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Adherence to long-term therapies in cystic fibrosis: a French cross-sectional study linking prescribing, dispensing, and hospitalization data. | LitMetric

AI Article Synopsis

  • Cystic fibrosis (CF) is a serious genetic disease that affects various organs and requires strict medication adherence for effective management.
  • A study in France analyzed medication adherence across different age groups, finding that older patients generally took more medications but had lower adherence scores compared to younger patients.
  • Results indicated that adherence differed significantly by medication type, with oral medications having better adherence rates than inhaled medications.

Article Abstract

Background: Cystic fibrosis (CF) is a life-shortening genetic condition that usually affects several organs and involves significant treatment burden. Adherence to medication is important for successful CF management.

Objective: To describe medication adherence according to age, therapeutic class, and pharmaceutical form in adults and children followed in four regional CF centers in France.

Methods: We conducted a cross-sectional study with non-transplanted patients followed in two adult and two pediatric centers during 2015 who were covered by the French National Health Insurance (NHI). Sociodemographic, clinical, hospitalization, and prescription data were collected from patient medical records. Medication dispensations were extracted from the regional French NHI database. Adherence was calculated over 12 months using continuous medication availability (CMA) accounting for dose adjustments and hospitalizations. Drug-specific CMA was computed in R with the AdhereR package for each medication prescribed more than 3 months, which was averaged to obtain a composite CMA score (cCMA) for all treatments and per therapeutic class as well as pharmaceutical form for each patient.

Results: A total of 228 patients were included. The number of chronic medications increased with age (=0.50, <0.001): a median of 7 medications per patient were prescribed. The mean±SD cCMA was significantly different between age groups (=0.0098): it was 0.71±0.20 for the 0-5 years age group, 0.73±0.16 for 6-11 years, 0.64±0.17 for 12-17 years, 0.57±0.23 for 18-25 years, and 0.65±0.20 for the over 25 years age group. cCMA varied significantly according to pharmaceutical forms: the mean±SD cCMA was 0.70±0.21 for oral medications and 0.54±0.28 for inhaled medications (<0.001).

Conclusion: This study suggests that adherence to medication regimens in CF patients remains suboptimal and varies substantially between age groups and pharmaceutical forms. These variations in adherence should be considered when developing effective strategies to improve adherence.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6732572PMC
http://dx.doi.org/10.2147/PPA.S211769DOI Listing

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