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Conference Presentations by Stephane Steurbaut

Research paper thumbnail of Multi-national pharmacists needs assessment in the management of anticoagulation therapy: Results of the International Pharmacist Anticoagulation Care Taskforce (iPACT) Survey

This presentation focuses on preliminary results of a multinational survey assessing pharmacists'... more This presentation focuses on preliminary results of a multinational survey assessing pharmacists' needs for education in anticoagulation. The results highlight variations in education and practice around the world, whilst showing similarities in preferences to overcome these needs. iPACT's work aims to ultimately contribute to better patient care in the area of anticoagulation.

Papers by Stephane Steurbaut

Research paper thumbnail of Clinical decision support systems in hospitals: What do physicians expect?

Research paper thumbnail of Evaluation of an optimized context-specific drug-drug interaction alerting system

Research paper thumbnail of Analysis of the automated drug-drug interaction system

Research paper thumbnail of Canadian pharmacists needs assessment in the management of anticoagulation therapy: Results of the International Pharmacist Anticoagulation Care Taskforce (iPACT) survey

Research paper thumbnail of Opname- en ontslagmanagement op de afdeling geriatrie van het UZ Brussel

Research paper thumbnail of Prescribing appropriateness of direct oral anticoagulants in a university hospital and determination of risk factors that contribute to inappropriate prescribing

Research paper thumbnail of Role of the pharmacist in handling problems with prescriptions for antithrombotic medication in Belgian community pharmacies

Research paper thumbnail of Van opname tot ontslag: problemen bij het medicatiemanagement op intensieve zorgen

Research paper thumbnail of Unintended modifications of chronic medication due to admission to an intensive care unit

Finds and Results from the Swedish Cyprus Expedition: A Gender Perspective at the Medelhavsmuseet, Nov 3, 2009

Research paper thumbnail of Assessment of adherence, treatment satisfaction and knowledge of direct oral anticoagulants in atrial fibrillation patients

British Journal of Clinical Pharmacology, Dec 14, 2021

AimsDirect oral anticoagulants (DOACs) are increasingly used for stroke prevention in atrial fibr... more AimsDirect oral anticoagulants (DOACs) are increasingly used for stroke prevention in atrial fibrillation. However, little is known about the association between medication adherence, patient satisfaction and treatment knowledge. The objective was to determine patients' DOAC adherence and their treatment satisfaction over time. Furthermore, we respectively investigated possible associations of treatment satisfaction and treatment knowledge in relation to adherence.MethodsLongitudinal study conducted in atrial fibrillation patients hospitalized in 2019 in a tertiary university hospital. DOAC adherence, treatment satisfaction and knowledge were assessed with validated questionnaires. Mixed effects logistic regression was modelled to investigate the effect of both treatment satisfaction and knowledge on DOAC adherence over time.ResultsIn total, 164 patients participated of whom 128 and 101 patients could be recontacted after a period of, respectively, 3 (first contact) and 6 months (second contact) to assess adherence and treatment satisfaction. Suboptimal adherence was observed in 40.6% of the patients after 3 months and in 42.6% after 6 months (P = .78). There was no significant difference (P = .29) in the total score for treatment satisfaction between the first (79.2%) and the second contact (80.6%). DOAC adherence was not affected by time (P = .71) nor by total knowledge score (P = .61) or treatment satisfaction score (P = .34). Nonetheless, a strong correlation between treatment satisfaction and knowledge was found (P = .004).ConclusionDOAC adherence was suboptimal. Treatment satisfaction and knowledge were not associated with DOAC adherence over a 6‐month period. Knowledge gaps were identified that could be remediated through patient education and follow‐up.

Research paper thumbnail of Medication discrepancies at the emergency care department

International Journal of Clinical Pharmacy, Apr 1, 2011

Research paper thumbnail of Disconcordance in medication information for the general practitioner and the patient at hospital discharge

Research paper thumbnail of Medication reconciliation by clinical pharmacists at a university hospital's geriatric ward

Research paper thumbnail of De meerwaarde van klinisch apothekers bij opname van geriatrische patiënten in het ziekenhuis

Research paper thumbnail of Evaluation of drug-related problems in Belgium: focus on corticosteroids

Research paper thumbnail of Farmaceutische anamnese bij geriatrische patiënten door klinisch apothekers in een universitair ziekenhuis

Research paper thumbnail of Relationship between pre-stroke cardiovascular medication use and stroke severity

European Journal of Clinical Pharmacology, Dec 26, 2015

Introduction Stroke is a major health problem with important morbidity and mortality. Various ris... more Introduction Stroke is a major health problem with important morbidity and mortality. Various risk factors and cardiovascular medication groups are known to have an influence on stroke incidence, but less is known about the relation between medication use and stroke severity. Aim To determine if relationships exist between the pre-stroke cardiovascular medication use and stroke severity. Methods A retrospective study was conducted on a database with anonymized data of 1974 patients with a suspected stroke, admitted to the Universitair Ziekenhuis (UZ) Brussel. Stroke severity was quantified using the National Institute of Health Stroke Scale (NIHSS). Cardiovascular medication groups were first included in a multivariable linear regression model. Second, to obtain clinically interpretable results, all variables that were retained in the final linear regression model were introduced in a cumulative odds ordinal logistic regression model with proportional odds. Results Angiotensin II receptor blockers (ARBs), statins, and antiarrhythmics were significantly associated with stroke severity at the 10 % α level in a multivariable linear regression model, suggesting a possible effect of these medication groups on stroke severity. Only pre-stroke statin use showed a significant relationship with the NIHSS score in the ordinal logistic regression model with an adjusted odds ratio of 0.740 (95 % CI 0.580-0.944; p = 0.015). Conclusion Pre-stroke use of statins is significantly associated with lower stroke severity. No significant relationship was detected between pre-stroke use of other medication groups and stroke severity, defined by the NIHSS score.

Research paper thumbnail of Perceptions of European students' representative associations about clinical pharmacy undergraduate education

Pharmacy Education

Background: Clinical pharmacy education is an enabler of advanced pharmacy practice for the futur... more Background: Clinical pharmacy education is an enabler of advanced pharmacy practice for the future workforce. Objective: To explore perceptions of students’ representative associations on the adequacy of undergraduate clinical pharmacy education and students’ preparedness to perform clinical activities. Methods: Cross-sectional study using an online survey disseminated through the European Pharmaceutical Students’ Association to affiliated national pharmacy students’ associations. The survey collected information about preparedness to perform clinical pharmacy activities, perceived fitness for practice, perceived adequacy of theoretical and practical education in clinical pharmacy, and learning methods used and desired. Results: Students’ representative associations from 16 European countries participated and unanimously stated that clinical pharmacy practical training was insufficient. Most respondents (n=12; 75.1%) reported being unfit or unsure about their fitness to perfo...

Research paper thumbnail of A cross-sectional survey to map Clinical Pharmacy Education and Practice in Europe

International Journal of Clinical Pharmacy

Background Clinical activities provided by pharmacists are increasing worldwide, including in Eur... more Background Clinical activities provided by pharmacists are increasing worldwide, including in Europe. However, an overview of clinical pharmacy education and practice is needed. Aim To map clinical pharmacy (CP) education and practice among European countries. Method A cross-sectional web-based survey led by the Education Committee of the European Society of Clinical Pharmacy (ESCP) was conducted. The survey comprised three domains focusing on: undergraduate education, postgraduate education, and practice. A multi-phased validation process was undertaken, attributing levels of evidence according to the number of information sources for each country. Triangulation was used to seek within country consensus. Main outcome measures included the number of hours of education in CP; existence of a specialization in CP and activities delivered in practice. Results Data from 40 European countries were included (response rate 95.2%). Most respondents (86.8%) agreed with the ESCP definition of CP. Almost every country (94.9%) reported CP topics at the undergraduate level [median number = 65 h/semester (IQR: 2.0–5.6)], including practical teaching [median = 30.0% (IQR: 17.0–42.0)]. At postgraduate level, 92.5% of countries reported PhD programmes including CP and 65.0% mentioned the existence of specific CP master/diploma degrees. Continuous professional development (CPD) courses were also reported by 63.9% of respondents. More than half the countries (52.5%; n = 21) recognized CP as an area of specialization, which for 60.0% of participants was applied solely in the hospital setting. Conclusion Although CP is embedded in education and practice in European countries, there is wide variability in education and practice patterns.

Research paper thumbnail of Multi-national pharmacists needs assessment in the management of anticoagulation therapy: Results of the International Pharmacist Anticoagulation Care Taskforce (iPACT) Survey

This presentation focuses on preliminary results of a multinational survey assessing pharmacists'... more This presentation focuses on preliminary results of a multinational survey assessing pharmacists' needs for education in anticoagulation. The results highlight variations in education and practice around the world, whilst showing similarities in preferences to overcome these needs. iPACT's work aims to ultimately contribute to better patient care in the area of anticoagulation.

Research paper thumbnail of Clinical decision support systems in hospitals: What do physicians expect?

Research paper thumbnail of Evaluation of an optimized context-specific drug-drug interaction alerting system

Research paper thumbnail of Analysis of the automated drug-drug interaction system

Research paper thumbnail of Canadian pharmacists needs assessment in the management of anticoagulation therapy: Results of the International Pharmacist Anticoagulation Care Taskforce (iPACT) survey

Research paper thumbnail of Opname- en ontslagmanagement op de afdeling geriatrie van het UZ Brussel

Research paper thumbnail of Prescribing appropriateness of direct oral anticoagulants in a university hospital and determination of risk factors that contribute to inappropriate prescribing

Research paper thumbnail of Role of the pharmacist in handling problems with prescriptions for antithrombotic medication in Belgian community pharmacies

Research paper thumbnail of Van opname tot ontslag: problemen bij het medicatiemanagement op intensieve zorgen

Research paper thumbnail of Unintended modifications of chronic medication due to admission to an intensive care unit

Finds and Results from the Swedish Cyprus Expedition: A Gender Perspective at the Medelhavsmuseet, Nov 3, 2009

Research paper thumbnail of Assessment of adherence, treatment satisfaction and knowledge of direct oral anticoagulants in atrial fibrillation patients

British Journal of Clinical Pharmacology, Dec 14, 2021

AimsDirect oral anticoagulants (DOACs) are increasingly used for stroke prevention in atrial fibr... more AimsDirect oral anticoagulants (DOACs) are increasingly used for stroke prevention in atrial fibrillation. However, little is known about the association between medication adherence, patient satisfaction and treatment knowledge. The objective was to determine patients' DOAC adherence and their treatment satisfaction over time. Furthermore, we respectively investigated possible associations of treatment satisfaction and treatment knowledge in relation to adherence.MethodsLongitudinal study conducted in atrial fibrillation patients hospitalized in 2019 in a tertiary university hospital. DOAC adherence, treatment satisfaction and knowledge were assessed with validated questionnaires. Mixed effects logistic regression was modelled to investigate the effect of both treatment satisfaction and knowledge on DOAC adherence over time.ResultsIn total, 164 patients participated of whom 128 and 101 patients could be recontacted after a period of, respectively, 3 (first contact) and 6 months (second contact) to assess adherence and treatment satisfaction. Suboptimal adherence was observed in 40.6% of the patients after 3 months and in 42.6% after 6 months (P = .78). There was no significant difference (P = .29) in the total score for treatment satisfaction between the first (79.2%) and the second contact (80.6%). DOAC adherence was not affected by time (P = .71) nor by total knowledge score (P = .61) or treatment satisfaction score (P = .34). Nonetheless, a strong correlation between treatment satisfaction and knowledge was found (P = .004).ConclusionDOAC adherence was suboptimal. Treatment satisfaction and knowledge were not associated with DOAC adherence over a 6‐month period. Knowledge gaps were identified that could be remediated through patient education and follow‐up.

Research paper thumbnail of Medication discrepancies at the emergency care department

International Journal of Clinical Pharmacy, Apr 1, 2011

Research paper thumbnail of Disconcordance in medication information for the general practitioner and the patient at hospital discharge

Research paper thumbnail of Medication reconciliation by clinical pharmacists at a university hospital's geriatric ward

Research paper thumbnail of De meerwaarde van klinisch apothekers bij opname van geriatrische patiënten in het ziekenhuis

Research paper thumbnail of Evaluation of drug-related problems in Belgium: focus on corticosteroids

Research paper thumbnail of Farmaceutische anamnese bij geriatrische patiënten door klinisch apothekers in een universitair ziekenhuis

Research paper thumbnail of Relationship between pre-stroke cardiovascular medication use and stroke severity

European Journal of Clinical Pharmacology, Dec 26, 2015

Introduction Stroke is a major health problem with important morbidity and mortality. Various ris... more Introduction Stroke is a major health problem with important morbidity and mortality. Various risk factors and cardiovascular medication groups are known to have an influence on stroke incidence, but less is known about the relation between medication use and stroke severity. Aim To determine if relationships exist between the pre-stroke cardiovascular medication use and stroke severity. Methods A retrospective study was conducted on a database with anonymized data of 1974 patients with a suspected stroke, admitted to the Universitair Ziekenhuis (UZ) Brussel. Stroke severity was quantified using the National Institute of Health Stroke Scale (NIHSS). Cardiovascular medication groups were first included in a multivariable linear regression model. Second, to obtain clinically interpretable results, all variables that were retained in the final linear regression model were introduced in a cumulative odds ordinal logistic regression model with proportional odds. Results Angiotensin II receptor blockers (ARBs), statins, and antiarrhythmics were significantly associated with stroke severity at the 10 % α level in a multivariable linear regression model, suggesting a possible effect of these medication groups on stroke severity. Only pre-stroke statin use showed a significant relationship with the NIHSS score in the ordinal logistic regression model with an adjusted odds ratio of 0.740 (95 % CI 0.580-0.944; p = 0.015). Conclusion Pre-stroke use of statins is significantly associated with lower stroke severity. No significant relationship was detected between pre-stroke use of other medication groups and stroke severity, defined by the NIHSS score.

Research paper thumbnail of Perceptions of European students' representative associations about clinical pharmacy undergraduate education

Pharmacy Education

Background: Clinical pharmacy education is an enabler of advanced pharmacy practice for the futur... more Background: Clinical pharmacy education is an enabler of advanced pharmacy practice for the future workforce. Objective: To explore perceptions of students’ representative associations on the adequacy of undergraduate clinical pharmacy education and students’ preparedness to perform clinical activities. Methods: Cross-sectional study using an online survey disseminated through the European Pharmaceutical Students’ Association to affiliated national pharmacy students’ associations. The survey collected information about preparedness to perform clinical pharmacy activities, perceived fitness for practice, perceived adequacy of theoretical and practical education in clinical pharmacy, and learning methods used and desired. Results: Students’ representative associations from 16 European countries participated and unanimously stated that clinical pharmacy practical training was insufficient. Most respondents (n=12; 75.1%) reported being unfit or unsure about their fitness to perfo...

Research paper thumbnail of A cross-sectional survey to map Clinical Pharmacy Education and Practice in Europe

International Journal of Clinical Pharmacy

Background Clinical activities provided by pharmacists are increasing worldwide, including in Eur... more Background Clinical activities provided by pharmacists are increasing worldwide, including in Europe. However, an overview of clinical pharmacy education and practice is needed. Aim To map clinical pharmacy (CP) education and practice among European countries. Method A cross-sectional web-based survey led by the Education Committee of the European Society of Clinical Pharmacy (ESCP) was conducted. The survey comprised three domains focusing on: undergraduate education, postgraduate education, and practice. A multi-phased validation process was undertaken, attributing levels of evidence according to the number of information sources for each country. Triangulation was used to seek within country consensus. Main outcome measures included the number of hours of education in CP; existence of a specialization in CP and activities delivered in practice. Results Data from 40 European countries were included (response rate 95.2%). Most respondents (86.8%) agreed with the ESCP definition of CP. Almost every country (94.9%) reported CP topics at the undergraduate level [median number = 65 h/semester (IQR: 2.0–5.6)], including practical teaching [median = 30.0% (IQR: 17.0–42.0)]. At postgraduate level, 92.5% of countries reported PhD programmes including CP and 65.0% mentioned the existence of specific CP master/diploma degrees. Continuous professional development (CPD) courses were also reported by 63.9% of respondents. More than half the countries (52.5%; n = 21) recognized CP as an area of specialization, which for 60.0% of participants was applied solely in the hospital setting. Conclusion Although CP is embedded in education and practice in European countries, there is wide variability in education and practice patterns.

Research paper thumbnail of 24/7 in-ambulance telestroke: results from the prehospital stroke study at the Universitair Ziekenhuis Brussel II (PreSSUB II)

The 2nd European Stroke Organisation Conference 2016, 2016