ArticlePatient preference and adherence2016
Medication therapy management and adherence among US renal transplant recipients.
Article in Patient preference and adherence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sex and gender as predictors for allograft and patient-relevant outcomes after kidney transplantation.The Cochrane database of systematic reviews · 2024Pooled it
- Improving medication adherence in adult kidney transplantation (IMAKT): A pilot randomised controlled trial.Scientific reports · 2019Trial
- [Kidney transplantation: influence of biological sex and gender on transplant-related and patient-relevant outcomes].Urologie (Heidelberg, Germany) · 2026Article
- Transition from pediatric to adult care in thoracic transplantation-Challenges and opportunities.JHLT open · 2025Article
- What is the current status of transplant pharmacy services in China? A nationwide cross-sectional survey.BMJ open · 2025Article
- Medication Adherence in Adults with Chronic Diseases in Primary Healthcare: A Quality Improvement Project.Nursing reports (Pavia, Italy) · 2024Article
- Mediating role of inner strength in the relationship between medication literacy and medication adherence among kidney transplant patients.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024Article
- Rational medication management mode and its implementation effect for the elderly with multimorbidity: A prospective cohort study in China.Frontiers in public health · 2022Article
- Differences in Heart Graft Survival by Recipient Sex.Transplantation direct · 2021Article
- Differences in Liver Graft Survival by Recipient Sex.Transplantation direct · 2020Article
- Gender Differences in Medication Adherence Among Adolescent and Young Adult Kidney Transplant Recipients.Transplantation · 2019Article
- Factors Associated With Adherence To Immunosuppressive Therapy And Barriers In Asian Kidney Transplant Recipients.ImmunoTargets and therapy · 2019Article
- Effect of recipient-donor sex and weight mismatch on graft survival after deceased donor renal transplantation.PloS one · 2019Article
- Immunosuppressive therapy related adherence, beliefs and self-management in kidney transplant outpatients.Patient preference and adherence · 2018Article
- Recruiting a representative sample in adherence research-The MALT multisite prospective cohort study experience.Pediatric transplantation · 2017Observational
- Association of Sex with Risk of Kidney Graft Failure Differs by Age.Journal of the American Society of Nephrology : JASN · 2017Article
- Impact of Cardiovascular Risk Factors on Graft Outcome Disparities in Black Kidney Transplant Recipients.Hypertension (Dallas, Tex. : 1979) · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedication therapy management (MTM) services among patient populations with a range of disease states have improved adherence rates. However, no published studies have examined the impact of Medicare Part D MTM eligibility on renal transplant recipients' (RTRs) immunosuppressant therapy (IST) adherence. This study's purpose was therefore, to determine the effects of Medicare Part D MTM on IST adherence among adult RTRs at 12 months posttransplant.
methodsCross-sectional analyses were performed on Medicare Parts A, B, and D claims and transplant follow-up data reported in the United States Renal Data System. The sample included adult RTRs who were transplanted between 2006 and 2011, had graft survival for 12 months, were enrolled in Part D, and were prescribed tacrolimus. IST adherence was measured by medication possession ratio for tacrolimus. MTM eligibility was determined using criteria established by the Centers for Medicare and Medicaid Services. Descriptive statistics were calculated. Adherence was modeled using multiple logistic regression.
resultsIn all, 17,181 RTRs were included. The majority of the sample were male (59.1%), and 42% were MTM-eligible. Mean medication possession ratio was 0.91±0.17 (mean ± standard deviation), with 16.83% having a medication possession ratio of <0.80. MTM eligibility, sex, age, and number of prescription drugs were significantly associated with adherence in the full model (P<0.05). MTM-eligible RTRs were more likely to be adherent than those who were not MTM-eligible (odds ratio =1.13, 95% confidence interval 1.02-1.26, P=0.02).
conclusionThe findings provide evidence that access to MTM services increases IST adherence among RTRs.
Indexed as
Identifiers
What OpenQuestion holds
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.