SynthesisFrontiers in cardiovascular medicine2025
Methods and validity indicators for measuring adherence and persistence to aspirin in secondary cardiovascular prevention: a systematic review.
Synthesis in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- Development and internal validation of GENADHECAR: a screening instrument for identifying probable statin non-adherence in patients with ischemic heart disease.Frontiers in pharmacology · 2026Article
- [Pharmacological adherence and cardiometabolic goals in successfully reperfused acute myocardial infarction].Revista medica del Instituto Mexicano del Seguro Social · 2026Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Aspirin (acetylsalicylic acid, ASA) is widely recommended for long-term secondary cardiovascular prevention (SCP), but its clinical effectiveness depends on patient adherence, which remains suboptimal. Understanding how adherence and persistence to ASA are measured is essential to improving outcomes. This systematic review aimed to identify the methods used to assess adherence and persistence to ASA in SCP and evaluate their validity indicators. Methods: We systematically searched EMBASE, MEDLINE, and Scopus for studies published up to October 30, 2023, reporting methods for measuring adherence or persistence to ASA in adults undergoing secondary cardiovascular prevention. Two reviewers independently screened articles and extracted data on study characteristics, measurement methods, and validity indicators. The results were synthesized in tabular form according to method type (indirect or direct) and outcome assessed (adherence or persistence). Risk of bias was evaluated for studies that conducted validation analyses of the measurement methods. Results: Forty studies were included, most conducted in the United States. Indirect methods predominated: self-report questionnaires (45%, Conclusions: Adherence and persistence to ASA in SCP are primarily measured through indirect methods, with a lack of specific validation for ASA. There is a critical need to develop standardized, validated tools that integrate both direct and indirect measures and address gender-specific barriers to adherence. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD42023470993, PROSPERO identifier CRD42023470993.
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