Matches in SemOpenAlex for { <https://semopenalex.org/work/W3012392015> ?p ?o ?g. }
- W3012392015 endingPage "266" @default.
- W3012392015 startingPage "255" @default.
- W3012392015 abstract "Immunosuppressive nonadherence is a risk factor for worse outcomes after kidney transplantation (KT). Brazil, having the world's largest public, fully covered transplantation system and the second-highest KT volume worldwide, provides a unique setting for studying multilevel correlates of nonadherence (patient, healthcare provider, transplant center, and healthcare system levels) independent of patients' financial burden.By applying a multistage sampling approach, we included 1105 patients from 20 KT centers. Nonadherence to immunosuppressives (implementation phase) was defined as any deviation in taking or timing adherence and dose reduction assessed by the Basel Assessment of Adherence to Immunosuppressive Medications Scale. Based on Bronfenbrenner's ecological model, we assessed multilevel factors using established instruments and measures specifically developed for this study and analyzed their independent contribution to nonadherence by performing sequential logistic regression analysis.The nonadherence prevalence rate was 39.7%. The following factors were independently associated with nonadherence: Patient level-having a stable partner (odds ratio [OR]: 0.75; confidence interval [CI]: 0.58-0.97), nonadherence to appointments (OR: 2.98; CI: 2.03-4.39), and nonadherence to physical activity recommendations (OR: 1.84; CI: 1.38-2.46); and transplant center level-satisfaction with the waiting room structure (OR: 0.54; CI: 0.42-0.71), consultation >30 minutes (OR: 1.60; CI: 1.19-2.14), adequacy of the consultation frequency (OR: 0.62; CI: 0.43-0.90), and centers with >500 beds (OR: 0.58; CI: 0.46-0.73).As the first multicenter study assessing multilevel correlates of nonadherence in KT, our findings point to the need for multilevel interventions beyond the patient level, targeting transplant center practice patterns as an approach to tackle nonadherence." @default.
- W3012392015 created "2020-03-23" @default.
- W3012392015 creator A5002548720 @default.
- W3012392015 creator A5010583096 @default.
- W3012392015 creator A5018928224 @default.
- W3012392015 creator A5079791690 @default.
- W3012392015 creator A5084615376 @default.
- W3012392015 creator A5086953715 @default.
- W3012392015 creator A5091284693 @default.
- W3012392015 date "2020-12-24" @default.
- W3012392015 modified "2023-10-04" @default.
- W3012392015 title "Multilevel Correlates of Immunosuppressive Nonadherence in Kidney Transplant Patients: The Multicenter ADHERE BRAZIL Study" @default.
- W3012392015 cites W1481469733 @default.
- W3012392015 cites W1540908471 @default.
- W3012392015 cites W1614323019 @default.
- W3012392015 cites W1741567663 @default.
- W3012392015 cites W1881610294 @default.
- W3012392015 cites W1965461612 @default.
- W3012392015 cites W1974911353 @default.
- W3012392015 cites W1978136073 @default.
- W3012392015 cites W1980156644 @default.
- W3012392015 cites W1980993961 @default.
- W3012392015 cites W1987861703 @default.
- W3012392015 cites W1991166317 @default.
- W3012392015 cites W1994476110 @default.
- W3012392015 cites W1994537204 @default.
- W3012392015 cites W1995554544 @default.
- W3012392015 cites W1997299355 @default.
- W3012392015 cites W2011257159 @default.
- W3012392015 cites W2012681577 @default.
- W3012392015 cites W2016608108 @default.
- W3012392015 cites W2017691418 @default.
- W3012392015 cites W2031767140 @default.
- W3012392015 cites W2041530154 @default.
- W3012392015 cites W2050261089 @default.
- W3012392015 cites W2051630679 @default.
- W3012392015 cites W2053907298 @default.
- W3012392015 cites W2059081212 @default.
- W3012392015 cites W2061192017 @default.
- W3012392015 cites W2062433914 @default.
- W3012392015 cites W2065765273 @default.
- W3012392015 cites W2072745412 @default.
- W3012392015 cites W2088846398 @default.
- W3012392015 cites W2093503883 @default.
- W3012392015 cites W2095277343 @default.
- W3012392015 cites W2098621324 @default.
- W3012392015 cites W2102994811 @default.
- W3012392015 cites W2103066851 @default.
- W3012392015 cites W2105985715 @default.
- W3012392015 cites W2112515590 @default.
- W3012392015 cites W2116897123 @default.
- W3012392015 cites W2127625194 @default.
- W3012392015 cites W2133279165 @default.
- W3012392015 cites W2135878321 @default.
- W3012392015 cites W2140765506 @default.
- W3012392015 cites W2148180224 @default.
- W3012392015 cites W2149303024 @default.
- W3012392015 cites W2151433573 @default.
- W3012392015 cites W2153774782 @default.
- W3012392015 cites W2163212095 @default.
- W3012392015 cites W2185072791 @default.
- W3012392015 cites W2187151923 @default.
- W3012392015 cites W2192852188 @default.
- W3012392015 cites W2201836111 @default.
- W3012392015 cites W2305906082 @default.
- W3012392015 cites W2317142159 @default.
- W3012392015 cites W2414220344 @default.
- W3012392015 cites W2474131267 @default.
- W3012392015 cites W2556973608 @default.
- W3012392015 cites W2558984133 @default.
- W3012392015 cites W2599884304 @default.
- W3012392015 cites W2605221747 @default.
- W3012392015 cites W2621542662 @default.
- W3012392015 cites W2654724079 @default.
- W3012392015 cites W2773495630 @default.
- W3012392015 cites W2788490231 @default.
- W3012392015 cites W2797510098 @default.
- W3012392015 cites W2922738421 @default.
- W3012392015 cites W2924950986 @default.
- W3012392015 cites W4240791213 @default.
- W3012392015 doi "https://doi.org/10.1097/tp.0000000000003214" @default.
- W3012392015 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32150041" @default.
- W3012392015 hasPublicationYear "2020" @default.
- W3012392015 type Work @default.
- W3012392015 sameAs 3012392015 @default.
- W3012392015 citedByCount "21" @default.
- W3012392015 countsByYear W30123920152021 @default.
- W3012392015 countsByYear W30123920152022 @default.
- W3012392015 countsByYear W30123920152023 @default.
- W3012392015 crossrefType "journal-article" @default.
- W3012392015 hasAuthorship W3012392015A5002548720 @default.
- W3012392015 hasAuthorship W3012392015A5010583096 @default.
- W3012392015 hasAuthorship W3012392015A5018928224 @default.
- W3012392015 hasAuthorship W3012392015A5079791690 @default.
- W3012392015 hasAuthorship W3012392015A5084615376 @default.
- W3012392015 hasAuthorship W3012392015A5086953715 @default.
- W3012392015 hasAuthorship W3012392015A5091284693 @default.
- W3012392015 hasBestOaLocation W30123920151 @default.