Randomized trial of a pharmacy intervention for older adults with cancer.

10012Background: Oncology clinicians often struggle with managing medications and vaccinations in older adults with cancer. We sought to demonstrate the feasibility and preliminary efficacy of integrating pharmacists into the care of older adults with cancer to enhance medication management and administration of appropriate vaccinations. Methods: We enrolled patients age ≥65 years with breast, gastrointestinal (GI), or lung cancer receiving first-line chemotherapy and randomly assigned them to the pharmacy intervention or usual care. Patients assigned to the intervention met with a pharmacist during their second or third chemotherapy infusion. The pharmacist performed medication reconciliation, obtained vaccination history and made recommendations to the care team. We obtained information about patients’ medications and vaccinations via patient-report and from the electronic health record (EHR) at baseline and week 4. We determined the number of discrepant medications, defined as the difference between pa...