[Improving treatment adherence in kidney transplantation: a major challenge].


The kidney transplant recipient is faced not only with the perspective of taking immunosuppressive drugs lifelong, but also the possibility of other long-term treatments prescribed for preexisting conditions, complications, or side effects. Proper management, and most importantly patient adherence, can become a complex challenge. Here we recall current definitions and describe methods for measuring treatment adherence, followed by a discussion on the prevalence of non-adherence in kidney transplant recipients, its effect on graft survival, and factors predictive of non-adherence. Ways of improving adherence are examined, leading to the conviction that helping patients take their medications regularly would probably have a greater impact on graft survival than marketing a new immunosuppressive agent.

DOI: 10.1016/j.nephro.2013.11.008

Cite this paper

@article{Kessler2014ImprovingTA, title={[Improving treatment adherence in kidney transplantation: a major challenge].}, author={Mich{\`e}le Kessler}, journal={Néphrologie & thérapeutique}, year={2014}, volume={10 3}, pages={145-50} }