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Rates and Risk Factors for Nonadherence to the Medical Regimen After Adult Solid Organ Transplantation
Transplantation · 2007 · Vol. 83(7) · pp. 858–873
Mary Amanda Dew✉(University of Pittsburgh)Andrea F. DiMartini(University of Pittsburgh)Annette De Vito Dabbs(University of Pittsburgh)Larissa Myaskovsky(University of Pittsburgh)Jennifer L. Steel(H.C. Starck (Germany))Mark L. Unruh(University of Pittsburgh)Galen E. Switzer(University of Pittsburgh)R. ZomakRobert L. Kormos(University of Pittsburgh)Joel B. Greenhouse(Carnegie Mellon University)
Abstract
The estimated nonadherence rates, overall and by transplant type, allow clinicians to gauge patient risk and target resources accordingly. Nonadherence rates in some areas--including immunosuppressant use--appear unacceptably high. Weak correlations of most patient psychosocial factors with nonadherence suggest that attention should focus on other classes of variables (e.g., provider-related and systems-level factors), which may be more influential.
Renal Transplantation Outcomes and TreatmentsNeurological Complications and SyndromesPregnancy and Medication ImpactMedicinePsychosocialRegimenTransplantationInternal medicineKidney transplantationIntensive care medicinePsychiatry
MeSH terms
AdultHumansPatient ComplianceRetrospective StudiesRisk FactorsTreatment RefusalOrgan TransplantationTreatment OutcomePatient Selection
Citations
570
FWCI
10.36
field-weighted impact
References
69
Percentile
99%
vs. same field & year
Citations per year
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