Factors Associated With Adherence To Immunosuppressive Therapy And Barriers In Asian Kidney Transplant Recipients

• Published in: ImmunoTargets and therapy 2019-11, p.53
• Main Authors: Ganjali, Raheleh, Sabbagh, Mahin Ghorban, Nazemiyan, Fatemeh, Mamdouhi, Fereshteh, Aval, Shapour Badiee, Taherzadeh, Zhila, Nabavi, Fatemeh Heshmati, Golmakani, Reza, Tohidinezhad, Fariba, Eslami, Saeid
• Format: Article
• Language: English
• Subjects: Drugs; Immunosuppressive agents; Immunotherapy; Kidney transplantation; Medical research; Organ transplant recipients; Organ transplantation; Patient compliance
• ISSN: 2253-1556; 2253-1556
• DOI: 10.2l47/ITT.S2l2760

Background: Medication non-adherence is the major risk factor for rejection episodes. The aim of this study was to determine the risk factors associated with adherence to immunosuppressive regimen and its barriers among kidney transplant (KT) recipients. Methods: A cross-sectional study was performed in two outpatient post-transplant clinics in Mashhad, northeast of Iran. All patients who attended the clinics from August to October 2017 were included. Patients's knowledge, adherence to immunosuppressive regimen, and quality of life were measured using the Kidney Transplant Understanding Tool, Basel Assessment of Adherence to Immunosuppressive Medications Scale (BAASIS), and SF-12V2 questionnaire, respectively. The barriers in adhering immunosuppressive regimen were investigated by Immunosuppressive Therapy Barriers Scale. Logistic regression was used to screen the significant risk factors of medication non-adherence. Results: In this study, 244 KT recipients were included with a mean age of 39.6[+ or -]12.5 years. Based on the BAASIS score, 111 (45.5%) patients were adherent to immunosuppressive regimen. Female patients were more likely to be adherent (OR=0.48, p