Evidence map›Paper›PMID 35831084›Full record

Observational studyCanadian family physician Medecin de famille canadien2022

Primary medication nonadherence in a large primary care population: Observational study from Manitoba.

Alexander G Singer, Lisa LaBine, Alan Katz, Marina Yogendran, Lisa Lix

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Canadian family physician Medecin de famille canadien, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Adherence to oral thromboprophylaxis in atrial fibrillation: an overview for clinicians.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Review
  3. Article
  4. Not obtaining a medication the first time it is prescribed: primary non-adherence to cardiovascular pharmacotherapy.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Review
  5. Article
  6. Top studies of 2022 relevant to primary care: From the PEER team.Canadian family physician Medecin de famille canadien · 2023
    Review
  7. Article
  8. Of curing and healing.Canadian family physician Medecin de famille canadien · 2022
    Article
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 at 2 institutions in 1 country.

Alexander G SingerAssociate Professor in the Department of Family Medicine in the Max Rady College of Medicine of the Rady Faculty of Health Sciences at the University of Manitoba in Winnipeg. Alexander.Singer@umanitoba.ca.
Lisa LaBineResearch Facilitator in the Department of Family Medicine at the University of Manitoba.
Alan KatzSenior Researcher with the Manitoba Centre for Health Policy and Professor in the Departments of Community Health Sciences and Family Medicine at the University of Manitoba.
Marina Yogendranstatistical analyst with the Manitoba Centre for Health Policy in the Department of Community Health Sciences at the University of Manitoba.
Lisa LixProfessor and Associate Head in the Department of Community Health Sciences at the University of Manitoba.
Manitoba Health · CAUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze primary medication nonadherence across several prescription indications and test the predictors of drug nonadherence in an adult primary care population.

designRetrospective observational study using primary care provider prescriptions linked to pharmacy-based dispensing data from 2012 to 2014.

settingManitoba.

participantsPatients in the Manitoba Primary Care Research Network.

main outcome measuresPrevalence of primary medication nonadherence by drug class. Multivariable logistic regression models were used to test the associations of patient demographic and clinical or provider characteristics with primary medication nonadherence. The C statistic was used to assess the models' discriminative performance.

resultsA total of 91,660 unique prescriptions were assessed from a cohort of more than 200,000 patients. Primary medication nonadherence ranged from 13.7% (antidepressants) to 30.3% (antihypertensives). In conditions that typically present symptomatically (eg, infections, anxiety) nonadherence ranged from 13.7% to 17.5%. The range was 21.2% to 30.0% for medications related to asymptomatic conditions or those typically detected by screening. The discriminative performance of the models based on patient demographic, clinical, or provider characteristics was weak.

conclusionPrimary medication nonadherence is common, occurring more often in asymptomatic conditions. The poor predictability of the models suggests that caution is required when considering characteristic-based interventions or prediction tools to improve primary medication nonadherence.

Indexed as

Antihypertensive AgentsMedication AdherenceAdultAsymptomatic DiseasesHumansManitobaPrimary Health CareAntihypertensive Agents

Identifiers

PMID35831084
PMCPMC9842140
OpenAlexW4285499742

What OpenQuestion holds

Textmetadata
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.