Evidence map›Paper›PMID 21836517›Full record

SynthesisCurrent opinion in organ transplantation2011

Medical adherence in pediatric organ transplantation: what are the next steps?

Diana A Shellmer, Annette DeVito Dabbs, Mary Amanda Dew

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Current opinion in organ transplantation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Patient Engagement and Medication Consistency with Adolescent Heart Transplant Recipients.Proceedings. IEEE International Conference on Healthcare Informatics · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Current state of pediatric cardiac transplantation.Annals of cardiothoracic surgery · 2018
    Review
  11. Article
  12. Review
  13. Loss of pediatric kidney grafts during the "high-risk age window": insights from pediatric liver and simultaneous liver-kidney recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2015
    Article
  14. Article
  15. Age at graft loss after pediatric kidney transplantation: exploring the high-risk age window.Clinical journal of the American Society of Nephrology : CJASN · 2013
    Article
  16. Article
  17. Review
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

3 authors.

Diana A ShellmerDepartment of Pediatric Transplant Surgery, School of Medicine University of Pittsburgh, The Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA. Diana.Shellmer@chp.edu
Annette DeVito Dabbs
Mary Amanda Dew

Funding

Phase III Trial of Pocket PATH: A Computerized Intervention to Promote Self-CareR01NR010711 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DE VITO DABBS, ANNETTE J · 2008 to 2012
$3.5M
NIDDK NIH HHS L40 DK079757NINR NIH HHS NR010711NINR NIH HHS R01 NR010711
6 · The paper itself

Abstract

purpose of reviewAdherence within pediatric transplantation has gained importance as the complexities of long-term medical management of these patients are identified and knowledge regarding the negative consequences of nonadherence accumulates. We review recent findings to highlight gaps in the literature and make suggestions for future directions. RECENT

findingsMost research has focused on medication nonadherence, and a recent meta-analysis indicates that nonadherence is more prevalent in adolescent transplant recipients than in younger children. Nonadherence to other areas of the regimen (e.g. clinic attendance) may be even more common than medication nonadherence. However, work to date is based primarily on kidney and liver pediatric transplant patients, with a paucity of research on heart, lung and intestinal recipients. Risk factors for nonadherence after pediatric transplantation include poor family and child functioning. Intervention research remains rare. Challenges include the need for clearer definitions of what constitutes clinically significant nonadherence, longitudinal and prospective assessment of a wider range of potential risk factors, and the development and evaluation of interventions to treat or prevent nonadherence. SUMMARY: Adherence research in pediatric transplantation is in its infancy. Significant opportunities exist to advance the field and create standards for effective identification, measurement, and treatment of nonadherence.

Indexed as

Patient ComplianceChildGraft SurvivalHumansMedication AdherenceOrgan TransplantationPrognosisRisk Factors

Identifiers

PMID21836517
PMCPMC3331718

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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.