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Program Evaluation of Pharmacist-Performed Medication Adherence Assessments in Candidates for Living Donor Kidney Transplant.
Nguyen, Linh; Forte, Abigail; Malat, Gregory; Liu, Xinqi; Rivera, Jose; Christopher, Cara; Samudralwar, Rahul; Ilori, Tolulope; Norris, Maxwell; Bleicher, Melissa; Redfield, Robert R; Weinrieb, Robert; Bloom, Roy D; Dunn, Ty B; Trofe-Clark, Jennifer.
Afiliación
  • Nguyen L; Department of Pharmacy Services, Hospital of University of Pennsylvania, Philadelphia, PA, USA.
  • Forte A; Department of Pharmacy Services, Hospital of University of Pennsylvania, Philadelphia, PA, USA.
  • Malat G; Penn Transplant Institute, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
  • Liu X; Department of Pharmacy Services, Hospital of University of Pennsylvania, Philadelphia, PA, USA.
  • Rivera J; Penn Transplant Institute, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
  • Christopher C; Department of Pharmacy Services, Hospital of University of Pennsylvania, Philadelphia, PA, USA.
  • Samudralwar R; Department of Pharmacy Services, Hospital of University of Pennsylvania, Philadelphia, PA, USA.
  • Ilori T; Department of Pharmacy Services, Hospital of University of Pennsylvania, Philadelphia, PA, USA.
  • Norris M; Department of Pharmacy Services, Hospital of University of Pennsylvania, Philadelphia, PA, USA.
  • Bleicher M; Penn Transplant Institute, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
  • Redfield RR; Department of Pharmacy Services, Hospital of University of Pennsylvania, Philadelphia, PA, USA.
  • Weinrieb R; Department of Pharmacy Services, Hospital of University of Pennsylvania, Philadelphia, PA, USA.
  • Bloom RD; Penn Transplant Institute, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
  • Dunn TB; Penn Transplant Institute, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
  • Trofe-Clark J; Renal, Electrolyte, and Hypertension Division, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Prog Transplant ; : 15269248241268681, 2024 Aug 02.
Article en En | MEDLINE | ID: mdl-39095045
ABSTRACT

Introduction:

Medication education and adherence assessments are integral to kidney transplant success. This program evaluation aimed to describe candidate-reported findings using a standardized medication adherence assessment in candidates undergoing living-donor kidney transplantation.

Design:

This was a single-center retrospective description of medication adherence on adult HIV-negative living-donor candidates from July 1, 2018 to December 1, 2018 who had ≥6 months post-operative follow-up. Medication adherence assessments were performed by a pharmacist at the pre-operative visit within 2 weeks prior to transplant. Candidates were considered to (a) have adherence concerns if they reported missed/late medications within 2 weeks of assessment or ever stopped a medication without medical advice and (b) considered using adherence strategies if they reported active use of pill box, method to keep track of refills/auto-refill use, medication list, or medication reminder(s). Missed medication data were collected at 3- and 6-months posttransplant.

Results:

Among 181 candidates included, 81 (45%) had adherence concerns and 169 (93%) reported using adherence strategies. There were no significant differences with adherence concerns by age ≤ 29 years, sex, race, prior transplant/dialysis, or less than a high school education. More candidates with greater than a high school education used adherence strategies (96% vs 86%, P = .002). Too few candidates had documentation on missing medications at 3 and 6 months.

Conclusions:

Over 40% of candidates reported characteristics concerning medication nonadherence despite over 90% reporting adherence strategies used. Medication adherence assessments can assist with identification of medication nonadherence and education individualization.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Prog Transplant Asunto de la revista: ENFERMAGEM / TRANSPLANTE Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Prog Transplant Asunto de la revista: ENFERMAGEM / TRANSPLANTE Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos