Adherence in Kidney Transplant Recipients

Cukor, Daniel

doi:10.1159/000453555

Cited by 8 publications

(4 citation statements)

References 7 publications

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“…This is supported by other studies done in US, Iraq, WHO and Ethiopia (1, 6-8, 11, 22, 27). There were other factors signi cantly associated with medication adherence in other studies like knowledge about medication, nancial shortage, perceived health and others (12)(13)(14)(15)(16)(17)(18)(19)24). But none of these factors were signi cantly associated with adherence level in this study.…”

Section: Discussioncontrasting

confidence: 63%

Medication Adherence and Its Associated Factors among Kidney Transplant Patients in St. Paul’s Hospital Millennium Medical College

Derejie,

Dereje,

Alemu

et al. 2024

Preprint

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Background: This study examines medication adherence among kidney transplant patients at St. Paul's Hospital in Addis Ababa, Ethiopia, focusing on the level of adherence and associated factors to immunosuppressant medicines. Methods and Materials: A cross-sectional study was conducted on 270 patients from October 2021 to January 2022 using a structured questionnaire to be analyzed with SPSS version 26. The prevalence of medication adherence was computed, and a binary logistic regression was fitted to estimate the association. A 95% confidence interval and p-value <0.05 were used for statistical significance. Results: The study found that 71.5% of kidney transplant patients were male, with a median age of 37 and a mean duration of 3.55 years. Medication adherence in post-kidney transplant patients was 81.9%. Being more than 5 years post-transplant and missing follow-up visits more than two times led to a 92.6% and 91.2% decrease in medication adherence respectively. Additionally, forgetfulness was associated with a 90.6% lower adherence level compared to drug unavailability and financial reasons. Conclusion and recommendation: The study indicates that our patients exhibit higher medication adherence than WHO-measured levels, suggesting the need for healthcare providers to encourage this, especially for those above 5 years post-kidney transplant.

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Section: Discussioncontrasting

confidence: 63%

Medication Adherence and Its Associated Factors among Kidney Transplant Patients in St. Paul’s Hospital Millennium Medical College

Derejie,

Dereje,

Alemu

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…For example, the work of Schilling and Gerhardus (2017) describe a prioritisation process that included an initial survey of older adults with dementia followed by a co-design workshop. Also, Cukor (2016) describe how a community advisory board drawn from patients with kidney disease and their caregivers reviewed and provided feedback on initial proposals. In these works, and elsewhere, many different roles for co-design participants are described that includes advisors and committee members who provide advice, reviewers who scrutinise plans and materials, and co-design and co-creation roles where the co-designers initiated, and/or shared control of the project.…”

Section: Co-design In Healthcarementioning

confidence: 99%

Co-designing for the NHS: the development of sustainable theatre garments

Rodgers,

Winton,

Urquhart

et al. 2024

Proc. Des. Soc.

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NHS Scotland, one of the keystone healthcare providers in the UK, have recently set a wide variety of sustainability targets in an effort to mitigate waste and the intensive energy demands of healthcare. Medical garment production, management and design is an area in which design researchers can explore and offer solutions. This paper presents a series of co-design explorations to examine design alternatives to single-use theatre caps, the majority of which are currently disposed of routinely. Using a series of probes, major insights into how theatre cap design may be improved is presented.

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“…Reduction of the doses of tacrolimus may be accomplished by using drug enhancers such as calcium channel blockers and ketoconazole[ 115 ]. In addition, reducing the amount of medication may improve or prevent non-compliance[ 116 ].…”

Section: Coping Strategiesmentioning

confidence: 99%

“…Within the modalities of RRT, KT should be the highest priority but HD should be the lowest priority[ 28 ]. Prioritization of KT over dialysis modalities is attributed to the best clinical outcomes at the lowest cost[ 116 , 117 ]. Regarding the countries that choose to offer RRT, a mix of all three modalities of RRT will often be most appropriate[ 28 ].…”

Section: Coping Strategiesmentioning

confidence: 99%

Challenges to establishing and maintaining kidney transplantation programs in developing countries: What are the coping strategies?

Gadelkareem,

Abdelgawad,

Mohammed

et al. 2024

World J Methodol

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Kidney transplantation (KT) is the optimal form of renal replacement therapy for patients with end-stage renal diseases. However, this health service is not available to all patients, especially in developing countries. The deceased donor KT programs are mostly absent, and the living donor KT centers are scarce. Single-center studies presenting experiences from developing countries usually report a variety of challenges. This review addresses these challenges and the opposing strategies by reviewing the single-center experiences of developing countries. The financial challenges hamper the infrastructural and material availability, coverage of transplant costs, and qualification of medical personnel. The sociocultural challenges influence organ donation, equity of beneficence, and regular follow-up work. Low interests and motives for transplantation may result from high medicolegal responsibilities in KT practice, intense potential psychosocial burdens, complex qualification protocols, and low productivity or compensation for KT practice. Low medical literacy about KT advantages is prevalent among clinicians, patients, and the public. The inefficient organizational and regulatory oversight is translated into inefficient healthcare systems, absent national KT programs and registries, uncoordinated job descriptions and qualification protocols, uncoordinated on-site investigations with regulatory constraints, and the prevalence of commercial KT practices. These challenges resulted in noticeable differences between KT services in developed and developing countries. The coping strategies can be summarized in two main mechanisms: The first mechanism is maximizing the available resources by increasing the rates of living kidney donation, promoting the expertise of medical personnel, reducing material consumption, and supporting the establishment and maintenance of KT programs. The latter warrants the expansion of the public sector and the elimination of non-ethical KT practices. The second mechanism is recruiting external resources, including financial, experience, and training agreements.

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Adherence in Kidney Transplant Recipients

Cited by 8 publications

References 7 publications

Medication Adherence and Its Associated Factors among Kidney Transplant Patients in St. Paul’s Hospital Millennium Medical College

Medication Adherence and Its Associated Factors among Kidney Transplant Patients in St. Paul’s Hospital Millennium Medical College

Co-designing for the NHS: the development of sustainable theatre garments

Challenges to establishing and maintaining kidney transplantation programs in developing countries: What are the coping strategies?

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