ArticleClinical transplantation2016
Medication understanding, non-adherence, and clinical outcomes among adult kidney transplant recipients.
Article in Clinical transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 6 of them syntheses that pooled it.
What it found
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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
57 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Associations of health literacy with self-management behaviours and health outcomes in chronic kidney disease: a systematic review.Journal of nephrology · 2023Pooled it
- Medicine Adherence and Associated Factors in Immigrants and Refugees: A Systematic Review.International journal of clinical practice · 2022Pooled it
- Health Literacy in Surgery.Health literacy research and practice · 2020Pooled it
- Exploring failure of antimicrobial prophylaxis and pre-emptive therapy for transplant recipients: a systematic review.BMJ open · 2020Pooled it
- Pooled it
- Health Literacy Among Surgical Patients: A Systematic Review and Meta-analysis.World journal of surgery · 2019Pooled it
- ICT-based adherence monitoring in kidney transplant recipients: a randomized controlled trial.BMC medical informatics and decision making · 2020Trial
- A Multifaceted Intervention to Improve Patient Knowledge and Safe Use of Opioids: Results of the ED EMCAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2019Trial
- Improving medication adherence in adult kidney transplantation (IMAKT): A pilot randomised controlled trial.Scientific reports · 2019Trial
- Lung Transplant Patient Knowledge of Gastroesophageal Reflux Disease and Foregut Risk Factors Associated With Graft Rejection.Clinical transplantation · 2026Article
- Brain health awareness among solid organ transplant candidates and recipients: a single centre survey.BMC neurology · 2026Article
- From comics to care: exploring the education potential of graphic novel in organ transplantation journey.Medical humanities · 2026Article
- Kidney transplantation in obese Black patients: Strategies to improve access and outcomes.World journal of nephrology · 2026Review
- The Role of Health Literacy in Gastrointestinal Cancer Patients' Surgical Journey: A Qualitative Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Assessing Risk Factors and Posttransplant Outcomes of Nonadherence Among Kidney Transplant Recipients.Transplantation direct · 2025Article
- Article
- Cognitive impairment in kidney transplanted patients.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025Review
- Predictors of Treatment Adherence in Kidney Transplant Patients: A Systematic Review of the Literature.Journal of clinical medicine · 2025Review
- Supportive care in transplantation: A patient-centered care model to better support kidney transplant candidates and recipients.World journal of transplantation · 2024Review
- Cognitive profile of kidney transplant patients and impact of deceased vs. living donor transplantation.Journal of nephrology · 2024Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
We sought to evaluate the prevalence of medication understanding and non-adherence of entire drug regimens among kidney transplantation (KT) recipients and to examine associations of these exposures with clinical outcomes. Structured, in-person interviews were conducted with 99 adult KT recipients between 2011 and 2012 at two transplant centers in Chicago, IL; and Atlanta, GA. Nearly, one-quarter (24%) of participants had limited literacy as measured by the Rapid Estimate of Adult Literacy in Medicine test; patients took a mean of 10 (SD=4) medications and 32% had a medication change within the last month. On average, patients knew what 91% of their medications were for (self-report) and demonstrated proper dosing (via observed demonstration) for 83% of medications. Overall, 35% were non-adherent based on either self-report or tacrolimus level. In multivariable analyses, fewer months since transplant and limited literacy were associated with non-adherence (all P<.05). Patients with minority race, a higher number of medications, and mild cognitive impairment had significantly lower treatment knowledge scores. Non-white race and lower income were associated with higher rates of hospitalization within a year following the interview. The identification of factors that predispose KT recipients to medication misunderstanding, non-adherence, and hospitalization could help target appropriate self-care interventions.
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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.