Evidence map›Paper›PMID 31564837›Full record

ArticlePatient preference and adherence2019

Adherence to long-term therapies in cystic fibrosis: a French cross-sectional study linking prescribing, dispensing, and hospitalization data.

Héloïse Rouzé, Marie Viprey, Samuel Allemann, Alexandra L Dima, Pascal Caillet, Angélique Denis, Stéphanie Poupon-Bourdy, Boubou Camara, Catherine Llerena, Philippe Reix and 3 more

Abstract read
In one paragraph

Article in Patient preference and adherence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Medication adherence to CFTR modulators in patients with cystic fibrosis: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. The ageing of people living with cystic fibrosis: what to expect now?European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  6. Considerations for the use of inhaled antibiotics forBMJ open respiratory research · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Article
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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

13 authors.

Héloïse RouzéPublic Health Department, Hospices Civils de Lyon, Lyon, France.
Marie VipreyPublic Health Department, Hospices Civils de Lyon, Lyon, France.
Samuel AllemannHESPER Lab-EA 7425, Université de Lyon-Université Claude Bernard Lyon 1, Lyon, France.
Alexandra L DimaHESPER Lab-EA 7425, Université de Lyon-Université Claude Bernard Lyon 1, Lyon, France.ORCID 0000-0002-3106-2242
Pascal CailletDepartment of Clinical Pharmacology, CHU de Nantes, Nantes, France.
Angélique DenisPublic Health Department, Hospices Civils de Lyon, Lyon, France.
Stéphanie Poupon-BourdyPublic Health Department, Hospices Civils de Lyon, Lyon, France.
Boubou CamaraPulmonary Department, Adult CF Center, CHU de Grenoble, Grenoble, France.
Catherine LlerenaPediatric Pulmonology Department, Pediatric CF Center, CHU de Grenoble, Grenoble, France.
Philippe ReixPediatric Pulmonology Department, Pediatric CF Center, Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, Lyon, France.
Isabelle DurieuHESPER Lab-EA 7425, Université de Lyon-Université Claude Bernard Lyon 1, Lyon, France.
Quitterie ReynaudHESPER Lab-EA 7425, Université de Lyon-Université Claude Bernard Lyon 1, Lyon, France.
Sandrine TouzetPublic Health Department, Hospices Civils de Lyon, Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCystic fibrosis (CF) is a life-shortening genetic condition that usually affects several organs and involves significant treatment burden. Adherence to medication is important for successful CF management.

objectiveTo describe medication adherence according to age, therapeutic class, and pharmaceutical form in adults and children followed in four regional CF centers in France.

methodsWe conducted a cross-sectional study with non-transplanted patients followed in two adult and two pediatric centers during 2015 who were covered by the French National Health Insurance (NHI). Sociodemographic, clinical, hospitalization, and prescription data were collected from patient medical records. Medication dispensations were extracted from the regional French NHI database. Adherence was calculated over 12 months using continuous medication availability (CMA) accounting for dose adjustments and hospitalizations. Drug-specific CMA was computed in R with the AdhereR package for each medication prescribed more than 3 months, which was averaged to obtain a composite CMA score (cCMA) for all treatments and per therapeutic class as well as pharmaceutical form for each patient.

resultsA total of 228 patients were included. The number of chronic medications increased with age (

conclusionThis study suggests that adherence to medication regimens in CF patients remains suboptimal and varies substantially between age groups and pharmaceutical forms. These variations in adherence should be considered when developing effective strategies to improve adherence.

Indexed as

administrative claims datachronic treatmentcystic fibrosismedication adherenceprescription data

Identifiers

PMID31564837
PMCPMC6732572

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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.