Feelings of indebtedness and guilt toward donor and immunosuppressive medication adherence among heart transplant (HTx) patients, as assessed in a cross‐sectional study with the Basel Assessment of Adherence to Immunosuppressive Medications Scale (BAASIS)

Abstract

Physicians and nurses should inquire about the presence of guilt feelings, as they might be associated with NA to medications after HTx.

Risk of early, intermediate, and late rejection following heart transplantation: Trends over the past 25 years and relation to changes in medical management. Tertiary center experience: The Sheba Heart Transplantation Registry

“…In the last decade, older HT candidates became eligible for transplantation as a result of eliminating age restrictions. In a recent study, we showed that older patients in our cohort displayed better adherence to immunosuppressive medications than younger patients, these findings are consistent with previously published studies in which older patients had better medication adherence; (ii) possible reduction in ischemia reperfusion injury in more recent years due to better operative techniques and surgical skills; (iii) improved immunohistochemical and immunopathological experience and techniques, as well revised classification for rejection may have led to more accurate detection of major rejections in more recent years. These could have contributed to reduction in interobserver variability, as well to minimizing a “false‐positive” reading; (iv) Frailty has recently been recognized as an important predictor for adverse outcomes in HT and is associated with increased mortality and increased risk for graft dysfunction .…”

Self‐reported non‐adherence to immunosuppressive medication in adult lung transplant recipients—A single‐center cross‐sectional study

“…A corresponding overall non‐adherence rate of 19% could be assessed by HCW judgment. These rates appear comparable to overall non‐adherence rates ranging between 13% and 50% reported by others …”

‘You have got a foreign body in there’: renal transplantation, unexpected mild-to-moderate distress and patients’ support needs: a qualitative study

“…Patients found it difficult to accept their new kidney because of a number of different situations including: the side effects of medication, fear of transplant rejection and feeling obliged to make the most of life because of the ‘gift’ of a transplant 24–27. It has been reported that concern about the potential lifespan of the transplanted kidney may be the biggest stressor immediately after transplant, this fear subsides with time 8.…”