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Compliance and noncompliance in kidney transplant patients: cues for transplant coordinators

B Siegal1, S Greenstein

  • 1Kontracted Health-Associated Services LLP, Brooklyn, NY, USA.

Journal of Transplant Coordination : Official Publication of the North American Transplant Coordinators Organization (NATCO)
|March 7, 2000
PubMed

Insights

Kidney transplant recipients

Area of Science:

  • Nephrology
  • Transplantation
  • Behavioral Science

Background:

  • Long-term adherence to immunosuppressants is crucial for kidney transplant success.
  • Predictors and characteristics of noncompliance in kidney transplant recipients are not well understood.

Purpose of the Study:

  • To identify predictors of immunosuppressant noncompliance in kidney transplant patients.
  • To characterize different profiles of noncompliant patients.

Main Methods:

  • Analysis of data from over 1400 kidney transplant patients.
  • Investigated associations between noncompliance, patient/transplant factors, and patient beliefs.

Main Results:

  • Noncompliance is linked to specific patient and transplant characteristics.
  • Patient beliefs about immunosuppressant efficacy are associated with noncompliance.
  • Three noncomplier profiles identified: accidental, invulnerable, and decisive.

Conclusions:

  • Understanding noncompliance predictors and patient profiles aids transplant coordinators.
  • Targeted interventions can be developed to improve adherence in at-risk kidney transplant recipients.

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