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By Isabel Acosta-Ochoa Nephrology senior staff. Valladolid. Spain
Anne Rebafka
BACKGROUND: Whether or not patients follow the advice given by their healthcare professional is commonly referred to as adherence. In the case of kidney transplantation, transplant recipients need to take immunosuppressive drugs on a regular basis to prevent rejection of their transplant. However, medication adherence can be problematic for many patients. OBJECTIVES: This critical appraisal of evidence aimed to gain insights into factors contributing to adherence and non-adherence in recipients of kidney transplants, and to explore patients' perceptions regarding adherence to immunosuppression...
September 15, 2016: Journal of Renal Care
Tai Mooi Ho, Dolors Estrada, Josep Agudo, Piedad Arias, Raúl Capillas, Elvira Gibert, M Mar Isnard, M José Solé, Anna Salvadó
BACKGROUND: It is accepted that patient education can be beneficial in the treatment of chronic diseases. We conducted an educational intervention (EI) in hypertensive patients seen at Primary Care centres (PCC) and specialised Hypertension Units (SHU). OBJECTIVES: To assess patient's knowledge of hypertension and to verify the impact of this educational initiative. METHODS: A multicentre quasi-experimental study with the participation of 120 patients with hypertension...
July 26, 2016: Journal of Renal Care
B Zawadzka, S Zawadzka, W Sułowicz, E Ignacak
BACKGROUND: Cooperation between patients and physicians in chronic treatment is an important factor in the patients' adaptation to difficult circumstances. The search is ongoing for factors important to the physician-patient relationship, with the goal of identifying deficits and psychological resources of the patients and medical soft skills of the physicians that can affect the quality of cooperation. The aim of this study was to analyze the psychological mechanisms of patient cooperation with physicians in the area of treatment after kidney transplantation...
June 2016: Transplantation Proceedings
B Zawadzka, S Zawadzka, A Będkowska-Prokop, E Ignacak, W Sułowicz
INTRODUCTION: A patient who complies with doctor recommendations is an indicator of proper cooperation in treatment. It is affected by environmental factors, soft competences of the doctors, and properties of the human personality. We investigated the psychological characteristics of patients that may facilitate human contact and promote healthy behaviors. The aim of the study was to analyze the importance of psychological factors for the occurrence of health-related behaviors necessary for cooperation in treatment...
June 2016: Transplantation Proceedings
Gordon D Schiff, Enrique Seoane-Vazquez, Adam Wright
An 1833 article in the Boston Medical and Surgical Journal (forerunner of the New England Journal of Medicine) explained why prescriptions should be written in Latin to protect patients from knowledge of the names of and indications for the prescribed drugs: "The question is often asked, why..
July 28, 2016: New England Journal of Medicine
Bartłomiej Matłosz, Ewa Firląg-Burkacka, Andrzej Horban, Justyna D Kowalska
Although infrequent, kidney disease is a potentially serious co-morbidity among human immunodeficiency virus (HIV)-infected patients. The spectrum of renal impairment is very wide from clinically insignificant to end stage renal disease and often requires nephrologist's consultation. Therefore, we established combined renal and HIV care in the HIV Out-Patient Clinic in Warsaw. Medical records of patients consulted by nephrologist from March 2014 to March 2015 were included in analyses. Patients changing medication without consulting the physician or persistently not coming for follow-up visits were defined as non-compliant...
July 22, 2016: AIDS Care
Rachel E Patzer, Marina Serper, Peter P Reese, Kamila Przytula, Rachel Koval, Daniela P Ladner, Josh M Levitsky, Michael M Abecassis, Michael S Wolf
We sought to evaluate the prevalence of medication understanding and non-adherence of entire drug regimens among kidney transplantation (KT) recipients and to examine associations of these exposures with clinical outcomes. Structured, in-person interviews were conducted with 99 adult KT recipients between 2011 and 2012 at two transplant centers in Chicago, IL; and Atlanta, GA. Nearly, one-quarter (24%) of participants had limited literacy as measured by the Rapid Estimate of Adult Literacy in Medicine test; patients took a mean of 10 (SD=4) medications and 32% had a medication change within the last month...
October 2016: Clinical Transplantation
Timo Kauppila, Merja K Laine, Mikko Honkasalo, Marko Raina, Johan G Eriksson
OBJECTIVE: To characterize dropouts from type-2 diabetes (T2D) care in communal primary health care. DESIGN: An observational study. SETTING: In a Finnish city, patients with T2D who had not contacted the public primary health care system during the past 12 months were identified with a computer based search and contacted by a trained diabetes nurse. SUBJECTS: Dropouts from T2D treatment. MAIN OUTCOME MEASURES: Demographic factors, laboratory parameters, examinations, medications, and comorbidities...
September 2016: Scandinavian Journal of Primary Health Care
Mohammed Awais Hameed, Indranil Dasgupta, Paramjit Gill
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
Yana Vinogradova, Carol Coupland, Peter Brindle, Julia Hippisley-Cox
OBJECTIVES:  To estimate rates of discontinuation and restarting of statins, and to identify patient characteristics associated with either discontinuation or restarting. DESIGN:  Prospective open cohort study. SETTING:  664 general practices contributing to the Clinical Practice Research Datalink in the United Kingdom. Data extracted in October 2014. PARTICIPANTS:  Incident statin users aged 25-84 years identified between January 2002 and September 2013...
2016: BMJ: British Medical Journal
Saurav Ghimire, Gregory M Peterson, Ronald L Castelino, Matthew D Jose, Syed Tabish R Zaidi
BACKGROUND: The impact of medication regimen complexity on adherence in hemodialysis patients is unknown. We investigated regimen complexity, perceived burden of medicines (PBM) and health-related quality of life (HR-QoL) as potential predictors of adherence. METHODS: Adult (≥18 years) hemodialysis patients were included. Data on medication regimen complexity index (MRCI), self-reported and objective adherence, comorbidity index, PBM and HR-QoL were obtained using established measures...
2016: American Journal of Nephrology
Miklos Z Molnar, Elvira O Gosmanova, Keiichi Sumida, Praveen K Potukuchi, Jun Ling Lu, Jennie Jing, Vanessa A Ravel, Melissa Soohoo, Connie M Rhee, Elani Streja, Kamyar Kalantar-Zadeh, Csaba P Kovesdy
BACKGROUND: Medication nonadherence is a known risk factor for adverse outcomes in the general population. However, little is known about the association of predialysis medication adherence among patients with advanced chronic kidney disease and mortality following their transition to dialysis. STUDY DESIGN: Observational study. SETTING & PARTICIPANTS: 32,348 US veterans who transitioned to dialysis during 2007 to 2011. PREDICTORS: Adherence to treatment with cardiovascular drugs, ascertained from pharmacy database records using proportion of days covered (PDC) and persistence during the predialysis year...
October 2016: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
Anna Bertram, Selma Pabst, Tanja Zimmermann, Mario Schiffer, Martina de Zwaan
No abstract text is available yet for this article.
July 2016: Transplant International: Official Journal of the European Society for Organ Transplantation
Patricia Larrieu Briones, Donna Merrill, Loay Salman
No abstract text is available yet for this article.
November 2015: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
Judith A Beto, Katherine A Schury, Vinod K Bansal
Chronic kidney disease (CKD) requires extensive changes to food and lifestyle. Poor adherence to diet, medications, and treatments has been estimated to vary between 20% and 70%, which in turn can contribute to increased mortality and morbidity. Delivering effective nutritional advice in patients with CKD coordinates multiple diet components including calories, protein, sodium, potassium, calcium, phosphorus, and fluid. Dietary intake studies have shown difficulty in adhering to the scope and complexity of the CKD diet parameters...
2016: International Journal of Nephrology and Renovascular Disease
Jay Thakkar, Rahul Kurup, Tracey-Lea Laba, Karla Santo, Aravinda Thiagalingam, Anthony Rodgers, Mark Woodward, Julie Redfern, Clara K Chow
IMPORTANCE: Adherence to long-term therapies in chronic disease is poor. Traditional interventions to improve adherence are complex and not widely effective. Mobile telephone text messaging may be a scalable means to support medication adherence. OBJECTIVES: To conduct a meta-analysis of randomized clinical trials to assess the effect of mobile telephone text messaging on medication adherence in chronic disease. DATA SOURCES: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, PsycINFO, and CINAHL (from database inception to January 15, 2015), as well as reference lists of the articles identified...
March 2016: JAMA Internal Medicine
Inês Maria de Jesus Machado, Marina Bittencourt Bandeira, Hélady Sanders Pinheiro, Nathália Dos Santos Dutra
Treatment adherence in hemodialysis is important for guaranteeing better results for patients, but Brazil still lacks validated assessment tools for this purpose. The current study aimed to perform a cross-cultural adaptation of the Renal Adherence Behaviour Questionnaire (RABQ) and the Renal Adherence Attitudes Questionnaire (RAAQ). The two questionnaires were submitted to the following cross-cultural adaptation procedures: translation, back-translation, expert panel review, and pilot study. Changes were made in the items' wording and application, which requires a face-to-face interview...
October 2015: Cadernos de Saúde Pública
Andresa Nascimento Silva, Lucas Moratelli, Paula Liziero Tavares, Elisa de Oliveira Marsicano, Renata Romanholi Pinhati, Fernando Antonio Basile Colugnati, Giancarlo Luchetti, Helady Sanders-Pinheiro
AIM: Adherence to immunosuppressive medication is essential for favourable kidney transplant outcomes. The present study aims to investigate how self-efficacy beliefs, health locus of control and religiosity are associated with adherence to immunosuppressives in post kidney transplant recipients. METHODS: This is a cross-sectional study with 88 recipients with more than 1 year after transplantation. Three methods were used to classify patients as adherent or non-adherent: Basel Assessment of Adherence Scale for Immunosuppressives-BAASIS, the collateral report and blood levels of immunosuppressive medications...
December 4, 2015: Nephrology
C G Musso, M Vilas, F G B de Quirós, J F M Núñez
Ageing is characterized by a progressive loss of complexity, which is an essential condition for making the organism capable of keeping homeostasis. Thus, senile loss of complexity makes old individuals frail: a syndrome characterized by the presence of shrinking (sarcopenia), weakness, poor endurance and energy, slowness, and low physical activity. Moreover, renal ageing progressively leads to a glomerular filtration rate (GFR) reduction, one of the main pharmacokinetic senile changes, which is not detectable by simply evaluating serum urea or creatinine values but measuring or calculating patient's GFR...
April 2016: Drug Research
Jarmo Henriksson, Gunnar Tydén, Jonas Höijer, Jonas Wadström
BACKGROUND: Outcome after renal transplantation depends on patient compliance and adherence for early detection of complications and identification of intervention opportunities. Compliance describes the degree to which patients follow medical advice and take their medications. Adherence has been defined as the extent to which a patients' behavior coincides with clinical prescriptions. MATERIALS AND METHODS: Patients were randomized 7 to 14 days after transplantation into groups with (n = 40) and without (n = 40) an electronic medication dispenser (EMD)...
January 2016: Transplantation
2015-11-22 17:38:31
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