Abstract:
:Nonadherence to immunosuppressants in renal transplant recipients is a major factor affecting graft survival, but it is difficult to detect accurately in clinical practice. Adherence was measured in 153 adult renal transplant recipients using self-report questionnaires and interview, clinician rating, and cyclosporine levels. The sensitivity and specificity of these measures were determined by comparison with electronic monitoring in a randomly selected subsample of 58 subjects. Measures of adherence in current clinical use do not perform well when tested against electronic monitoring. Self-report at a confidential interview was the best measure of adherence for the detection of both missed doses and erratic timing of medication. However, the use of a confidential interview is not directly applicable to a clinical setting. Further research on how best to facilitate disclosure in clinical settings may be the best way to develop adherence measures for use in routine practice.
journal_name
Transplantationjournal_title
Transplantationauthors
Butler JA,Peveler RC,Roderick P,Horne R,Mason JCdoi
10.1097/01.tp.0000110412.20050.36subject
Has Abstractpub_date
2004-03-15 00:00:00pages
786-9issue
5eissn
0041-1337issn
1534-6080pii
00007890-200403150-00029journal_volume
77pub_type
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