Evidence map›Paper›PMID 27734165›Full record

ArticleJournal of neurology2016

Medication adherence in patients with myotonic dystrophy and facioscapulohumeral muscular dystrophy.

Bryan P Fitzgerald, Kelly M Conn, Joanne Smith, Andrew Walker, Amy L Parkhill, James E Hilbert, Elizabeth A Luebbe, Richard T Moxley

Open access · greenAbstract read
In one paragraph

Article in Journal of neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 34% of its field
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

5 citing papers in PubMed, 9 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Bryan P FitzgeraldWegmans School of Pharmacy, St. John Fisher College, 3690 East Avenue, Rochester, NY, 14618, USA. bpf08248@sjfc.edu.
Kelly M ConnWegmans School of Pharmacy, St. John Fisher College, 3690 East Avenue, Rochester, NY, 14618, USA.
Joanne SmithWegmans School of Pharmacy, St. John Fisher College, 3690 East Avenue, Rochester, NY, 14618, USA.
Andrew WalkerWegmans School of Pharmacy, St. John Fisher College, 3690 East Avenue, Rochester, NY, 14618, USA.
Amy L ParkhillWegmans School of Pharmacy, St. John Fisher College, 3690 East Avenue, Rochester, NY, 14618, USA.
James E HilbertDepartment of Neurology, University of Rochester Medical Center, Rochester, NY, USA.
Elizabeth A LuebbeDepartment of Neurology, University of Rochester Medical Center, Rochester, NY, USA.
Richard T MoxleyDepartment of Neurology, University of Rochester Medical Center, Rochester, NY, USA.
St. John Fisher College · USUniversity of Rochester Medical Center · US

Funding

Training and Educational CoreU54NS048843 · NINDS · UNIVERSITY OF ROCHESTER · PI THORNTON, CHARLES A · 2003 to 2017
$21.9M
NINDS NIH HHS U54 NS048843
6 · The paper itself

Abstract

Myotonic dystrophy (DM) and facioscapulohumeral muscular dystrophy (FSHD) are the two most common adult muscular dystrophies and have progressive and often disabling manifestations. Higher levels of medication adherence lead to better health outcomes, especially important to patients with DM and FSHD because of their multisystem manifestations and complexity of care. However, medication adherence has not previously been studied in a large cohort of DM type 1 (DM1), DM type 2 (DM2), and FSHD patients. The purpose of our study was to survey medication adherence and disease manifestations in patients enrolled in the NIH-supported National DM and FSHD Registry. The study was completed by 110 DM1, 49 DM2, and 193 FSHD patients. Notable comorbidities were hypertension in FSHD (44 %) and DM2 (37 %), gastroesophageal reflux disease in DM1 (24 %) and DM2 (31 %) and arrhythmias (29 %) and thyroid disease (20 %) in DM1. Each group reported high levels of adherence based on regimen complexity, medication costs, health literacy, side effect profile, and their beliefs about treatment. Only dysphagia in DM1 was reported to significantly impact medication adherence. Approximately 35 % of study patients reported polypharmacy (taking 6 or more medications). Of the patients with polypharmacy, the DM1 cohort was significantly younger (mean 55.0 years) compared to DM2 (59.0 years) and FSHD (63.2 years), and had shorter disease duration (mean 26 years) compared to FSHD (26.8 years) and DM2 (34.8 years). Future research is needed to assess techniques to ease pill swallowing in DM1 and to monitor polypharmacy and potential drug interactions in DM and FSHD.

Indexed as

AdultAgedAged, 80 and overAge FactorsCohort StudiesEmploymentFemaleHealth SurveysHumansMaleMedication AdherenceMiddle AgedMuscular Dystrophy, FacioscapulohumeralMyotonic DystrophyRegistriesStatistics, NonparametricFacioscapulohumeral muscular dystrophyMedication adherenceMuscular dystrophyMyotonic dystrophy

Identifiers

PMID27734165
PMCPMC5112113
OpenAlexW2531466459

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.