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[Interventions for improving adherence to treatment in patients with multiple pathologies: overview of systematic reviews]. / Intervenciones para la mejora de la adherencia al tratamiento en pacientes pluripatológicos: resumen de revisiones sistemáticas.
González-Bueno, Javier; Vega-Coca, María Dolores; Rodríguez-Pérez, Aitana; Toscano-Guzmán, María Dolores; Pérez-Guerrero, Concepción; Santos-Ramos, Bernardo.
Afiliación
  • González-Bueno J; Unidad de Gestión Clínica de Farmacia, Hospital Universitario Virgen del Rocío, Sevilla, España. Electronic address: javigbueno@gmail.com.
  • Vega-Coca MD; Agencia de Evaluación de Tecnologías Sanitarias de Andalucía (AETSA), Sevilla, España.
  • Rodríguez-Pérez A; Unidad de Gestión Clínica de Farmacia, Hospital Universitario Virgen del Rocío, Sevilla, España.
  • Toscano-Guzmán MD; Unidad de Gestión Clínica de Farmacia, Hospital Universitario Virgen del Rocío, Sevilla, España.
  • Pérez-Guerrero C; Departamento de Farmacología, Facultad de Farmacia, Sevilla, España.
  • Santos-Ramos B; Unidad de Gestión Clínica de Farmacia, Área de Gestión Sanitaria Sur de Sevilla, Sevilla, España.
Aten Primaria ; 48(2): 121-30, 2016 Feb.
Article en Es | MEDLINE | ID: mdl-26068446
OBJECTIVE: To assess the available scientific evidence regarding the efficacy of interventions aimed to enhance medication adherence in patients with multiple chronic conditions (PMCC). DESIGN: Overview of systematic reviews. DATA SOURCES: The following databases were consulted (September 2013): Pubmed, EMBASE, the Cochrane Library, CRD and WoS to identify interventions aimed to enhance medication adherence in PMCC, or otherwise, patients with chronic diseases common in the PMCC, or polypharmacy. STUDY SELECTION: Systematic reviews of clinical trials focused on PMCC or similar were included. They should compare the efficacy of any intervention aimed to improve compliance to prescribed and self-administered medications with clinical practice or other interventions. DATA EXTRACTION: Information about the study population, nature of intervention and efficacy in terms of improved adherence was extracted. RESULTS: 566 articles were retrieved of which 9 systematic reviews were included. None was specifically focused on PMCC but considered patients with chronic diseases common in the PMCC, patients with more than one chronic disease and polypharmacy. The overall effectiveness of interventions was modest without relevant differences between behavioural, educational and combined interventions. Some components of these interventions including patient counselling and regimen simplification appear to be effective tools in improving adherence in this population group. CONCLUSION: There is a large heterogeneity of interventions aimed to improve adherence with modest efficacy, none in PMCC.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Polifarmacia / Cumplimiento de la Medicación / Afecciones Crónicas Múltiples Tipo de estudio: Overview Límite: Humans Idioma: Es Revista: Aten Primaria Año: 2016 Tipo del documento: Article Pais de publicación: España
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Polifarmacia / Cumplimiento de la Medicación / Afecciones Crónicas Múltiples Tipo de estudio: Overview Límite: Humans Idioma: Es Revista: Aten Primaria Año: 2016 Tipo del documento: Article Pais de publicación: España