Evidence map›Paper›PMID 36193931›Full record

ArticleJournal of the American Heart Association2022

Comparison of Pharmacy Refill Data With Chemical Adherence Testing in Assessing Medication Nonadherence in a Safety Net Hospital Setting.

David Osula, Bryan Wu, Kevin Schesing, Sandeep R Das, Elizabeth Moss, Kristin Alvarez, Christopher Clark, Ethan A Halm, Nancy J Brown, Wanpen Vongpatanasin

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 13 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

10 authors at 3 institutions in 1 country.

David OsulaDepartment of Internal Medicine Parkland Health & Hospital System Dallas TX.
Bryan WuDepartment of Internal Medicine Parkland Health & Hospital System Dallas TX.
Kevin SchesingDepartment of Internal Medicine Parkland Health & Hospital System Dallas TX.
Sandeep R DasCardiology Division Parkland Health & Hospital System Dallas TX.ORCID 0000-0002-8454-1925
Elizabeth MossUT Southwestern Medical Center, Department of Medicine Parkland Health & Hospital System Dallas TX.
Kristin AlvarezUT Southwestern Medical Center, Department of Medicine Parkland Health & Hospital System Dallas TX.
Christopher ClarkUT Southwestern Medical Center, Department of Medicine Parkland Health & Hospital System Dallas TX.
Ethan A HalmDepartment of Medicine Robert Wood Johnson Medical School New Brunswick NJ.
Nancy J BrownYale School of Medicine New Haven CT.ORCID 0000-0001-7109-3142
Wanpen VongpatanasinCardiology Division Parkland Health & Hospital System Dallas TX.ORCID 0000-0002-7531-9388
Parkland Health & Hospital System · USJohnson University · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
UT Southwestern Center of Patient-Centered Outcomes Research (PCOR)R24HS022418 · AHRQ · UT SOUTHWESTERN MEDICAL CENTER · PI HALM, ETHAN A · 2013 to 2017
$5.0M
AHRQ HHS R24 HS022418NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Background Pharmacy fill data are a practical tool for assessing medication nonadherence. However, previous studies have not compared the accuracy of pharmacy fill data to measurement of plasma drug levels, or chemical adherence testing (CAT). Methods and Results We performed a cross-sectional study in patients with uncontrolled hypertension in outpatient clinics in a safety net health system. Plasma samples were obtained for measurement of common cardiovascular drugs, including calcium channel blockers, thiazide diuretics, beta blockers, angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, and statins, using liquid chromatography mass spectrometry. Proportion of days covered (PDC), a method for tracking pharmacy fill data, was calculated via linkages with Surescripts, and its diagnostic test characteristics were compared with CAT. Among 77 patients with uncontrolled hypertension, 13 (17%) were nonadherent to at least 1 antihypertensive drug and 23 (37%) were nonadherent to statins by CAT. PDC was significantly lower in the nonadherent versus the adherent group by CAT only among patients prescribed an angiotensin-converting enzyme inhibitor/angiotensin receptor blocker or statin (all

Indexed as

Hydroxymethylglutaryl-CoA Reductase InhibitorsHypertensionPharmacyAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAntihypertensive AgentsCalcium Channel BlockersCross-Sectional StudiesHumansMedication AdherenceSafety-net ProvidersSodium Chloride Symporter InhibitorsAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsAntihypertensive AgentsCalcium Channel BlockersHydroxymethylglutaryl-CoA Reductase InhibitorsSodium Chloride Symporter Inhibitorsangiotensin receptor antagonistsantihypertensive agentscalcium channel blockerscross‐sectional studiesdiagnostic testsdrug monitoringhydroxymethylglutaryl‐CoA reductase inhibitorsroutine

Identifiers

PMID36193931
PMCPMC9673714
OpenAlexW4300972298

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC-ND
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.