Medication adherence and resistant hypertension
Abstract
Non-adherence has been a major concern in the treatment of hypertension and is particularly important in understanding and intervening in patients who appear to have resistant hypertension. Relatively few studies have examined the role of non-adherence in resistant hypertension. This review will address issues related to measurement of adherence, adherence interventions and rates of non-adherence in general hypertensive populations and in patients classified as having resistant hypertension.
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A review of studies of medication adherence in apparent treatment-resistant hypertension identified rates of nonadherence in this population ranging from 7% using pharmacy refill records in a managed care population to >60% using serum drug levels in a referral clinic.
“Although data are limited, a review of studies of medication adherence in aTRH identified rates of nonadherence in this population ranging from 7% using pharmacy refill records in a managed care population to >60% using serum drug levels in a referral clinic.102”
From Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association (2018) · cites this paper as [102]
Adequate adherence necessary for patients to experience benefit from full exposure to prescribed pharmacological therapy is generally defined as taking at least 80% of doses, although the scientific basis for this cutoff is unclear.
“Adequate adherence necessary for patients to experience benefit from full exposure to prescribed pharmacological therapy is generally defined as taking at least 80% of doses, although the scientific basis for this cutoff is unclear.102”
From Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association (2018) · cites this paper as [102]
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- Authors
- Hyman, D. J., & Pavlik, V
- Affiliations
- Baylor College of Medicine (US)
- Corresponding author
- Hyman, D J
- ORCID
- Pavlik, V
- Venue
- Journal of Human Hypertension
- Published
- 2014-09-11
- Volume
- 29
- Issue
- 4
- Pages
- 213-218
- ISSN
- 0950-9240 (ISSN-L)
- 1476-5527
- OpenAlex
- W1982941533
- Cited by
- 61
- References
- 55
- Citations by year
- 2026: 3 · 2024: 5 · 2023: 8 · 2022: 3 · 2021: 10 · 2020: 9 · 2019: 3 · 2018: 7 · 2017: 4 · 2016: 7 · 2015: 2
- FWCI
- 0.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Human Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Keywords
- medication adherence, resistant hypertension, hypertension, non-compliance, adherence measurement, adherence interventions, antihypertensive therapy
- MeSH terms
- Antihypertensive Agents, Blood Pressure, Drug Resistance, Humans, Hypertension, Predictive Value of Tests, Referral and Consultation, Risk Factors, Treatment Outcome, Practice Guidelines as Topic, Medication Adherence
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