiliation_strings":["Drug and Therapeutics Information Service (DATIS), Adelaide, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Drug and Therapeutics Information Service (DATIS), Adelaide, Australia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087090737","display_name":"Jody Rothmore","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jody Rothmore","raw_affiliation_strings":["Drug and Therapeutics Information Service (DATIS), Adelaide, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Drug and Therapeutics Information Service (DATIS), Adelaide, Australia","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Lauren Wierenga","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lauren Wierenga","raw_affiliation_strings":["Drug and Therapeutics Information Service (DATIS), Adelaide, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Drug and Therapeutics Information Service (DATIS), Adelaide, Australia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066444760","display_name":"Tricia Warrick","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tricia Warrick","raw_affiliation_strings":["Drug and Therapeutics Information Service (DATIS), Adelaide, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Drug and Therapeutics Information Service (DATIS), Adelaide, Australia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032901808","display_name":"Tania Colarco","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tania Colarco","raw_affiliation_strings":["Drug and Therapeutics Information Service (DATIS), Adelaide, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Drug and Therapeutics Information Service (DATIS), Adelaide, Australia","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5026617187","display_name":"Debra S. Rowett","orcid":"https://orcid.org/0000-0002-8977-0401","observed_orcids":["https://orcid.org/0000-0002-8977-0401"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Debra Rowett","raw_affiliation_strings":["Drug and Therapeutics Information Service (DATIS), Adelaide, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Drug and Therapeutics Information Service (DATIS), Adelaide, Australia","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.38997066,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"A62.1","last_page":"A62"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10569","display_name":"Bariatric Surgery and Outcomes","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10569","display_name":"Bariatric Surgery and Outcomes","score":0.9965999722480774,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12539","display_name":"Pharmacology and Obesity Treatment","score":0.0010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/bariatric-surgery","display_name":"bariatric surgery","score":0.9929999709129333},{"id":"https://openalex.org/keywords/medication-management","display_name":"medication management","score":0.7289999723434448},{"id":"https://openalex.org/keywords/drug-absorption-and-metabolism","display_name":"drug absorption and metabolism","score":0.6539999842643738},{"id":"https://openalex.org/keywords/chronic-pain","display_name":"chronic pain","score":0.6349999904632568},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.9490000009536743},{"id":"https://openalex.org/keywords/proton-pump-inhibitors","display_name":"proton pump inhibitors","score":0.6880000233650208},{"id":"https://openalex.org/keywords/opioids","display_name":"opioids","score":0.8949999809265137},{"id":"https://openalex.org/keywords/metformin","display_name":"metformin","score":0.996999979019165},{"id":"https://openalex.org/keywords/sglt2-inhibitors","display_name":"SGLT2 inhibitors","score":0.9990000128746033},{"id":"https://openalex.org/keywords/antihypertensive-drugs","display_name":"antihypertensive drugs","score":0.984000027179718},{"id":"https://openalex.org/keywords/selective-serotonin-reuptake-inhibitors","display_name":"selective serotonin reuptake inhibitors","score":0.9449999928474426},{"id":"https://openalex.org/keywords/dose-adjustment","display_name":"dose adjustment","score":0.7160000205039978},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.5899999737739563},{"id":"https://openalex.org/keywords/medicalization","display_name":"medicalization","score":0.5929999947547913},{"id":"https://openalex.org/keywords/weight-loss","display_name":"weight loss","score":0.4830000102519989},{"id":"https://openalex.org/keywords/drug-interactions","display_name":"drug interactions","score":0.3149999976158142},{"id":"https://openalex.org/keywords/adipose-tissue","display_name":"adipose tissue","score":0.8199999928474426}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.841643214225769},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.5239969491958618},{"id":"https://openalex.org/C500440147","wikidata":"https://www.wikidata.org/wiki/Q701216","display_name":"Pharmacotherapy","level":2,"score":0.4975595772266388},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.44839560985565186},{"id":"https://openalex.org/C544821477","wikidata":"https://www.wikidata.org/wiki/Q718113","display_name":"Weight loss","level":3,"score":0.4461379051208496},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.43682920932769775},{"id":"https://openalex.org/C3019402062","wikidata":"https://www.wikidata.org/wiki/Q1813603","display_name":"Gastric bypass","level":4,"score":0.41996943950653076},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.39213085174560547},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.36999863386154175},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.17367133498191833},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1136/bmjebm-2019-pod.127","doi":"https://doi.org/10.1136/bmjebm-2019-pod.127","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmjebm-2019-pod.127","pdf_url":null,"source":{"id":"https://openalex.org/S4363604354","display_name":"Poster presentations","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Poster Presentations","raw_type":"proceedings-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4297394207","https://openalex.org/W3034274609","https://openalex.org/W3025365498","https://openalex.org/W2480896538","https://openalex.org/W3025424355","https://openalex.org/W1996659927","https://openalex.org/W3138285322","https://openalex.org/W2025295846","https://openalex.org/W2016046862","https://openalex.org/W2462840015"],"abstract_inverted_index":{"Objectives":[0],"The":[1,293],"number":[2,61,180],"of":[3,23,49,62,128,136,154,181,231,243,295,328,357,390,406],"hospital":[4],"admissions":[5],"for":[6,258,359],"weight":[7,340,376],"loss":[8,377],"surgery":[9,41,76,299,319,394],"has":[10,288],"increased":[11],"two":[12],"to":[13,19,117,174,217,249,311,334,372,395,402],"three-fold":[14],"in":[15,52,54,92,102,143,186,279,304,408],"the":[16,45,60,138,159,226,241,246,322,335,404],"10":[17],"years":[18],"2015":[20],"(Australian":[21],"Institute":[22],"Health":[24],"and":[25,27,47,56,71,83,94,109,121,161,170,199,215,237,245,273,285,315,341,348,353,368,401],"Welfare)":[26],"consequently":[28],"general":[29,175],"practitioners":[30,176],"(GPs)":[31],"will":[32,307],"be":[33,86,308,373],"managing":[34],"more":[35],"patients":[36,187,296,391],"post":[37,297],"bariatric":[38,63,75,191,205,229,290,298,393],"surgery.":[39,112,192,291],"Bariatric":[40,318],"can":[42,386],"significantly":[43],"impact":[44],"absorption":[46,93],"metabolism":[48,95,325],"medicines":[50,82],"resulting":[51],"changes":[53,67,91,333],"efficacy":[55],"adverse":[57],"effects.":[58],"Despite":[59],"surgeries":[64],"performed,":[65],"these":[66],"remain":[68],"poorly":[69],"documented":[70],"understood.":[72],"Patients":[73,113],"undergoing":[74],"often":[77],"have":[78,312],"co-morbidities":[79],"requiring":[80],"multiple":[81],"pharmacotherapy":[84],"may":[85,320,370],"complicated":[87],"not":[88],"only":[89],"by":[90,100,210],"following":[96],"surgery,":[97,230],"but":[98],"also":[99],"improvement":[101],"conditions":[103,362],"such":[104,262],"as":[105,263,375],"chronic":[106,235,283,361,364],"pain,":[107,365],"diabetes":[108,286],"hypertension,":[110],"after":[111,204,228,392],"invariably":[114],"require":[115],"modifications":[116],"their":[118,129],"medicines.":[119],"Individualisation":[120],"lifestyle":[122],"advice,":[123],"guarding":[124],"against":[125],"subsequent":[126],"medicalisation":[127],"life":[130,399],"situation,":[131],"is":[132,148,253,300,346,413],"an":[133,144,409],"important":[134],"part":[135],"ensuring":[137],"most":[139],"appropriate":[140,388],"therapeutic":[141,169],"strategy":[142],"area":[145,303,410],"where":[146,411],"there":[147,349,412],"limited":[149,347],"evidence.":[150,415],"Method":[151],"A":[152],"team":[153],"experienced":[155],"clinical":[156],"pharmacists":[157],"from":[158],"Drug":[160],"Therapeutics":[162],"Information":[163],"Service":[164],"(DATIS),":[165],"who":[166,188,287],"provide":[167],"a":[168,179,200,232,251,280,301,398],"decision":[171],"support":[172],"service":[173],"(GPs),":[177],"received":[178],"queries":[182],"around":[183],"medicine":[184],"management":[185,294,389],"had":[189],"undergone":[190,289],"An":[193],"evidence-based":[194],"literature":[195],"review":[196],"was":[197,207],"conducted":[198],"DATIS":[201],"publication":[202],"\u2018Medicines":[203],"surgery\u2019":[206],"prepared,":[208],"reviewed":[209],"local":[211],"experts":[212],"(Feb":[213],"2019)":[214],"circulated":[216],"interested":[218],"GPs.":[219],"To":[220],"highlight":[221],"our":[222],"findings,":[223],"we":[224],"describe":[225],"management,":[227],"patient":[233,281],"with":[234,282],"pain":[236,284],"diabetes.":[238],"Results":[239],"Through":[240],"application":[242],"pharmacokinetics":[244],"published":[247],"evidence":[248],"date,":[250],"case":[252,380],"presented":[254],"highlighting":[255],"dosing":[256],"implications":[257],"some":[259,313],"common":[260],"medicines,":[261],"proton":[264],"pump":[265],"inhibitors":[266,277],"(PPIs),":[267],"opioids,":[268],"metformin,":[269],"SGLT2":[270],"inhibitors,":[271],"antihypertensives":[272],"selective":[274],"serotonin":[275],"re-uptake":[276],"(SSRIs),":[278],"Conclusions":[292],"growing":[302],"which":[305],"GPs":[306,385],"increasingly":[309],"required":[310],"knowledge":[314],"practical":[316],"skill.":[317],"alter":[321],"absorption,":[323],"distribution,":[324],"or":[326],"elimination":[327],"orally":[329],"administered":[330],"drugs":[331],"via":[332],"gastrointestinal":[336],"tract":[337],"anatomy,":[338],"body":[339],"adipose":[342],"tissue":[343],"composition.":[344],"Research":[345],"are":[350],"large":[351],"inter-":[352],"intra-individual":[354],"variations.":[355],"Doses":[356],"medications":[358],"many":[360],"(e.g.":[363],"diabetes,":[366],"hypertension":[367],"dyslipidaemia)":[369],"need":[371],"adjusted":[374],"occurs.":[378],"This":[379],"study":[381],"presentation":[382],"demonstrates":[383],"how":[384],"ensure":[387],"avoid":[396],"medicalising":[397],"experience":[400],"minimise":[403],"perception":[405],"disability,":[407],"emerging":[414]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2020-01-10T00:00:00"}
