Continuous medication monitoring: A clinical model to predict adherence to medications among chronic kidney disease patients

Islahudin, Farida; Lee, Fei Yee; Kadir, Tengku Nur Izzati Tengku Abd; Abdullah, Muhammad Zulhilmi; Makmor‐Bakry, Mohd

doi:10.1016/j.sapharm.2021.02.002

Cited by 5 publications

(2 citation statements)

References 38 publications

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“…This outcome was consistent with Griva et al reported that more than half of the patients in their research were male (Griva et al, 2014). A study by Chironda& Bhengu (2016) found that slightly more than twothirds of patients were male and that being a man is consistently associated with non-adherence (Islahudin et al, 2021). Their findings are similar to our own where the mean age of the participant was 49.54 ± 9.50 years and 62% of the population was male.…”

Section: Resultssupporting

confidence: 92%

Assessment of factors associated with the refusal of recommended thricea weekdialysis in CKD patients: Reality Vs.Recommendations

GULZAR

RAFIQUE

Afzal

et al. 2022

Biol Clin Sci Res J

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In developing countries like Pakistan, it is observed that the patients who are on dialysis do not follow the prescribed frequency of dialysis which has increased the morbidity, mortality, and burden on nephrology emergencies. To identify the most common factors associated with the refusal of recommended thrice-a-week dialysis. This observational study was carried out between June 1 and August 14, 2022, in the Department of Nephrology and Hemodialysis at the Services Hospital Lahore. The WHO calculator (version 1.1) was used to determine the sample size of 137. The patients in this study comprised those on maintenance twice-weekly hemodialysis who were anuric and advised for thrice-weekly dialysis but declined it. The senior faculty of the nephrology unit created a form with demographic information and a questionnaire to evaluate the likely reasons. The reason was categorized into three categories including socioeconomic psychology and healthcare-related factors. Using the program SPSS, the data was examined (V. 25). Mean and median were used to describe quantitative factors, and frequency or percentage were used to convey qualitative data. Based on the inclusion criteria, a total of 137 people were included in this study. 62% of the sample in our study were men. Our cohort's median age was 49.54 ± 9.50 years. 52% of the participants were in the 36 to 55 age range. 68 % of the patients who declined three times weekly dialysis were married. Only 28% of patients had higher education, while only 46% had a high school diploma and 19% had none at all. 71% of the people in our research were employed, yet the majority made less than twenty thousand PKR per month. Among the healthcare-related factors, the most common factor was the unavailability of dialysis centres (66.2%). From the results of the study, we can conclude that the lack of education and support from the organization they work for, increase responsibilities after married, low socioeconomic status and inadequate healthcare facilities are the major hurdle in compliance for advised thrice a week dialysis. These factors along with the nature of disease cause many psychological problems that further worsen the situation.

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Section: Resultssupporting

confidence: 92%

Assessment of factors associated with the refusal of recommended thricea weekdialysis in CKD patients: Reality Vs.Recommendations

GULZAR

RAFIQUE

Afzal

et al. 2022

Biol Clin Sci Res J

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“…Sub-optimal medication adherence is a significant threat and a great challenge in CKD patients. Islahudin et al created an innovative prediction model (to check for adherence in CKD) that helps improve medication adherence and therapeutic outcomes for CKD patients [20]. Another study by Liu et al highlighted the proficiency of the clinical pharmacist in identifying drug-related problems (DRPs) in CKD patients and ensuring their safe and effective use of medications [21].…”

Section: Role Of Pharmacists Toward Ckd Patients During a Pandemicmentioning

confidence: 99%

The Pharmacist’s Role in Managing COVID-19 in Chronic Kidney Disease Patients: A Review of Existing Strategies and Future Implications

et al. 2022

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The global burden of the COVID-19 pandemic has not only disrupted healthcare delivery but has also compromised patients’ access to healthcare on account of the scarcity of medications and trained healthcare professionals. COVID-19 has been particularly challenging for patient subpopulations constituting immunocompromised individuals, geriatric patients, and those afflicted by chronic ailments. Reports indicate that diminished kidney function in chronic kidney disease (CKD) renders patients highly susceptible to complications during COVID-19 treatment. Pharmacists, being medication experts, have a significant role in making treatment decisions during COVID-19 infection. This article describes pharmacists’ interventions for monitoring and managing COVID-19 in patients with CKD. Given the massive increase in off-label use of medications to treat COVID-19, pharmacists can contribute substantially towards dosing decisions, reporting adverse medication events, and managing drug–drug interactions in COVID-19 patients suffering from CKD. In addition to traditional methods of delivering their services, the pharmacist should also adopt innovative tele-health systems to optimize patient care and ensure that patients receive safe and effective therapy during the pandemic.

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Accuracy versus reliability-based modelling approaches for medical decision making

Etemadi

Khashei

2022

Computers in Biology and Medicine

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Continuous medication monitoring: A clinical model to predict adherence to medications among chronic kidney disease patients

Cited by 5 publications

References 38 publications

Assessment of factors associated with the refusal of recommended thricea weekdialysis in CKD patients: Reality Vs.Recommendations

Assessment of factors associated with the refusal of recommended thricea weekdialysis in CKD patients: Reality Vs.Recommendations

The Pharmacist’s Role in Managing COVID-19 in Chronic Kidney Disease Patients: A Review of Existing Strategies and Future Implications

Accuracy versus reliability-based modelling approaches for medical decision making

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