Evidence map›Paper›PMID 19937418›Full record

ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology

Self-reported treatment adherence in inflammatory bowel disease in Indian patients.

Jay Bhatt, Samir Patil, Anand Joshi, Philip Abraham, Devendra Desai

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Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Indian Society of Gastroenterology consensus on ulcerative colitis.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2012
    Guideline
  2. Review
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Article
  8. Article
  9. Survey of inflammatory bowel diseases in India.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2012
    Article
  10. Article
  11. Review
  12. 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

5 authors.

Jay BhattDivision of Gastroenterology, P D Hinduja National Hospital and Medical Research Center, Mahim, Mumbai 400 016, India.
Samir Patil
Anand Joshi
Philip Abraham
Devendra Desai

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNon-adherence to medical therapy is emerging as an important determinant of relapse in patients with inflammatory bowel disease (IBD).

aimTo find the prevalence of and reasons for nonadherence to medical therapy in Indian patients with IBD and its correlation with disease outcome.

methodsIn this cross-sectional study, we checked for adherence to treatment in 127 patients with IBD (117 ulcerative colitis and 10 Crohn's disease) using a questionnaire that inquired into frequency of missed doses, causes for missed doses, and its relation to relapse of disease.

resultsOf the 127 patients (mean age 42.8 years; 68 women), 103 (81%) were non-adherent to treatment, defined as taking 80% or less of the dose advised. The reasons for non-adherence (not mutually exclusive) were: forgetfulness-98 patients (77%), felt better-18 (14.2 %), high frequency of doses-13 (10.1%), no effect of medications-10 (7.87%), non-availability of medications-3 (2.3%). Non-adherent patients were three times more likely to develop a relapse as compared to those with adherence (OR 3.389, 95% CI 1.29-8.88, p=0.012).

conclusionsOver 80% of patients with IBD in this survey were non-adherent to medical treatment; forgetfulness was mentioned as the most common cause. Non-adherent patients were more likely to relapse. Patients need to be educated regarding the need for adherence to treatment in IBD.

Indexed as

Medication AdherenceAdultAnti-Inflammatory AgentsCross-Sectional StudiesFemaleHumansImmunosuppressive AgentsIndiaInflammatory Bowel DiseasesMaleSurveys and QuestionnairesAnti-Inflammatory AgentsImmunosuppressive Agents

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Registered trials

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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.