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Patients under treatment for sarcoidosis reported adherence issues and would welcome personalized pharmaceutical
Cléa Dubrou1, Dorian Protzenko2, Aurélie S Leroyer3
1Service de pharmacie, hôpital de la Timone, Assistance publique-Hôpitaux de Marseille, 13000 Marseille, France; Inserm, INRAE, C2VN, Aix-Marseille University, 13000 Marseille, France; Biogénopôle, service d'immunologie, hôpital de la Timone, Assistance publique-Hôpitaux de Marseille, 13000 Marseille, France.
Abstract:
Sarcoidosis is an immune-inflammatory condition marked by significant health disparities. Around 50% of individuals diagnosed with sarcoidosis need long-term or even lifelong treatment to halt the progression of the disease. Recent guidelines, primarily targeting pulmonary sarcoidosis, have been proposed. Despite this, reports on medication adherence in sarcoidosis are scarce, and pharmaceutical care is rarely incorporated into patient-centered treatment strategies. In our study, we conducted a survey through social media (n=157) and discovered that 79% of participants were either slightly or not at all adherent to their medication regimen, according to the Girerd score. The primary goal of this project is to pinpoint the factors influencing non-adherence among sarcoidosis patients. We identified that treatment involving corticosteroids or corticosteroid-sparing drugs, coupled with factors like age and pulmonary localization, are linked to poorer adherence outcomes. Moreover, patients demonstrating poor adherence showed a readiness to engage in personalized pharmaceutical care.
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