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[Risk factors for therapeutic noncompliance of patients with epilepsies]. / Factores de riesgo para incumplimiento terapéutico en pacientes con epilepsias.
Santiago-Rodríguez, Efraín; Sales-Carmona, Víctor; Ramos-Ramírez, Ricardo.
Afiliação
  • Santiago-Rodríguez E; Unidad de Neurología Hospital General de México, SSa. santiago@calli.cnb.unam.mx
Gac Med Mex ; 138(3): 241-6, 2002.
Article em Es | MEDLINE | ID: mdl-12096392
Inadequate compliance is a major contributor to unsuccessful treatment in epilepsies. To establish risk factors associated with therapeutic non-compliance in patients with epilepsy, we carried out a case-control study, nested into a cohort, with thirteen factors possibly implicated in therapeutic non-compliance. The patient's general characteristics, the illness, and patient-practitioner relationship were studied. Patients were followed during 6 months; during this time, serum levels and pill counts were registered. Of 150 patients, 66 were non-compliers and 84 were compliers. Seven of thirteen factors were statistically different with an odds ratio greater than 3 (p < 0.05). However, after log-lineal regression analysis, only the total number of pills per day and the subject's intellectual level were significant. These two factors increase 3.66 times the risk of non-compliance. We conclude that epileptic patients with a low intellectual level and more than three prescribed pills per day have a 3.66 times greater risk of non-compliance to anti epileptic treatment.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cooperação do Paciente / Epilepsia Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male Idioma: Es Revista: Gac Med Mex Ano de publicação: 2002 Tipo de documento: Article País de publicação: México
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cooperação do Paciente / Epilepsia Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male Idioma: Es Revista: Gac Med Mex Ano de publicação: 2002 Tipo de documento: Article País de publicação: México