Alexandra Perez

Alexandra Perez
Nova Southeastern University | NSU · College of Pharmacy Department of Sociobehavioral and Administrative Pharmacy

Doctor of Pharmacy, Masters in Pharmacy

About

33
Publications
1,458
Reads
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526
Citations
Citations since 2017
14 Research Items
303 Citations
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20172018201920202021202220230102030405060
20172018201920202021202220230102030405060
20172018201920202021202220230102030405060
Additional affiliations
August 2008 - February 2015
Nova Southeastern University
Position
  • Professor (Assistant)

Publications

Publications (33)
Article
Background Medication nonadherence is the leading cause of poor health outcomes and increased risk of hospitalizations. Previous studies have shown that pharmacist interventions can help improve medication adherence and CMS quality measures. Objective The purpose of this study was to examine the impact of clinical pharmacists’ interventions on med...
Article
Purpose Nearly 90% of individuals with type 2 diabetes mellitus (T2DM) are either overweight or obese, placing them at high risk of microvascular and macrovascular complications. The main objective of this study was to assess the use of antiobesity medications and antihyperglycemic agents that produce weight gain among patients with T2DM who qualif...
Article
Objective To evaluate the difference in the occurrence of chronic obstructive pulmonary disease (COPD) exacerbations six months preconversion compared with six months postconversion from the branded inhaled corticosteroid/long-acting beta 2-agonist inhalers to the generic fluticasone/salmeterol inhalers. Design Retrospective cohort study using a si...
Article
Background The Centers for Medicare and Medicaid Services (CMS) publishes quality measures to gauge performance in Accountable Care Organizations (ACOs). ACO-27 (Diabetes Mellitus: Hemoglobin A1c Poor Control) and ACO-41 (Diabetes: Eye Exam), are 2 components for the Diabetes Composite measure. ACO-42 focuses on Statin Therapy for the Prevention an...
Preprint
Full-text available
Importance: Assessment of the use of angiotensin receptor blockers (ARBs) in the United States provides insight into prescribing practices, and may inform guidelines, policy measures and research during the COVID-19 pandemic. Objective: To evaluate trends in ARB use among adults in the United States who have preexisting conditions and sociodemograp...
Article
Studies evaluating the cost‐effectiveness of clinical pharmacy services (CPS) are needed to justify implementation and reimbursement. Through a systematic review, we describe services provided by pharmacists and their economic outcomes. We conducted a literature search of published studies in PubMed, Ovid, and Embase from January 2011 through Decem...
Article
Objective While some studies have evaluated the prescribing patterns of clopidogrel in combination with proton‐pump inhibitors (PPI) before and after the FDA safety communication, none have assessed the prescribing patterns of histamine‐2 receptor antagonists (H2RAs), one alternative to PPIs, during the same time period. This study aims to assess t...
Article
Full-text available
In patients with diabetes, the risk of infections is increased, hypothesized to be due to alterations in the immune system, among other changes. The pleotropic effects of statins have been investigated to assess their role in reducing the risk of infection and infection-related outcomes with varying results. The aim of this study is to determine if...
Article
Background Elderly patients with cardiovascular disease (CVD) have significant limitations in relation to self-management and quality of life (QOL). Interprofessional collaboration has the potential to produce better outcomes for elderly patients living with CVD. Methods The primary objective of this pilot pre-/post intervention study was to impro...
Article
Full-text available
Individuals with diabetes are twice as likely to struggle from depressive symptoms than individuals without diabetes. However, this joint condition is undertreated in nearly two-thirds of patients. Failure to monitor the comorbidity may lead to suboptimal therapy. This study evaluated the association of antidepressant use with healthcare utilizatio...
Article
Purpose The purpose of this study was to determine antidepressant use among Mexican Americans (MA) and non-Hispanic (NH) blacks and whites with type 2 diabetes and depressive symptoms. Methods A secondary data analysis based on National Health and Nutrition Examination Survey (NHANES) 2005-2012 cohort data included 560 noninstitutionalized civilia...
Article
Objectives. To implement and assess the effectiveness of a 15-week applied research elective that introduced students to secondary database analysis in clinical pharmacy. Design. In small groups, students learned, planned, developed and completed a secondary database study to answer an original research question. During one semester, they completed...
Article
Objective: Vitamin D deficiency has been associated with increased risk and adverse outcomes in many clinical settings including cardiovascular disease, stroke, and critically ill patients. Therefore we aimed to determine whether vitamin D deficiency had any effect in aneurysmal subarachnoid hemorrhage (aSAH) clinical outcomes. Methods: A retros...
Article
Purpose: The purpose of this study was to determine the use of clinical-guideline-recommended antihypertensive regimens among Mexican Americans (MAs) and non-Hispanic blacks and whites with type 2 diabetes and hypertension. Methods: A secondary data analysis based on National Health and Nutrition Examination Survey 2003-2012 cohort data included...
Article
Purpose: The purpose of this study was to determine the use of clinical guideline-recommended antidiabetic therapies among whites and blacks with uncontrolled type 2 diabetes. Methods: A secondary data analysis based on NHANES 2003-2012 cohort data including non-Hispanic black and white adults with uncontrolled (A1C ≥6.5%) type 2 diabetes. Resu...
Article
Anticoagulation in mechanical circulatory support (MCS) patients dictated by local practice, and therefore uniform standards for management are lacking. To characterize the worldwide variance in anticoagulation and antiplatelet therapy in patients with MCS devices, a 42 item survey was created and distributed electronically in August 2014. The surv...
Article
The purpose of this study was to determine the use of clinical guideline-recommended antidiabetic therapies among Mexican Americans (MA) and non-Hispanic whites with uncontrolled type 2 diabetes. A secondary data analysis based on the National Health and Nutrition Examination Survey (NHANES) 2003-2012 cohort data including MA and non-Hispanic white...
Article
Full-text available
Purpose: The purpose of this study is to measure the implementation and effects of a multi-site coordinated care approach that delivered diabetes self-management education (DSME) and diabetes self-management support (DSMS) for disadvantaged patients within four patient-centered medical homes (PCMH). Methods: A total of 173 patients (69.9% African A...
Article
Type 2 diabetes disproportionately affects Latinos increasing their risk of diabetes-related complications. This study used a randomized controlled design with a community-based approach to evaluate the impact of a culturally tailored pharmacist intervention on clinical outcomes in Latino diabetics. The intervention included a focused discussion an...
Article
To determine effect on surrogate endpoints for cardiovascular disease (CVD), we performed a retrospective chart review of 114 patients seen by a multidisciplinary team that provided primary care services in a mobile clinic over 12 months. Eligible patients had outcomes available for at least six months. Mixed effect modeling examined variation in s...
Article
To compare lifetime costs and health outcomes of rate control versus rhythm control for management of atrial fibrillation in patients with coexisting heart failure from the third-party payer perspective. A Markov decision analysis model constructed from costs, utility, and transition probability inputs obtained from randomized clinical trials and p...
Article
the objective of this systematic review and meta-analysis was to assess the effect of pramlintide on glycemic control, weight and incidence of nausea and hypoglycaemia in patients with type 2 diabetes mellitus (T2DM) and in obese patients without diabetes (OBP). eight randomized, clinical trials were identified from multiple databases. Qualitative...
Article
Levocetirizine (LCZ) is a second-generation antihistamine that was approved in January 2008 for the relief of symptoms of seasonal allergic rhinitis (SAR), perennial allergic rhinitis (PAR), and chronic idiopathic urticaria (CIU) in adults and children aged > or = 6 years. This article reviews the available literature on the pharmacokinetics and ph...
Article
The objectives of this review were to summarize and evaluate studies that measured the economic impact of clinical pharmacy services published between 2001 and 2005 (inclusive) and to provide guidance on methodologic considerations to individuals performing such research in the future. A systematic literature search using the MEDLINE and Internatio...
Article
Full-text available
No data exist that demonstrate the impact of comprehensive acute decompensated heart failure (ADHF) treatment guidelines on clinical and economic outcomes in hospitalized patients with this condition. To compare clinical and economic outcomes before and after implementation of treatment guidelines for ADHF. A single-center, retrospective, chart rev...

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