Evidence map›Paper›PMID 27279735›Full record

ArticlePatient preference and adherence2016

Medication adherence in patients in treatment for rheumatoid arthritis and systemic lupus erythematosus in a university hospital in Brazil.

Luciana Resende Prudente, Juliana de Souza Diniz, Tatyana Xavier Almeida Matteucci Ferreira, Dione Marçal Lima, Nílzio Antônio Silva, Guylherme Saraiva, Erika Aparecida Silveira, Nathalie de Lourdes Souza Dewulf, Rita Goreti Amaral

Abstract read
In one paragraph

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 14 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 4 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

14 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
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  10. What are the risk factors of poor medication adherence in the target-to-treat era?Turkish journal of physical medicine and rehabilitation · 2019
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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

9 authors.

Luciana Resende PrudenteUniversity Pharmacy, Faculty of Pharmacy, Federal University of Goiás, Goiânia, Brazil.
Juliana de Souza DinizFaculty of Pharmacy, Federal University of Goiás, Goiânia, Brazil.
Tatyana Xavier Almeida Matteucci FerreiraClinical Hospital, Federal University of Goiás, Goiânia, Brazil.
Dione Marçal LimaFaculty of Pharmacy, Federal University of Goiás, Goiânia, Brazil.
Nílzio Antônio SilvaFaculty of Medicine, Federal University of Goiás, Goiânia, Brazil.
Guylherme SaraivaFaculty of Medicine, Federal University of Goiás, Goiânia, Brazil.
Erika Aparecida SilveiraFaculty of Medicine, Federal University of Goiás, Goiânia, Brazil.
Nathalie de Lourdes Souza DewulfFaculty of Pharmacy, Federal University of Goiás, Goiânia, Brazil.
Rita Goreti AmaralFaculty of Pharmacy, Federal University of Goiás, Goiânia, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medication adherence is essential for the control of symptoms and progression of rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). The aim of the study was to investigate medication adherence in outpatients in treatment for RA and SLE in a university hospital in Brazil. This was a quantitative, cross-sectional analytical study. A total of 92 patients (55 RA patients and 37 SLE patients) were included in the study. A structured questionnaire for patients' interview and a form for collecting data from medical records were used for data collection. Adherence to drug treatment was assessed by the Morisky scale questionnaire. Data storage and analysis were performed using Epi Info 3.5.4 and statistical analysis by Stata/SE 12.0. The Pearson's chi-squared test and Fisher's exact test were applied for statistical and bivariate analyses. For multivariate data analysis the Poisson regression and the Wald test were used. The prevalence of adherence to drug treatment was 16.4% in RA patients and 45.9% in SLE patients. The final model of the multivariate analysis demonstrated associations between medication adherence and the following covariates for both RA and SLE groups: duration of therapy for rheumatic disease at the institution greater than 15 years and presence of more than six chronic comorbidities. The parameter "acquisition of medication at the high-cost pharmacy" was differently associated with medication adherence by group, and for the SLE group, living outside the city of Goiânia was a protective factor associated with adherence. This study demonstrated a low prevalence of medication adherence in patients in treatment for RA and SLE treated at this institution. These findings will serve as a base for future studies to elucidate what factors may positively or negatively affect medication adherence in this population. In addition, multidisciplinary approaches are needed to enhance adherence to drug treatment in patients in treatment for rheumatic disease.

Indexed as

compliancephamacotherapyrheumatic diseases

Identifiers

PMID27279735
PMCPMC4878663

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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.