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Multidisciplinary insights into optimizing adherence after solid organ transplantation

O'Grady, John G. M., Asderakis, Argiris ORCID:, Bradley, Robert, Burnapp, Lisa, McPake, Dawn M., Perrin, Moira, Russell, Sheila, Watson, Alan R., Watson, Christopher J., Wray, Jo and Wilson, Louise C. 2010. Multidisciplinary insights into optimizing adherence after solid organ transplantation. Transplantation 89 (5) , pp. 627-632. 10.1097/TP.0b013e3181ca87b0

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Background. Nonadherence to medical treatment in transplant recipients is a major risk factor for graft rejection episodes, and it has significant financial implications. Despite its importance, there is a lack of common understanding across the disciplines involved of the key issues driving nonadherence. Methods. A qualitative study, comprising a multidisciplinary workshop, followed by a consultation exercise to validate its outcomes, was initiated to gain further insight into nonadherence behavior and to identify priorities for optimizing adherence to posttransplantation regimens. Results. Eight statements relating to actions necessary to maximize adherence to posttransplantation medication were developed and offered for validation. All but one of these attracted a median score of 9 on an agreement scale of 1 to 10, where 10 was the highest level of agreement. Conclusion. The outcomes generate a structure that will facilitate communication and understanding and informing clinical practice and future research.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Publisher: Lippincott, Williams & Wilkins
ISSN: 0041-1337
Date of Acceptance: 9 October 2009
Last Modified: 28 Oct 2022 10:12

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