Prevalence of Medication Nonadherence to Co-medication Compared to Immunosuppressants in Heart Transplant Recipients: Findings From the International Cross-sectional BRIGHT Study
Por:
Helmy, R, Denhaerynck, K, Berben, L, Dobbels, F, Russell, CL, Roza, BD, De Geest, S, Crespo-Leiro, MG, Guppies, S, De Simone, P, Groenewoud, A, Kugler, C, Ohler, L, Van Cleemput, J, Poncelet, AJ, Sebbag, L, Michel, M, Bernard, A, Doesch, A, Livi, U, Potena, L, Brossa-Loidi, V, Segovia-Cubero, J, Almenar-Bonet, L, Saint-Gerons, CS, Mohacsi, P, Horvath, E, Riotto, C, Parry, G, Firouzi, A, Kozuszko, S, Haddad, H, Kaan, A, Fisher, G, Miller, T, Flattery, M, Ludrosky, K, Albert, N, Coleman, B, Trammell, J, Epstein, F, St Clair, K, Kao, A, Molina, M, Canales, KR, de Almeida, SS, Ayoub, AC, Barone, F, Harkess, M, Maddicks-Law, J, BRIGHT Study Team
Publicada:
1 ene 2019
Resumen:
Purpose: To assess and compare the prevalence of medication nonadherence (MNA) (implementation and persistence) to immunosuppressants and co-medications in heart transplant recipients.
Methods: MNA prevalence was assessed using the Basel Assessment of Adherence to Immunosuppressive Medications Scale (self-report) and compared using logistic regression in a 4-continent sample of 1397 heart transplant recipients from 36 heart transplant centers in 11 countries.
Findings: MNA was significantly (alpha = 0.05) higher to co-medications than to immunosuppressants (taking nonadherence: 23.9% vs 17.3%; odds ratio [OR] = 1.5; 95% CI, 1.30-1.73; drug holiday: 5.7% vs 1.9%; OR = 3.17; 95% CI, 2.13-4.73; dose alteration: 3.8% vs 1.6%; OR = 2.46; 95% CI, 1.49-4.06; and discontinuation: 2.6% vs 0.5%; OR = 5.15; 95% CI, 2.36-11.20). (C) 2018 Elsevier Inc. All rights reserved.
Filiaciones:
Helmy, R:
Univ Basel, Fac Med, Dept Publ Hlth, Inst Nursing Sci, Basel, Switzerland
Denhaerynck, K:
Univ Basel, Fac Med, Dept Publ Hlth, Inst Nursing Sci, Basel, Switzerland
Berben, L:
Univ Basel, Fac Med, Dept Publ Hlth, Inst Nursing Sci, Basel, Switzerland
Univ Hosp Basel, Basel, Switzerland
Dobbels, F:
Katholieke Univ Leuven, Dept Publ Hlth & Primary Care, Acad Ctr Nursing & Midwifery, Leuven, Belgium
Russell, CL:
Univ Missouri, Sch Nursing & Hlth Studies, Kansas City, MO 64110 USA
Roza, BD:
Univ Fed Sao Paulo, Sch Nursing, Sao Paulo, Brazil
De Geest, S:
Univ Basel, Fac Med, Dept Publ Hlth, Inst Nursing Sci, Basel, Switzerland
Katholieke Univ Leuven, Dept Publ Hlth & Primary Care, Acad Ctr Nursing & Midwifery, Leuven, Belgium
Crespo-Leiro, MG:
Univ A Coruna, INIBIC, CIBERCV, Complexo Hosp Univ A Coruna, La Coruna, Spain
Guppies, S:
US Dept Vet Affairs, Vet Hlth Adm, Washington, DC USA
De Simone, P:
Azienda Osped Univ Pisana, Osped Cisanello, Pisa, Italy
Groenewoud, A:
Astellas Pharma Europe Ltd, Chertsey, England
Kugler, C:
Hannover Med Sch, Hannover, Germany
Ohler, L:
George Washington Univ, Washington, DC USA
Van Cleemput, J:
Univ Hosp Leuven, Leuven, Belgium
Poncelet, AJ:
Clin Univ St Luc, Brussels, Belgium
Sebbag, L:
Hop Louis Pradel, Lyon, France
Michel, M:
Hop Nord Laennec, Nantes, France
Bernard, A:
Hop Univ Pitie Salpetriere, Paris, France
Doesch, A:
Univ Hosp Heidelberg, Heidelberg, Germany
Livi, U:
Univ Hosp Udine, Udine, Italy
Potena, L:
Univ Bologna, Bologna, Italy
Brossa-Loidi, V:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Segovia-Cubero, J:
Hosp Puerta Hierro, Madrid, Spain
Almenar-Bonet, L:
Hosp Univ & Politecn La Fe Valencia, Valencia, Spain
Saint-Gerons, CS:
Hosp Univ Reina Sofia, Cordoba, Spain
Mohacsi, P:
Univ Hosp Bern, Bern, Switzerland
Horvath, E:
Univ Zurich Hosp, Zurich, Switzerland
Riotto, C:
Papworth Hosp, Cambridge, England
Parry, G:
Freeman Rd Hosp, Newcastle, England
Firouzi, A:
Royal Brompton & Harefield NHS Fdn Trust, London, England
Kozuszko, S:
Toronto Gen Hosp, Toronto, ON, Canada
Haddad, H:
Univ Ottawa, Inst Heart, Ottawa, ON, Canada
Kaan, A:
St Pauls Hosp, Vancouver, BC, Canada
Fisher, G:
London Hlth Sci Ctr, London, ON, Canada
Miller, T:
Duke Univ Hosp, Durham, NC USA
Flattery, M:
Virginia Commonwealth Univ Hlth Syst, Richmond, VA USA
Ludrosky, K:
Cleveland Clin, Cleveland, OH 44106 USA
Albert, N:
Cleveland Clin, Cleveland, OH 44106 USA
Coleman, B:
Cedars Sinai Med Ctr, Los Angeles, CA USA
Trammell, J:
Kaiser Permanente Santa Clara Med Ctr, Santa Clara, CA USA
Epstein, F:
Kaiser Permanente Santa Clara Med Ctr, Santa Clara, CA USA
St Clair, K:
St Lukes Hosp, Kansas City, MO USA
Kao, A:
St Lukes Hosp, Kansas City, MO USA
Molina, M:
Hosp Univ Penn, 3400 Spruce St, Philadelphia, PA 19104 USA
Canales, KR:
Ochsner Med Ctr, New Orleans, LA USA
de Almeida, SS:
Hosp Municipal Vila Santa Catarina, Minist Saude PROADI SUS, Sao Paulo, Brazil
Univ Fed Sao Paulo, Sch Nursing, Sao Paulo, Brazil
Univ Fed Sao Paulo, Hosp Israelita Albert Einstein, Sao Paulo & Paulista Nursing Sch, Sao Paulo, Brazil
Ayoub, AC:
Inst Dante Pazzanese Cardiol, Sao Paulo, Brazil
Barone, F:
Univ Sao Paulo, Inst Coracao, Sao Paulo, Brazil
Harkess, M:
St Vincents Hosp, Sydney, NSW, Australia
Maddicks-Law, J:
Prince Charles Hosp, Brisbane, Qld, Australia
Green Published
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