Cited by 61Medication Adherence and ComplianceBlood Pressure and Hypertension StudiesPharmacy and Medical Practices

Medication adherence and resistant hypertension

Hyman, D J, Pavlik, V·2015·Journal of Human 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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Crossref · 10.1038/jhh.2014.73

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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”
  • 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”

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Authors
Hyman, D. J., & Pavlik, V
Affiliations
Baylor College of Medicine (US)
Corresponding author
Hyman, D J
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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