Assessment and Treatment of Nonadherence in Transplant Recipients

Gastroenterol Clin North Am. 2018 Dec;47(4):939-948. doi: 10.1016/j.gtc.2018.07.015. Epub 2018 Sep 28.

Abstract

Stable intake of an immunosuppressant medication regimen is essential for posttransplant survival in the vast majority of cases. And yet, many patients are nonadherent (do not take their medications as prescribed), and suffer consequences ranging from rejection to morbidity and mortality. We review the evidence related to monitoring of adherence to medications, and intervention strategies. Our aim is to provide a baseline from which readers may approach behavioral aspects of posttransplant care. This review may also help readers in designing clinical programs for routine monitoring of adherence, and inform the choice of intervention when adherence falls below a certain threshold.

Keywords: Adherence; CoV; Intervention; MLVI; Transplant.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Graft Rejection / prevention & control*
  • Humans
  • Immunosuppressive Agents / therapeutic use*
  • Medication Adherence*
  • Transplant Recipients / psychology*

Substances

  • Immunosuppressive Agents