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Medication understanding, non-adherence, and clinical outcomes among adult kidney transplant recipients.
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- Author(s): Patzer RE;Patzer RE;Patzer RE; Serper M; Serper M; Reese PP; Reese PP; Przytula K; Przytula K; Koval R; Koval R; Ladner DP; Ladner DP; Levitsky JM; Levitsky JM; Abecassis MM; Abecassis MM; Wolf MS; Wolf MS
- Source:
Clinical transplantation [Clin Transplant] 2016 Oct; Vol. 30 (10), pp. 1294-1305. Date of Electronic Publication: 2016 Aug 29.- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: Munksgaard Country of Publication: Denmark NLM ID: 8710240 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1399-0012 (Electronic) Linking ISSN: 09020063 NLM ISO Abbreviation: Clin Transplant Subsets: MEDLINE
- Publication Information: Original Publication: Copenhagen : Munksgaard,
- Subject Terms: Comprehension* ; Health Knowledge, Attitudes, Practice* ; Kidney Transplantation*; Graft Rejection/*prevention & control ; Immunosuppressive Agents/*therapeutic use ; Medication Adherence/*statistics & numerical data; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Female ; Graft Rejection/epidemiology ; Graft Rejection/psychology ; Health Literacy ; Hospitalization/statistics & numerical data ; Humans ; Male ; Medication Adherence/psychology ; Middle Aged ; Outcome Assessment, Health Care ; Risk Factors ; Self Report ; Self-Management/psychology ; Self-Management/statistics & numerical data ; Young Adult
- Abstract: 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. On average, patients knew what 91% of their medications were for (self-report) and demonstrated proper dosing (via observed demonstration) for 83% of medications. Overall, 35% were non-adherent based on either self-report or tacrolimus level. In multivariable analyses, fewer months since transplant and limited literacy were associated with non-adherence (all P<.05). Patients with minority race, a higher number of medications, and mild cognitive impairment had significantly lower treatment knowledge scores. Non-white race and lower income were associated with higher rates of hospitalization within a year following the interview. The identification of factors that predispose KT recipients to medication misunderstanding, non-adherence, and hospitalization could help target appropriate self-care interventions.
Competing Interests: None.
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- Contributed Indexing: Keywords: cognition; hospitalization; kidney transplantation; literacy; medication adherence
- Accession Number: 0 (Immunosuppressive Agents)
- Publication Date: Date Created: 20160723 Date Completed: 20180117 Latest Revision: 20220330
- Publication Date: 20240104
- Accession Number: PMC5061615
- Accession Number: 10.1111/ctr.12821
- Accession Number: 27447351
- Source:
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