The Impact of Health Care Appointment Non-Adherence on Graft Outcomes in Kidney Transplantation.

ABSTRACT:

Background

Non-adherence to medication is a well-studied and known cause of late allograft loss, but it is difficult to measure and prospectively monitor. The aim of this study was to assess if appointment non-adherence was correlated with medication non-adherence and a predictor of graft outcomes.

Methods

This was a longitudinal cohort study that used the National United States Renal Data System and veterans affairs health records data with time-to-event analyses conducted to assess the impact on graft and patient survival.

Results

The number of transplants that were included in the analysis was 4,646 (3,656 with complete records); 14.6% of patients had an appointment no show rate of ≥12% (non-adherence). Appointment and medication non-adherence were highly correlate

SUBMITTER: Taber DJ 

PROVIDER: S-EPMC5214896 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature