Evidence map›Paper›PMID 33918156›Full record

ArticleInternational journal of environmental research and public health2021

Primary Care Records of Chronic-Disease Patient Adherence to Treatment.

Mireia Massot Mesquida, Josep Anton de la Fuente, Anna María Andrés Lorca, Ingrid Arteaga Pillasagua, Edelmiro Balboa Blanco, Sonia Gracia Vidal, Sara Pablo Reyes, Paula Gómez Iparraguirre, Gemma Seda Gombau, Pere Torán-Monserrat

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Mireia Massot MesquidaServei d'Atenció Primària Vallès Occidental, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Sabadell, 08201 Barcelona, Spain.ORCID 0000-0003-3649-5167
Josep Anton de la FuenteServei d'Atenció Primària Barcelonès Nord i Maresme, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Badalona, 08911 Barcelona, Spain.
Anna María Andrés LorcaCentre d'Atenció Primària Santa Coloma 1, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Santa Coloma, 08921 Barcelona, Spain.
Ingrid Arteaga PillasaguaCentre d'Atenció Primària Vall del Tenes, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Lliçà d'Amunt, 08186 Barcelona, Spain.
Edelmiro Balboa BlancoCentre d'Atenció Primària Sant Quirze del Vallès, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Sabadell, 08192 Barcelona, Spain.ORCID 0000-0001-5587-8767
Sonia Gracia VidalServei d'Atenció Primària Barcelonès Nord i Maresme, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Badalona, 08911 Barcelona, Spain.
Sara Pablo ReyesDirecció d'Atenció Primària Metropolitana Nord, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Sabadell, 08201 Barcelona, Spain.
Paula Gómez IparraguirreCentre d'Atenció Primària Sabadell La Serra, Gerència Àmbit Metropolitana Nord, Institut Català de la Salut, Sabadell, 08202 Barcelona, Spain.
Gemma Seda GombauUnitat de Suport a la Recerca Metropolitana Nord, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 08303 Mataró, Spain.
Pere Torán-MonserratUnitat de Suport a la Recerca Metropolitana Nord, Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), 08303 Mataró, Spain.ORCID 0000-0002-9865-7427

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The goal of managing adherence (AD) is to achieve better medication use by patients in order to maximize benefits and reduce risks. With the aim of improving treatment adherence by patients, we carried out a descriptive study to obtain information related to adherence management in primary care. Inclusion criteria were as follows: patients that had at least one record of any treatment adherence assessment variable. For those that had more than one recorded variable, we analyzed consistency across test results. For the comparative analysis of adherence records, patients were categorized into three groups on the basis of the healthcare unit that recorded the data: case management (CM), home care (HC), and primary care team (PCT). A total of 32,137 subjects met inclusion criteria; 79.56% of subjects were older than 65. As for the analysis of assessment records across care units, 69.73% of CM patients, 67.17% of HC patients, and 2.33% of PCT patients had adherence assessment records. CM units made a significantly greater number of records than HC units. We observed low adherence at a rate of 49.3% in the CM group, 31.91% in the HC group, and 17.58% in the PCT group. When more than one adherence variable was recorded, analysis revealed inconsistent test results or recorded variables in 9.06% of PCT cases, 14.83% of HC cases, and 20.47% of CM cases. The inconsistencies observed in records of adherence assessment and management across different care units reveal the huge variability that exists in managing and selecting a tool to assess adherence.

Indexed as

Medication AdherencePrimary Health CareChronic DiseaseHumanschronic diseaseshealthcare evaluation mechanismsmedication adherenceprimary care

Identifiers

PMID33918156
PMCPMC8037733

What OpenQuestion holds

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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.