Measuring compliance with drug regimens after renal transplantation: comparison of self-report and clinician rating with electronic monitoring.

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

Transplantation

journal_title

Transplantation

authors

Butler JA,Peveler RC,Roderick P,Horne R,Mason JC

doi

10.1097/01.tp.0000110412.20050.36

subject

Has Abstract

pub_date

2004-03-15 00:00:00

pages

786-9

issue

5

eissn

0041-1337

issn

1534-6080

pii

00007890-200403150-00029

journal_volume

77

pub_type

临床试验,杂志文章,随机对照试验
  • Cardiovascular Parameters to 2 years After Kidney Transplantation Following Early Switch to Everolimus Without Calcineurin Inhibitor Therapy: An Analysis of the Randomized ELEVATE Study.

    abstract:BACKGROUND:Mammalian target of rapamycin inhibitors may confer cardioprotective advantages, but clinical data are limited. METHODS:In the open-label ELEVATE trial, kidney transplant patients were randomized at 10 to 14 weeks after transplant to convert from calcineurin inhibitor (CNI) to everolimus or remain on standa...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/TP.0000000000001739

    authors: Holdaas H,de Fijter JW,Cruzado JM,Massari P,Nashan B,Kanellis J,Witzke O,Gutierrez-Dalmau A,Turkmen A,Wang Z,Lopez P,Bernhardt P,Kochuparampil J,van der Giet M,Murbraech K,ELEVATE Study Group.

    更新日期:2017-10-01 00:00:00

  • Evidence that the immunosuppressive effects of FK506 and cyclosporine are identical.

    abstract::The fungal metabolite FK506 was discovered because it shared an important property, the ability to inhibit production of IL-2, with another well-known immunosuppressive fungal metabolite, CsA. FK506 has, since its isolation, also been shown to share other immunosuppressive effects with CsA. This study was performed to...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199012000-00021

    authors: Johansson A,Möller E

    更新日期:1990-12-01 00:00:00

  • Recovery of in vivo cellular immunity after human marrow grafting. Influence of time postgrafting and acute graft-versus-host disease.

    abstract::Three hundred thirty-two marrow graft recipients and 241 healthy marrow donors were studied by skin testing with recall and neoantigens. Two hundred thirty patients with leukemia and seventy-eight patients with aplastic anemia received allogeneic HLA-identical sibling marrow. Twenty-four patients with leukemia receive...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198402000-00006

    authors: Witherspoon RP,Matthews D,Storb R,Atkinson K,Cheever M,Deeg HJ,Doney K,Kalbfleisch J,Noel D,Prentice R

    更新日期:1984-02-01 00:00:00

  • Major histocompatibility complex class I peptide-pulsed host dendritic cells induce antigen-specific acquired thymic tolerance to islet cells.

    abstract:BACKGROUND:As T-cell receptor-major histocompatibility complex (MHC) class I/self peptide interaction regulates T-cell development in the thymus, we reasoned that presentation of peptides by self dendritic cells (DC) to developing T cells in the thymus might induce acquired thymic tolerance. This hypothesis is based on...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200001270-00005

    authors: Ali A,Garrovillo M,Jin MX,Hardy MA,Oluwole SF

    更新日期:2000-01-27 00:00:00

  • Treatment of graft-versus-host disease by extracorporeal photochemotherapy: a pilot study.

    abstract:BACKGROUND:Graft-versus-host disease (GVHD) is a major complication after bone marrow transplantation, which may be refractory to immunosuppressive drugs. As preliminary case reports suggested that extracorporeal photochemotherapy (ECP) using a Therakos device might be beneficial, we conducted a pilot study to assess t...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199707150-00010

    authors: Besnier DP,Chabannes D,Mahé B,Mussini JM,Baranger TA,Muller JY,Milpied N,Esnault VL

    更新日期:1997-07-15 00:00:00

  • Transplantation of autoimmune potential. II. Glomerulonephritis in lethally irradiated DBA/2 recipients of NZB bone marrow cells.

    abstract::Lethally irradiated (850 rads) DBA/2 mice which had been transplanted 10 months previously with 2 times 10-6 bone marrow cells from 3-week-old donors of the H-2-histocompatible NZB, BALB/c and DBA/2 strains were examined for manifestations of autoimmune disease. Also studied were lethally irradiated (950 rads) NZB mic...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Morton JI,Siegel BV,Moore RD

    更新日期:1975-06-01 00:00:00

  • Clear benefit of mycophenolate mofetil-based triple therapy in reducing the incidence of acute rejection after living donor renal transplantations.

    abstract:BACKGROUND:According to a pooled analysis of three randomized clinical studies concerning the prevention of acute rejection in cadaveric renal transplantation, mycophenolate mofetil (MMF) proved superior to azathioprine or placebo in conjunction with cyclosporine (CsA) and steroids. MMF-treated patients showed reduced ...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007890-199908270-00023

    authors: Kim YS,Moon JI,Kim SI,Park K

    更新日期:1999-08-27 00:00:00

  • Human leukocyte antigen class II DQ alpha and beta epitopes identified from sera of kidney allograft recipients.

    abstract:BACKGROUND:Epitopes are the sites to which antibodies bind. Both alpha and beta peptide chains of the human leukocyte antigen-DQ heterodimers (DQA1 and DQB1, respectively) contain polymorphic regions. We can identify DQA1 and DQB1 epitopes by DQ single antigen beads assay of the antibodies, correlating the beads' react...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181804cd2

    authors: Deng CT,El-Awar N,Ozawa M,Cai J,Lachmann N,Terasaki PI

    更新日期:2008-08-15 00:00:00

  • Evolution of attitudes at U.S. transplant centers toward kidney donation by friends and altruistic strangers.

    abstract::A severe shortage of organs is one of the major barriers facing transplantation today. One of the proposals designed to overcome this serious problem is to increase the use of genetically unrelated living kidney donors. Excellent results have been achieved with these volunteers and cogent arguments have been made that...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200004270-00035

    authors: Spital A

    更新日期:2000-04-27 00:00:00

  • Differences in rejection grading after simultaneous pancreas and kidney transplantation in pigs.

    abstract::Clinical observations suggest that recipients of multiorgan transplants from the same donor can have disparate immunological reactions to each organ. We studied this phenomenon in 36 diabetic (streptozotocin-induced), bilaterally nephrectomized immunosuppressed (cyclosporine, azathioprine, prednisone) pig recipients o...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199312000-00015

    authors: Gruessner RW,Nakhleh R,Tzardis P,Schechner R,Platt JL,Gruessner A,Tomadze G,Najarian JS,Sutherland DE

    更新日期:1993-12-01 00:00:00

  • Acute rejection and cardiac allograft vascular disease is reduced by suppression of subclinical cytomegalovirus infection.

    abstract:BACKGROUND:Anticytomegalovirus (CMV) prophylaxis prevents the acute disease but its impact on subclinical infection and allograft outcome is unknown. We sought to determine whether CMV prophylaxis administered for three months after heart transplant would improve patient outcomes. METHODS:This prospective cohort study...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.tp.0000229039.87735.76

    authors: Potena L,Holweg CT,Chin C,Luikart H,Weisshaar D,Narasimhan B,Fearon WF,Lewis DB,Cooke JP,Mocarski ES,Valantine HA

    更新日期:2006-08-15 00:00:00

  • Complement-mediated pulmonary xenograft injury: studies in swine-to-primate orthotopic single lung transplant models.

    abstract:BACKGROUND:The pathogenesis of acute pulmonary xenograft injury has not yet been determined. The present study evaluates the role of complement in mediating pulmonary xenograft dysfunction by using cobra venom factor (CVF) to deplete recipient complement and transgenic swine, which express human regulators of complemen...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199804270-00013

    authors: Yeatman M,Daggett CW,Parker W,Byrne GW,Logan JS,Platt JL,Davis RD

    更新日期:1998-04-27 00:00:00

  • Purified Human Skeletal Muscle-Derived Stem Cells Enhance the Repair and Regeneration in the Damaged Urethra.

    abstract:BACKGROUND:Postoperative damage of the urethral rhabdosphincter and nerve-vascular networks is a major complication of radical prostatectomy and generally causes incontinence and/or erectile dysfunction. The human skeletal muscle-derived stem cells, which have a synchronized reconstitution capacity of muscle-nerve-bloo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001613

    authors: Nakajima N,Tamaki T,Hirata M,Soeda S,Nitta M,Hoshi A,Terachi T

    更新日期:2017-10-01 00:00:00

  • The CD154-CD40 costimulatory pathway in transplantation.

    abstract::The CD154-CD40 pathway is one of the critical costimulatory pathways that are required for full activation of T cells during alloimmune responses. Blockade of this pathway with anti-CD154 antibodies has been reported to prolong allograft survival in experimental transplantation models and to induce tolerance in some i...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/00007890-200201151-00012

    authors: Yamada And A,Sayegh MH

    更新日期:2002-01-15 00:00:00

  • Renal transplants from HLA-haploidentical living-related donors. The influence of donor-specific transfusions and different immunosuppressive regimens.

    abstract::A total of 151 potential recipients of kidney grafts from one-HLA-haplotype-mismatched MLC-positive (RR greater than 20%) donors treated during 1980-1984 was investigated. The recipients were divided retrospectively into four groups: (A) 42 patients who received pretransplant donor-specific transfusions (DST) and post...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Leivestad T,Albrechtsen D,Flatmark A,Thorsby E

    更新日期:1986-07-01 00:00:00

  • Use of Elderly Allografts in Liver Transplantation.

    abstract:INTRODUCTION:The use of liver allografts from elderly donors (≥70 years) has increased because of organ shortage and increased life expectancy. The aim of this study is to evaluate the current utilization of elderly donors in United States, recipient selection, and their posttransplant outcomes. METHODS:A linkage betw...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000806

    authors: Paterno F,Wima K,Hoehn RS,Cuffy MC,Diwan TS,Woodle SE,Abbott DE,Shah SA

    更新日期:2016-01-01 00:00:00

  • The Safety of Neuromuscular Blockade Reversal in Patients With Cardiac Transplantation.

    abstract:BACKGROUND:Neuromuscular blockade (NMB) reversal with neostigmine and glycopyrrolate has been reported to cause cardiac arrest in patients with a history of cardiac transplantation. The purpose of this study was to examine the safety of NMB reversal with acetylcholinesterase inhibitors and muscarinic anticholinergics i...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001060

    authors: Barbara DW,Christensen JM,Mauermann WJ,Dearani JA,Hyder JA

    更新日期:2016-12-01 00:00:00

  • Posttransplant deaths and factors that influence the mortality rate in North American children.

    abstract::Of 2457 patients in the North American Pediatric Renal Transplant Cooperative Study registry who were followed for 5481 patient-years after the index transplantation, we observed 136 deaths, for an average annual rate of 24.8 deaths per 1000 patient-years. Death resulted primarily from infection (n = 55, 40%), cardiov...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Tejani A,Sullivan EK,Alexander S,Fine R,Harmon W,Lilienfeld D

    更新日期:1994-02-27 00:00:00

  • Long-term outcome of simultaneous kidney-pancreas transplantation: analysis of 61 patients with more than 5 years follow-up.

    abstract:BACKGROUND:The long-term outcome of simultaneous kidney pancreas transplant recipients is not well established. METHODS:We retrospectively reviewed all patients who underwent simultaneous kidney-pancreas transplantation with bladder drainage at our center between January 1989 and December 1991. A total of 57 patients ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200002270-00015

    authors: Sudan D,Sudan R,Stratta R

    更新日期:2000-02-27 00:00:00

  • Donor-specific T-cell reactivity identifies kidney transplant patients in whom immunosuppressive therapy can be safely reduced.

    abstract:BACKGROUND:To reduce the side effects of long-term immunosuppressive therapy, stable renal transplant patients were routinely converted from cyclosporine to either azathioprine or mycophenolate mofetil. Thereafter, the azathioprine and mycophenolate mofetil dose was reduced to 75% at 4 months and to 50% at 8 months aft...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: van Besouw NM,van der Mast BJ,de Kuiper P,Smak Gregoor PJ,Vaessen LM,IJzermans JN,van Gelder T,Weimar W

    更新日期:2000-07-15 00:00:00

  • Skin allograft rejection in mice lacking inducible nitric oxide synthase.

    abstract:BACKGROUND:During allograft rejection, up-regulation of cytokine-inducible nitric oxide synthase (iNOS) leads to the production of large amounts of nitric oxide (NO). The net effect of NO on the alloimmune response is, however, difficult to predict because of its diverse biological effects, which include potentially op...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199708270-00007

    authors: Casey JJ,Wei XQ,Orr DJ,Gracie JA,Huang FP,Bolton EM,Liew FY,Bradley JA

    更新日期:1997-08-27 00:00:00

  • Assessment of efficacy and safety of FK778 in comparison with standard care in renal transplant recipients with untreated BK nephropathy.

    abstract:BACKGROUND:BK polyomavirus infection has been reported in 10% to 60% of renal transplant recipients with progression to BK nephropathy (BKN) occurring in 1% to 5% of patients. Graft loss occurs in up to 60% of renal transplant recipients with BKN. Because BK polyomavirus infection is believed, in part, to be a manifest...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0b013e3181f2c94b

    authors: Guasch A,Roy-Chaudhury P,Woodle ES,Fitzsimmons W,Holman J,First MR,FK778 BK Nephropathy Study Group.

    更新日期:2010-10-27 00:00:00

  • Indirect allorecognition of major histocompatibility complex allopeptides in human renal transplant recipients with chronic graft dysfunction.

    abstract:BACKGROUND:It has been suggested that T cells primed by processed donor major histocompatibility complex antigen (the "indirect" pathway of allorecognition) may be responsible for mediating chronic allograft rejection. The purpose of this study was to develop a clinically useful assay to study the occurrence of indirec...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199709270-00001

    authors: Vella JP,Spadafora-Ferreira M,Murphy B,Alexander SI,Harmon W,Carpenter CB,Sayegh MH

    更新日期:1997-09-27 00:00:00

  • Apoptosis and the expression of Fas and Fas ligand (FasL) antigen in rejection and reinfection in liver allograft specimens.

    abstract:BACKGROUND AND METHODS:To investigate the frequency of apoptosis and the expression of Fas/Fas ligand (FasL) in liver allografts, we examined 97 biopsy specimens from 62 patients after orthotopic liver transplantation. The results of the biopsies were as follows: acute allograft rejection (n=32); hepatitis C virus (HCV...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199904150-00027

    authors: Tannapfel A,Kohlhaw K,Ebelt J,Hauss J,Liebert U,Berr F,Wittekind C

    更新日期:1999-04-15 00:00:00

  • Activation of HMGB1-TLR4 Pathway and Inflammasome Contribute to Enhanced Inflammatory Response in Extended Criteria and Kidneys With KDPI ≥85.

    abstract:BACKGROUND:Metrics for evaluating low-quality kidneys have failed to predict outcomes or reduce the kidney refusal and discard rates. Kidneys from extended-criteria donors (ECDs) and kidneys with ≥85% kidney donor profile indexes (KDPIs) might have different sensitivities to the proinflammatory milieu generated by brai...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003048

    authors: Florim GMS,Caldas HC,Gonçalves NN,Bueno GOBE,Baptista MASF,Fernandes-Charpiot IMM,Abbud-Filho M

    更新日期:2020-04-01 00:00:00

  • Prolongation of liver allograft survival after interleukin-10 gene transduction 24-48 hours before donation.

    abstract:BACKGROUND:Interleukin- (IL) 10 may be a potent regulator for controlling of allograft rejection. A single administration of IL-10 is not effective for controlling graft rejection. Gene transfer is an attractive vehicle for prolonging the expression of short-lived proteins. METHODS:Donor or recipient livers were trans...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200007270-00018

    authors: Tashiro H,Shinozaki K,Yahata H,Hayamizu K,Okimoto T,Tanji H,Fudaba Y,Yamamoto H,Fan X,Ito H,Asahara T

    更新日期:2000-07-27 00:00:00

  • CD47 blockade reduces ischemia-reperfusion injury and improves outcomes in a rat kidney transplant model.

    abstract:BACKGROUND:Ischemia-reperfusion injury (IRI) significantly contributes to delayed graft function and inflammation, leading to graft loss. Ischemia-reperfusion injury is exacerbated by the thrombospondin-1-CD47 system through inhibition of nitric oxide signaling. We postulate that CD47 blockade and prevention of nitric ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000252

    authors: Lin Y,Manning PT,Jia J,Gaut JP,Xiao Z,Capoccia BJ,Chen CC,Hiebsch RR,Upadhya G,Mohanakumar T,Frazier WA,Chapman WC

    更新日期:2014-08-27 00:00:00

  • The lymphatic drainage of the rat prostate and its status as an immunologically privileged site.

    abstract::Recent suggestions that the rat prostate is an alymphatic, immunologically privileged site stimulated further investigation of its status using a variety of techniques. Fixation of certain organs by vascular perfusion of glutaraldehyde followed by plastic embedding avoids the distortion and stromal reorganization that...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197902000-00011

    authors: Neaves WB,Billingham RE

    更新日期:1979-02-01 00:00:00

  • Cardiac allograft survival across major histocompatibility complex barriers in the rhesus monkey following T lymphocyte-depleted autologous marrow transplantation. III. Late allograft rejection.

    abstract::We have studied organ allograft survival in rhesus monkeys conditioned with myeloablative total-body irradiation and T cell-depleted autologous bone marrow transplantation then given a heterotopic MHC-mismatched cardiac allograft in the immediate postmyeloablative period. This model has enabled us to investigate the r...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198911000-00009

    authors: Moses RD,Sundeen JT,Orr KS,Roberts RR,Gress RE

    更新日期:1989-11-01 00:00:00

  • The results of reduced-size liver transplantation, including split livers, in patients with end-stage liver disease.

    abstract::We initiated a policy of using RSLT in critically ill patients in June of 1988. Since that time we have performed 30 RSLTs in 29 patients, including 28 children and 1 adult. The mean age of the children was 27 months (range 1 month to 10 years) with 14 (52%) being 1 year of age or less. The mean weight was 11.3 kg (ra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199202010-00023

    authors: Langnas AN,Marujo WC,Inagaki M,Stratta RJ,Wood RP,Shaw BW Jr

    更新日期:1992-02-01 00:00:00