ArticlePloS one2017
Factors associated to acceptable treatment adherence among children with chronic kidney disease in Guatemala.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The psychosocial factors influencing paediatric kidney transplantation access, their outcomes and the patient and family's perceived quality of life: a systematic review and meta-analysis.Pediatric nephrology (Berlin, Germany) · 2026Pooled it
- Little kidneys amid large global inequities.Pediatric nephrology (Berlin, Germany) · 2026Review
- Factors associated with postoperative physiological and psychological changes and rehabilitation exercise adherence in pediatric kidney transplant recipients.Frontiers in psychology · 2026Article
- The association of illness perception and related factors with treatment adherence among chronic hemodialysis patients with cardio-renal syndrome in Yemen.Frontiers in cardiovascular medicine · 2025Article
- Predictors of quality of life (QOL) and treatment adherence among children with nephrotic syndrome.Journal of family medicine and primary care · 2024Article
- Effect of the COVID-19 Pandemic on Treatment Adherence Among Children With Congenital Adrenal Hyperplasia.Cureus · 2022Article
- Article
- Medication-related knowledge, administration practice and adherence among caregivers of chronically ill children in Malaysia.BMC pediatrics · 2021Article
- Coronavirus Disease 2019 in Patients With End-Stage Kidney Disease on Hemodialysis in Guatemala.Kidney international reports · 2021Article
- Factors associated with chronic kidney disease of non-traditional causes among children in Guatemala.Revista panamericana de salud publica = Pan American journal of public health · 2021Article
- Exploring the safety and efficacy of adding ketoconazole to tacrolimus in pediatric renal transplant immunosuppression.World journal of transplantation · 2020Article
- CKD Care and Research in Guatemala: Overview and Meeting Report.Kidney international reports · 2020Article
- Challenges in the provision of kidney care at the largest public nephrology center in Guatemala: a qualitative study with health professionals.BMC nephrology · 2020Article
- Treatment of end-stage renal disease with continuous ambulatory peritoneal dialysis in rural Guatemala.BMJ case reports · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pediatric patients with Chronic Kidney Disease face several barriers to medication adherence that, if addressed, may improve clinical care outcomes. A cross sectional questionnaire was administered in the Foundation for Children with Kidney Disease (FUNDANIER, Guatemala City) from September of 2015 to April of 2016 to identify the predisposing factors, enabling factors and need factors related to medication adherence. Sample size was calculated using simple random sampling with a confidence level of 95%, confidence interval of 0.05 and a proportion of 87%. A total of 103 participants responded to the questionnaire (calculated sample size was 96). Independent variables were defined and described, and the bivariate relationship to dependent variables was determined using Odds Ratio. Multivariate analysis was carried out using logistic regression. The mean adherence of study population was 78% (SD 0.08, max = 96%, min = 55%). The mean adherence in transplant patients was 82% (SD 7.8, max 96%, min 63%), and the mean adherence in dialysis patients was 76% (SD 7.8 max 90%, min 55%). Adherence was positively associated to the mother's educational level and to higher monthly household income. Together predisposing, enabling and need factors illustrate the complexities surrounding adherence in this pediatric CKD population. Public policy strategies aimed at improving access to comprehensive treatment regimens may facilitate treatment access, alleviating economic strain on caregivers and may improve adherence outcomes.
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