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Table 1 Questionnaire on pharmacotherapy for CKD patients

From: Awareness and current implementation of drug dosage adjustment by pharmacists in patients with chronic kidney disease in Japan: a web-based survey

Information requested

Information obtained

Type of work

Community pharmacist/Hospital pharmacist

Geographical distribution

Prefecture

Work experience (years)

<5, 5–9, 10–20, >20

Medical departments from which prescriptions are routinely received

Multiple choice format/17 departments (general internal medicine, respiratory medicine, gastroenterology, nephrology, endocrinology, hematology, psychiatry, pediatrics, orthopedics, dermatology, ophthalmology, urology, surgery, otorhinolaryngology, dentistry, obstetrics and gynecology)

Awareness of pharmacotherapy of CKD patients

Four items, using a 5-point Likert-type scale

Experience with adverse drug events caused by inappropriate dosage for CKD patients

Yes/No; when “yes” selected, respondent asked to name the drug that caused the adverse drug event

Implementation of ADDR

Implemented/not implemented

Obstacles to implementation of ADDR for CKD patients

Multiple choice format/five possible obstacles listed