The Burden of Non-Adherence to Cardiovascular Medications Among the Aging Population in Australia: A Meta-Analysis.
Background: Non-adherence to cardiovascular medications is a problem worldwide, even in Australia, which has a socialized medical system, Medicare. Objective: The aim of this systematic review was to evaluate the burden of non-adherence to cardiovascular medications and factors thereof in Australia....
| Published in: | Drugs & Aging Vol. 32; no. 3; pp. 217 - 226 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Mar2015
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103777593&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103777593 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1170229X C5B jtl: Drugs & Aging issn: 1170229X maglogo: N pubinfo: dt: Mar2015 vid: 32 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 103777593 101643137 10.1007/s40266-015-0245-1 NLM25749743 103777593 ppf: 217 ppct: 9 formats: fmt: @attributes: type: P tig: atl: The Burden of Non-Adherence to Cardiovascular Medications Among the Aging Population in Australia: A Meta-Analysis. aug: au: McKenzie, Samantha McLaughlin, Deirdre Clark, Justin Doi, Suhail affil: The University of Queensland, School of Population Health, Herston Road, Herston Brisbane 4006 Australia sug: subj: Cardiovascular Diseases Drug Therapy Medication Compliance Evaluation Human Aging Meta Analysis Australia PubMed Embase CINAHL Database Psycinfo Cochrane Library Data Analysis, Statistical Economic Aspects of Illness ab: Background: Non-adherence to cardiovascular medications is a problem worldwide, even in Australia, which has a socialized medical system, Medicare. Objective: The aim of this systematic review was to evaluate the burden of non-adherence to cardiovascular medications and factors thereof in Australia. Data Sources: Pubmed, Embase, CINAHL, PsycInfo, Cochrane Library databases were searched. Eligibility Criteria: Articles were included if they were in English, peer-reviewed and provided empirical data on adherence to cardiovascular medication for an Australian cohort. Methods: A meta-analysis of prevalence of medication non-adherence using the double arcsine square root transformed proportion was undertaken. Studies were pooled in homogenous prevalence groups and factors that differed across groups were ascertained. Results: Five studies, including eight datasets and 76,867 subjects were analyzed. Three more or less homogenous prevalence categories were discernable: low [19 %, 95 % confidence interval (CI) 15-24], moderate (26 %, 95 % CI 23-29) and high (43 %, 95 % CI 43-44; this was a single study) prevalence of non-adherence. There were minimal clear patterns across groups in relation to typical factors of non-adherence (patient, condition, healthcare system or socioeconomic factors). Measurements used for non-adherence were similar for six of the eight included datasets, suggesting this did not affect prevalence of non-adherence or inclusion in a prevalence group. Conclusions: Non-adherence to cardiovascular medications is a serious problem in the aging Australian setting with an overall prevalence of between 14 and 43 %. The lack of patterns in the typical factors of non-adherence suggests that another factor, such as patients' beliefs about their conditions and medications, may be playing a stronger role in their non-adherence than clinical or sociodemographic factors. This is an area for further research. pubtype: Academic Journal doctype: meta analysis research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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