Evidence map›Paper›PMID 27621157›Full record

ArticleAnnals of family medicine2016

Discordance Between Drug Adherence as Reported by Patients and Drug Importance as Assessed by Physicians.

Stéphanie Sidorkiewicz, Viet-Thi Tran, Cécile Cousyn, Elodie Perrodeau, Philippe Ravaud

Abstract readMulticenter Study
In one paragraph

Article in Annals of family medicine, 2016. 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. Understanding the Role of Communication in Deprescribing Behavior Change.Journal of the American Geriatrics Society · 2026
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  11. Treatment burden and ability to work.Breathe (Sheffield, England) · 2021
    Review
  12. Article
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  16. Article
  17. Assessing the Burden of Treatment.Journal of general internal medicine · 2017
    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

5 authors.

Stéphanie SidorkiewiczDepartment of General Medicine, Paris Descartes University, Paris, France METHODS Team, INSERM U1153, Epidemiology and Statistics Sorbonne Paris Cité Research Centre, France.
Viet-Thi TranMETHODS Team, INSERM U1153, Epidemiology and Statistics Sorbonne Paris Cité Research Centre, France Department of General Medicine, Paris Diderot University, Paris, France thi.tran-viet@htd.aphp.fr.
Cécile CousynDepartment of General Medicine, Paris Diderot University, Paris, France.
Elodie PerrodeauMETHODS Team, INSERM U1153, Epidemiology and Statistics Sorbonne Paris Cité Research Centre, France.
Philippe RavaudMETHODS Team, INSERM U1153, Epidemiology and Statistics Sorbonne Paris Cité Research Centre, France French Cochrane Centre, Paris, France Department of Epidemiology, Mailman School of Public Health, Columbia University, New York City, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAmong patients on long-term medical therapy, we compared (1) patient and physician assessments of drug adherence and of drug importance and (2) drug adherence reported by patients with drug importance as assessed by their physicians.

methodsWe recruited to the study patients receiving at least 1 long-term drug treatment from both hospital and ambulatory settings in France. We compared drug adherence reported by patients and drug importance assessed by physicians using Spearman correlation coefficients. Reasons for nonadherence were collected with open-ended questions and classified as intentional or unintentional.

resultsBetween April and August 2014, we recruited 128 patients taking 498 drugs. Patients and physicians showed only weak agreement in their assessments of drug adherence (r = -0.25; 95% CI, -0.37 to -0.11) and drug importance (r = 0.07; 95% CI, 0.00 to 0.13). We did not find any correlation between physician-assessed drug importance and patient-reported drug adherence (r = -0.04; 95% CI, -0.14 to 0.06). In all, 94 (18.9%) of the drugs that physicians considered important were not correctly taken by patients. Patients intentionally did not adhere to 26 (48.1%) of the drugs for which they reported reasons for nonadherence.

conclusionsWe found substantial discordance between patient and physician evaluations of drug adherence and drug importance. Nearly 20% of drugs considered important by physicians were not correctly taken by patients. These findings highlight the need for better patient-physician collaboration in drug treatment.

Indexed as

Drug MonitoringHealth Knowledge, Attitudes, PracticePhysician-Patient RelationsAdultAgedFemaleFranceHumansMaleMiddle AgedSelf Reportdrug prescriptiondrug therapymedication adherencephysician-patient relationpractice-based researchprimary care

Identifiers

PMID27621157
PMCPMC5394381

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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.