Evidence map›Paper›PMID 23663814›Full record

ArticleJournal of cardiac failure2013

Medication adherence, depressive symptoms, and cardiac event-free survival in patients with heart failure.

Jia-Rong Wu, Terry A Lennie, Rebecca L Dekker, Martha J Biddle, Debra K Moser

Abstract read
In one paragraph

Article in Journal of cardiac failure, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  9. Evaluation of the AJournal of the American Heart Association · 2024
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  17. Physiological monitoring in the complex multimorbid heart failure patient - Conclusions.European heart journal supplements : journal of the European Society of Cardiology · 2019
    Article
  18. Article
  19. The impact of medication nonadherence on the relationship between mortality risk and depression in heart failure.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2017
    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

5 authors.

Jia-Rong WuSchool of Nursing, University of North Carolina, Chapel Hill, North Carolina, USA. jiarongw@email.unc.edu
Terry A Lennie
Rebecca L Dekker
Martha J Biddle
Debra K Moser

Funding

XENOBIOTIC TRANSFER INTO MILK NITROFURANTOINM01RR002602 · NCRR · UNIVERSITY OF KENTUCKY · PI REID, MICHAEL B · 1985 to 2007
$12.1M
Biobehavioral Intervention in Heart FailureR01NR008567 · NINR · UNIVERSITY OF KENTUCKY · PI MOSER, DEBRA KAY · 2004 to 2008
$1.5M
BMI, Nutrition, Inflammation and Heart Failure OutcomesR01NR009280 · NINR · UNIVERSITY OF KENTUCKY · PI LENNIE, TERRY A · 2005 to 2007
$1.5M
Self-Management Pilot/Feasibility and Biobehavioral Outcomes CoreP20NR010679 · NINR · UNIVERSITY OF KENTUCKY · PI HALL, LYNNE ANDERSON · 2007 to 2011
$1.2M
A Family-Focused, Literacy-Sensitive Intervention to Improve Medication AdherenceK23NR014489 · NINR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WU, JIA-RONG · 2013 to 2015
$379k
Cognitive Therapy for Depressive Symptoms in Hospitalized Patients with Heart FaiK23NR013480 · NINR · UNIVERSITY OF KENTUCKY · PI DEKKER, REBECCA · 2012 to 2014
$356k
NCRR NIH HHS M01 RR002602NCRR NIH HHS M01RR02602NINR NIH HHS 1P20NR010679NINR NIH HHS K23 NR013480NINR NIH HHS K23 NR014489NINR NIH HHS P20 NR010679NINR NIH HHS R01 NR008567NINR NIH HHS R01 NR009280
6 · The paper itself

Abstract

backgroundMedication nonadherence and depressive symptoms predict hospitalization and death in patients with heart failure (HF). Depressed patients have lower medication adherence than nondepressed patients. However, the predictive power of the combination of medication adherence and depressive symptoms for hospitalization and death has not been investigated in patients with HF.

objectiveThe aim of this study was to explore the combined influence of medication adherence and depressive symptoms for prediction of cardiac event-free survival in patients with HF. METHODS AND

resultsWe monitored medication adherence in 216 HF patients who completed the Patient Health Questionnaire-9 (PHQ-9) at baseline. Medication adherence was measured objectively with the use of the Medication Event Monitoring System (MEMS). Patients were followed for up to 3.5 years to collect data on cardiac events. Survival analyses were used to compare cardiac event-free survival among groups. The risk of experiencing a cardiac event for patients with medication nonadherence and depressive symptoms was 5 times higher than those who were medication adherent without depressive symptoms. The risk of experiencing a cardiac event for patients with only 1 risk factor was 1.2-1.3 times that of those with neither risk factor.

conclusionsMedication nonadherence and depressive symptoms had a negative synergistic effect on cardiac event-free survival in patients with HF.

Indexed as

Medication AdherenceAge FactorsAngiotensin-Converting Enzyme InhibitorsAnxietyDepressionFemaleFollow-Up StudiesHeart FailureHumansKaplan-Meier EstimateMaleMiddle AgedRegression AnalysisAngiotensin-Converting Enzyme Inhibitors

Identifiers

PMID23663814
PMCPMC3699198

What OpenQuestion holds

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Registered trials

None linked

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.