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By Isabel Acosta-Ochoa Nephrology senior staff. Valladolid. Spain
Nesa Noghan, Arash Akaberi, Sepideh Pournamdarian, Elham Borujerdi, Sima Sadat Hejazi
Background: The relationship between resilience, one of the important issues in mental health, and therapeutic regimen compliance, the key in the successful management of chronic disease such as chronic kidney disease, is unclear. Objective: The aim of this study was to determine the relationship between resilience and therapeutic regimen compliance in ESRD patients, undergoing hemodialysis. Methods: In this cross-sectional study, 107 hemodialysis patients referred to Besat and Shahid Beheshti Hospitals of Hamedan, Iran were selected through systematic sampling method from January to April 2013...
May 2018: Electronic Physician
Julie Boucquemont, Ahna Lh Pai, Vikas R Dharnidharka, Diane Hebert, Susan L Furth, Bethany J Foster
BACKGROUND: Among kidney transplant recipients, gender differences in medication adherence may contribute to the higher graft failure risks observed in girls and young women compared with boys and young men. Our aim was to determine whether adherence differs by gender, and whether gender differences vary by age in adolescent and young adult kidney transplant recipients. METHODS: We examined data from the 3-month run-in period (no intervention) of the randomized TAKE-IT trial...
July 9, 2018: Transplantation
Mark Beyebach, María Del Carmen Neipp, Maite García-Moreno, Inés González-Sánchez
AIM: To test the hypothesis that fluid adherence in patients on hemodialysis can be improved through nurses' solution-focused communication with patients on issues of adherence. BACKGROUND: Adherence to fluid-intake restrictions is low in patients on hemodialysis, creating serious health risks. Psychosocial interventions to increase adherence have typically focused on patients and ignored patient/staff interactions. DESIGN: This is a single-group, pre-post pilot study registered in Clinical Trials...
July 10, 2018: Journal of Advanced Nursing
J D Gatwood, M Chisholm-Burns, R Davis, F Thomas, P Potukuchi, A Hung, C P Kovesdy
AIM: To determine the association of adherence to oral antidiabetes medication with macrovascular and microvascular complications, time to insulin therapy, revascularization, admissions, and death among veterans with uncomplicated diabetes. METHODS: This was a retrospective cohort study using the Veterans Affairs Corporate Data Warehouse to examine 159 032 veterans diagnosed with uncomplicated diabetes during 2002-2014 and starting oral antidiabetes therapy for the first time...
July 6, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
Hiroyuki Nagasawa, Tomoya Tachi, Ikuto Sugita, Hiroki Esaki, Aki Yoshida, Yuta Kanematsu, Yoshihiro Noguchi, Yukio Kobayashi, Etsuko Ichikawa, Teruo Tsuchiya, Hitomi Teramachi
Dialysis treatment is known to lead to reduced quality of life (QOL) among patients. This decreased QOL is believed to influence medication compliance, although this effect has not yet been clarified. In this study, we investigated whether decreased QOL due to dialysis treatment does in fact influence medication compliance. Participants were 92 patients who self-managed their medication and were receiving dialysis treatment at Secomedic Hospital or Chiba Central Medical Center. We surveyed their age, sex, dialysis period, and medication management situation, and administered the EQ-5D and Kidney Disease Quality of Life Instrument-Short Form...
2018: Frontiers in Pharmacology
Anita Slomski
No abstract text is available yet for this article.
June 26, 2018: JAMA: the Journal of the American Medical Association
Sabina De Geest, Leah L Zullig, Jacqueline Dunbar-Jacob, Remon Helmy, Dyfrig A Hughes, Ira B Wilson, Bernard Vrijens
Research on assessing or managing medication adherence applies approaches from observational, interventional, and implementation science that spans many disciplines and demands coherent conceptualization, valid methods, appropriate analyses, and complete and accurate reporting. To ensure such reporting, the European Society for Patient Adherence, COMpliance, and Persistence (ESPACOMP) Medication Adherence Reporting Guideline (EMERGE) recommends standard reporting approaches based on an accepted taxonomy. This guideline is derived from a literature review, a reactive Delphi study with 26 medication adherence experts from many countries and disciplines, and feedback from ESPACOMP members...
June 26, 2018: Annals of Internal Medicine
Eunsoo Lim, Sunah Hyun, Jae Myeong Lee, Seirhan Kim, Min-Jeong Lee, Sun-Mi Lee, Ye-Sung Oh, Inwhee Park, Gyu-Tae Shin, Heungsoo Kim, Donald E Morisky, Jong Cheol Jeong
Background: For phosphate control, patient education is essential due to the limited clearance of phosphate by dialysis. However, well-designed randomized controlled trials about dietary and phosphate binder education have been scarce. Methods: We enrolled maintenance hemodialysis patients and randomized them into an education group (n = 48) or a control group (n = 22). We assessed the patients' drug compliance and their knowledge about the phosphate binder using a questionnaire...
March 2018: Kidney Research and Clinical Practice
Claire L Schwartz, Ashkon Seyed-Safi, Sayeed Haque, Emma P Bray, Shelia Greenfield, F D Richard Hobbs, Paul Little, Jonathan Mant, Bryan Williams, Richard J Mcmanus
OBJECTIVE: Self-management of hypertension can reduce and control blood pressure (BP) compared with clinic monitoring. However, self-management relies on patients following an algorithm, which may be variably adhered to. This study reports fidelity of high-risk patients to the self-management algorithm set by the TASMIN-SR trial. METHODS: Patients with hypertension, above target clinic BP and one or more of stroke, diabetes, coronary heart disease or chronic kidney disease, were invited to self-monitor following an individualized self-titration algorithm...
August 2018: Journal of Hypertension
Scott D Cohen, Paul L Kimmel
No abstract text is available yet for this article.
July 6, 2018: Clinical Journal of the American Society of Nephrology: CJASN
Esteban A Cedillo-Couvert, Ana C Ricardo, Jinsong Chen, Janet Cohan, Michael J Fischer, Marie Krousel-Wood, John W Kusek, Swati Lederer, Eva Lustigova, Akinlolu Ojo, Anna C Porter, Lisa K Sharp, James Sondheimer, Clarissa Diamantidis, Xue Wang, Jason Roy, James P Lash
Introduction: In the general population, medication nonadherence contributes to poorer outcomes. However, little is known about medication adherence among adults with chronic kidney disease (CKD). We evaluated the association of self-reported medication adherence with CKD progression and all-cause death in patients with CKD. Methods: In this prospective observational study of 3305 adults with mild-to-moderate CKD enrolled in the Chronic Renal Insufficiency Cohort (CRIC) Study, the baseline self-reported medication adherence was assessed by responses to 3 questions and categorized as high, medium, and low...
May 2018: KI Reports
Meghan E McGrady, Christina E Holbein, Aimee W Smith, Caroline F Morrison, Kevin A Hommel, Avani C Modi, Ahna L H Pai, Rachelle R Ramsey
No abstract text is available yet for this article.
May 22, 2018: Annals of Internal Medicine
Yuko Iwashita, Masaki Ohya, Satoko Kunimoto, Yu Iwashita, Toru Mima, Shigeo Negi, Takashi Shigematsu
Objective This report presents a part of a survey pertaining to drug burden in maintenance hemodialysis patients in Japan. Methods A patient-reported questionnaire-based survey was conducted from September to November 2016 in six regions in Japan. Patients or Materials A total of 700 patients (50-79 years old) on maintenance hemodialysis for >3 years and members of the Japan Association of Kidney Disease Patients (JAKDP) were provided with the questionnaire. They were randomly selected using stratified sampling according to patient distribution observed from the Japanese Society for Dialysis Therapy Renal Data Registry (JSDT JRDR)...
May 18, 2018: Internal Medicine
Greg J McKenna
Admit it. More than once, you've scanned a transplant journal, searching for a novel topic, something different from the many ubiquitous registry reviews. You hope you can find something topical, relevant for your patients and timely to current events. You probably didn't even realize this issue of Transplant International would be the one containing that very tropical, relevant and timely manuscript. This article is protected by copyright. All rights reserved.
May 15, 2018: Transplant International: Official Journal of the European Society for Organ Transplantation
Hyun Chan Hwang, Hye Ri Kim, Doug Hyun Han, Ji Sun Hong, So-Hee Jeong, Jung-Ho Shin, Su-Hyun Kim, Jin Ho Hwang, Sun Mi Kim
Background: Non-adherence and comorbidities are prevalent among hemodialysis patients and are associated with increased mortality and financial burden. We aimed to investigate the influence of major coping strategies (CSs) on non-adherence and comorbidities in hemodialysis patients. Methods: A total of 49 patients were enrolled. We collected participant data including CS measured by a Korean version of the ways of coping questionnaire (K-WCQ), comorbidities measured by age-adjusted Charlson comorbidity index (CCI), and adherence measured by the 8-item Morisky medication adherence scale (MMAS-8)...
May 14, 2018: Journal of Korean Medical Science
Maya N Clark-Cutaia, Mary Ann Sevick, Jennifer Thurheimer-Cacciotti, Leslie A Hoffman, Linda Snetselaar, Lora E Burke, Susan L Zickmund
Barriers to following dietary recommendations have been described; however, they remain poorly understood. The purpose of this qualitative study was to explore perceived barriers to adherence to dietary recommendations in a diverse hemodialysis patient population. Participants were eligible to participate in a semi-structured qualitative telephone interview prior to randomization for an ongoing clinical trial to evaluate the efficacy of an intervention designed to reduce dietary sodium intake. Interviews were digitally recorded, transcribed verbatim and coded using an iterative qualitative process...
May 1, 2018: Clinical Nursing Research
Keila Batista Alves, Nathália Vital Guilarducci, Thiago Dos Reis Santos, André Oliveira Baldoni, Alba Otoni, Sérgio Wyton Lima Pinto, Camila Zanette, Cristina Sanches
Objective To analyzed the association of quality of life and compliance to drug treatment in chronic kidney disease patients. Methods The Short Form Health Survey was used to evaluate the quality of life of these patients, and the therapeutic complexity index was verified. The Morisky-Green test and the Brief Medication Questionnaire were applied to check compliance to drug therapy. Results A total of 197 patients were included. The Morisky-Green test and Brief Medication Questionnaire showed that most patients had low compliance to treatment (50...
2018: Einstein
Bethany J Foster, Ahna L H Pai, Nataliya Zelikovsky, Sandra Amaral, Lorraine Bell, Vikas R Dharnidharka, Diane Hebert, Crystal Holly, Baerbel Knauper, Douglas Matsell, Veronique Phan, Rachel Rogers, Jodi M Smith, Huaqing Zhao, Susan L Furth
BACKGROUND: Poor adherence to immunosuppressive medications is a major cause of premature graft loss among children and young adults. Multicomponent interventions have shown promise but have not been fully evaluated. STUDY DESIGN: Unblinded parallel-arm randomized trial to assess the efficacy of a clinic-based adherence-promoting intervention. SETTING & PARTICIPANTS: Prevalent kidney transplant recipients 11 to 24 years of age and 3 or more months posttransplantation at 8 kidney transplantation centers in Canada and the United States (February 2012 to May 2016) were included...
March 15, 2018: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
Helady Sanders-Pinheiro, Fernando Antonio Basile Colugnati, Elisa Oliveira Marsicano, Sabina De Geest, José Osmar Pestana Medina
BACKGROUND: Non-adherence to immunosuppressive therapy is a prevalent risk factor for poor clinical and after kidney transplantation (KT), and has contributed to the lack of improvement in long-term graft survival over the past decade. Understanding the multilevel correlates and risk factors of non-adherence is crucial to determine the optimal level for planning interventions, namely at the patient, health care provider, KT centre, and health care system level. Brazil, having the largest public transplantation program in the world and with regional differences regarding access to health services and service implementation, is in a unique position to study this multilevel approach...
February 20, 2018: BMC Nephrology
Nora Drick, Benjamin Seeliger, Jan Fuge, Igor Tudorache, Mark Greer, Tobias Welte, Axel Haverich, Jens Gottlieb
BACKGROUND: Non-adherence to immunosuppressive treatment following solid organ transplantation is common and often associated with poorer outcomes. Non-adherence is difficult to assess, and barriers to adherence in lung transplant (LTx) recipients remain to be elucidated. METHODS: A single-center cross-sectional observational study of all LTx recipients attending our department between 07/2013 and 05/2014 was performed. Non-adherence was assessed using patient self-reporting, including Basel Assessment of Adherence with Immunosuppressive Medication Scale (BAASIS) along with healthcare worker (HCW) judgment and reasons for non-adherence by the Immunosuppressive Therapy Barriers Scale...
April 2018: Clinical Transplantation
2018-02-01 19:30:54
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