Evidence map›Paper›PMID 18516274›Full record

ArticleTherapeutics and clinical risk management2007

Optimizing medicines management: From compliance to concordance.

Annie Cushing, Richard Metcalfe

Registry-linked trialAbstract read
PubMed Full text at PMC
In one paragraph

Article in Therapeutics and clinical risk management, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03008395 (Empowerment, Motivation and Medical Adherence), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03008395 nawithdrawnnot on this mapstarted 2017, after this paper: background citation

Empowerment, Motivation and Medical Adherence (EMMA). Dialogue Tools for Consultations With Patients With Type 2 Diabetes

TypeinterventionalSponsorNova Scotia Health AuthorityRan2017 to 2018Enrolled0ConditionsType2 Diabetes MellitusArmsEMMA, Treatment as Usual
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Patient compliance: A concept analysis.Belitung nursing journal · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Patients' beliefs on the impediments to good diabetes control: a mixed methods study of patients in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
    Article
  15. Ethical considerations in adherence research.Patient preference and adherence · 2016
    Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Annie CushingClinical and Communication Skills Unit, Barts and the London, Queen Mary’s School of Medicine and Dentistry, University of London, London, England, UK. a.m.cushing@qmul.ac.uk
Richard Metcalfe

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medication prescribed but not consumed represents a huge loss in drug and prescribing costs and an enormous waste of expensive medical time. In this article we discuss what is known about compliance and adherence, explore the concept of concordance and demonstrate its fundamental difference from both. Not all patients are ready or suitable for shared decision making in management of their condition, some still preferring a doctor-led decision but an increasing number want a partnership approach. By opening up and rebalancing the discussion about medication, we can expect a consultation which is more satisfying for both parties and flowing from this, more effective, focused prescribing of medication which is more likely to be adhered to by the patient. We examine the extent to which doctor and patient behaviors are currently compatible with this change of concept and practice, look at available consultation models which might be useful to the reflective practitioner and consider what actions on the part of the doctor and the healthcare system could promote medicine prescription and utilization in line with this new approach based on partnership.

Indexed as

adherencecommunicationconcordancedecision makingpatient participationphysician-patient relations

Identifiers

PMID18516274
PMCPMC2387303

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.